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宏观经济学与健康:了解经济衰退对南非儿童和年轻人健康状况的影响。

Macroeconomics and health: Understanding the impact of a declining economy on health outcomes of children and young adults in South Africa.

作者信息

Mostert Cyprian M

机构信息

Brain and Mind Institute, Aga Khan University, Kenya.

Population Health Department, Aga Khan University, Kenya.

出版信息

SSM Popul Health. 2023 Jun;22:101404. doi: 10.1016/j.ssmph.2023.101404. Epub 2023 Apr 20.

DOI:10.1016/j.ssmph.2023.101404
PMID:37155486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10116162/
Abstract

BACKGROUND

The current covid-19 economic crisis continues to weaken economic growth in South Africa. This study was designed to show how a declining economic state affects the mental health conditions, metabolic risk factors, communicable conditions, and non-communicable conditions of adolescent (18-year cohorts) and adult (25-year cohorts) population groups comparatively.

STUDY DESIGN

This was a panel analysis using secondary data issued by Statistic South Africa.

METHODS

The author used a Two-stage Least Squared Model (2SLS) to quantify the impact of the declining economy on mental health conditions (depression and traumatic stress), non-communicable conditions (cancer and diabetes), metabolic risk factors (alcohol abuse and hypertension), and communicable conditions (influenza, diarrhea, dry cough) of both adolescent and young adult population groups. Each group comprised a treatment and a control group.

RESULTS

The declining economic state of 2008-2014 worsens the mental health conditions, metabolic risk factors, and non-communicable conditions of adolescent and young adult populations. However, the declining economy reduced cases of communicable conditions. The impact of the declining economy worsens mental health conditions, metabolic risk factors, and non-communicable conditions more in urban settings than in rural regions. Men abuse alcohol more than women during economic decline, triggering worsening mental health conditions, hypertension, and non-communicable conditions, especially in the adult population residing in urban settings.

CONCLUSIONS

Economic decline worsen mental health conditions, metabolic risk factors, and non-communicable conditions. The South African government may want to prioritize these conditions as covid-19 economic shocks continue to backslide economic growth.

摘要

背景

当前的新冠疫情经济危机持续削弱南非的经济增长。本研究旨在比较经济衰退状态如何影响青少年(18岁年龄段群组)和成年人(25岁年龄段群组)的心理健康状况、代谢风险因素、传染病状况和非传染病状况。

研究设计

这是一项使用南非统计局发布的二手数据的面板分析。

方法

作者使用两阶段最小二乘法模型(2SLS)来量化经济衰退对青少年和青年人群体的心理健康状况(抑郁症和创伤应激)、非传染病状况(癌症和糖尿病)、代谢风险因素(酗酒和高血压)以及传染病状况(流感、腹泻、干咳)的影响。每个群体都包括一个治疗组和一个对照组。

结果

2008 - 2014年经济衰退状态使青少年和青年人群体的心理健康状况、代谢风险因素和非传染病状况恶化。然而,经济衰退减少了传染病病例。经济衰退的影响在城市地区比农村地区更严重地恶化了心理健康状况、代谢风险因素和非传染病状况。在经济衰退期间,男性比女性酗酒更严重,引发心理健康状况、高血压和非传染病状况恶化,尤其是在居住在城市地区的成年人群体中。

结论

经济衰退会恶化心理健康状况、代谢风险因素和非传染病状况。随着新冠疫情经济冲击继续使经济增长倒退,南非政府可能希望优先关注这些状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/4f06a0eee04e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/80faf8b02645/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/963f54d04e6a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/4f06a0eee04e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/80faf8b02645/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/f984fae42b43/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/963f54d04e6a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ed4/10165126/4f06a0eee04e/gr4.jpg

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