在挪威重大福利改革之后,与健康相关的康复轨迹的变化
Sina Wittlund1,2,3, Thomas Lorentzen4,5
1Nordland Hospital Trust, Regional Competence Centre for Work and Mental Health, PO Box 1480, 8092, Bodø, Norway. Sina.Marion.Wittlund@nordlandssykehuset.no.
挪威的年轻人在2004-2019年间经历了福利依赖和康复轨迹的转变. 尽管进行了福利改革,但许多人面临的是长期残疾福利,而不是更好的就业成果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生经济学 卫生经济学
背景情况:
- 研究了2004-2019年年轻挪威成年人 (23-27) 的与健康有关的康复轨迹.
- 研究了挪威社会福利制度重大改革期间 (2006-2011) 的趋势.
- 在年轻人中观察到与心理健康相关的福利依赖程度的增加.
研究的目的:
- 确定年轻挪威人的典型康复轨迹.
- 分析受体组成和轨迹随时间变化的变化.
- 评估与福利改革有关的劳动力市场结果.
主要方法:
- 利用挪威注册数据建立了四个队列 (2004年,2008年,2011年,2014年).
- 采用序列和集群分析来识别轨迹.
- 应用回归分析来检查社会人口统计学因素和队列成员.
主要成果:
- 大多数人遵循了社会福利依赖,失业和不稳定的工作的轨迹.
- 观察到永久残疾福利和长期康复轨迹的显著增加.
- 失业率轨迹的份额下降,学校毕业生和父母残疾人口统计数据的显著变化.
结论:
- 研究人口表现出脆弱的心理健康和低于最佳的就业结果.
- 福利改革与与工作相关的福利使用率下降和残疾福利使用率增加相关.
- 政策变化似乎无意中增加了对残疾福利的依赖,而不是改善了就业.
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