中年工人的低小时工资和死亡率的历史
Katrina L Kezios1, Peiyi Lu1, Sebastian Calonico2
1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
JAMA
|February 22, 2023
概括
持续的低工资与更高的死亡风险有关,特别是当与工作不稳定性相结合时. 支持低工资工人的政策可能会提高生存率.
科学领域:
- 公共卫生
- 流行病学
- 健康的社会经济决定因素
背景情况:
- 低工资是一个越来越严重的公共卫生问题.
- 关于持续低薪工作对健康的长期影响的研究有限.
研究的目的:
- 调查持续低工资与死亡率之间的关系.
- 使用纵向数据分析中年工人的这种关联.
主要方法:
- 从健康和退休研究 (1992-2018) 中对4002名50岁以上的美国工人进行了纵向研究.
- 根据每两年报告的小时工资,分类低工资历史 (从未,间歇,持续).
- 使用Cox比例危险和添加危险回归模型,调整社会人口结构,经济和健康因素.
主要成果:
- 持续的低工资与增加的死亡风险 (HR, 1.35) 和过度死亡有关.
- 当低工资与就业不稳定相吻合时,这种关联更为强烈 (HR, 2.18).
- 经过对共变量进行调整后,结果被部分减弱.
结论:
- 持续的低工资可能会增加死亡风险,尤其是在不稳定的就业条件下.
- 这表明社会和经济政策的潜在好处,比如提高最低工资,以改善工人死亡率.
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