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养老金改革、经济安全与心理健康:基于人权方法的必要性。

Pension reforms, economic security, and mental health: The need for a human rights-based approach.

作者信息

Steele Sarah, Ruiz Milagros, Parbst Matthew, Stuckler David

机构信息

School of Health and Social Care, University of Essex, Colchester, UK.

Intellectual Forum, Jesus College, Cambridge, UK.

出版信息

Glob Ment Health (Camb). 2025 Aug 1;12:e91. doi: 10.1017/gmh.2025.10047. eCollection 2025.

Abstract

Pension systems play a crucial role in providing economic security and supporting well-being in later life. However, as governments implement reforms to ensure financial sustainability-such as raising the retirement age, reducing benefits, and shifting to defined-contribution schemes-these measures often overlook their psychological and social consequences. Pension insecurity has been linked to heightened stress, anxiety, and depression, as well as increased social isolation, particularly among vulnerable populations, including those in physically demanding jobs, low-income workers, and individuals with existing health conditions. Despite clear evidence of these effects, mainstream pension reform discourse prioritises fiscal concerns over social and mental health implications. This article examines pension reform through the Human Rights-Public Health Pension Framework (HRPHPF), integrating legal, public health, and policy perspectives to assess its impact on mental well-being. It situates pension rights within international human rights law, explores the psychological risks associated with pension insecurity, and advocates for a human rights-based approach to pension policymaking. The article calls for integrating mental health impact assessments into pension reforms to prevent adverse outcomes and ensure that policies promote dignity, social inclusion, and economic security in old age. A more balanced approach is necessary to align financial sustainability with broader well-being and human rights principles.

摘要

养老金制度在提供经济保障和支持晚年生活福祉方面发挥着至关重要的作用。然而,随着政府实施改革以确保财政可持续性,如提高退休年龄、削减福利以及转向缴费确定型计划,这些举措往往忽视了其心理和社会影响。养老金不安全与压力增大、焦虑和抑郁加剧以及社会隔离增加有关,特别是在弱势群体中,包括从事体力要求高的工作的人、低收入工人以及已有健康问题的个人。尽管有明确证据表明这些影响,但主流养老金改革话语将财政问题置于社会和心理健康影响之上。本文通过人权-公共卫生养老金框架(HRPHPF)审视养老金改革,整合法律、公共卫生和政策视角来评估其对心理健康的影响。它将养老金权利置于国际人权法之中,探讨与养老金不安全相关的心理风险,并倡导基于人权的养老金政策制定方法。文章呼吁将心理健康影响评估纳入养老金改革,以防止不良后果,并确保政策促进老年人的尊严、社会包容和经济保障。需要一种更平衡的方法,使财政可持续性与更广泛的福祉和人权原则相一致。

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