Broadbent Philip, Thomson Rachel, Kopasker Daniel, McCartney Gerry, Meier Petra, Richiardi Matteo, McKee Martin, Katikireddi Srinivasa Vittal
MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, United Kingdom.
School of Social & Political Sciences, University of Glasgow, United Kingdom.
Lancet Reg Health Eur. 2023 Apr;27:100585. doi: 10.1016/j.lanepe.2023.100585. Epub 2023 Feb 13.
The UK, and other high-income countries, are experiencing substantial increases in living costs. Several overlapping and intersecting economic crises threaten physical and mental health in the immediate and longer term. Policy responses may buffer against the worst effects (e.g. welfare support) or further undermine health (e.g. austerity). We explore fundamental causes underpinning the cost-of-living crisis, examine potential pathways by which the crisis could impact population health and use a case study to model potential impacts of one aspect of the crisis on a specific health outcome. Our modelling illustrates how policy approaches can substantially protect health and avoid exacerbating health inequalities. Targeting support at vulnerable households is likely to protect health most effectively. The current crisis is likely to be the first of many in era of political and climate uncertainty. More refined integrated economic and health modelling has the potential to inform policy integration, or 'health in all policies'.
英国和其他高收入国家正经历生活成本的大幅上涨。几场相互重叠和交叉的经济危机在近期和长期都威胁着身心健康。政策应对措施可能会缓冲最坏的影响（如福利支持），也可能会进一步损害健康（如紧缩政策）。我们探究了生活成本危机背后的根本原因，研究了危机可能影响人口健康的潜在途径，并通过一个案例研究来模拟危机的一个方面对特定健康结果的潜在影响。我们的模型展示了政策方法如何能够极大地保护健康并避免加剧健康不平等。将支持目标对准弱势家庭可能最有效地保护健康。在政治和气候不确定的时代，当前这场危机很可能只是众多危机中的第一场。更精细的综合经济与健康模型有潜力为政策整合，即“所有政策皆健康”提供信息。
