经济困难会影响健康吗? 一项针对瑞士老年人的研究
Magali Dumontet1,2, Yves Henchoz2, Brigitte Santos-Eggimann2
1EconomiX, UPL, University Paris Nanterre, CNRS, Nanterre, France.
European journal of public health
|November 23, 2023
概括
经济困难可能会对老年人的健康产生负面影响,特别是自我评估的健康状况和抑郁症状. 这项研究证实了因果关系,强调了支持性政策的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 社会经济地位显著影响健康结果.
- 经济困难,特别是短期困难,越来越被认为是老年人健康的关键决定因素.
- 现有的研究往往表明关联,但缺乏关于经济困难和健康的因果关系证据.
研究的目的:
- 调查财务困难对老年人健康变化的因果关系.
- 评估财务困难对自我评估健康,医疗状况,抑郁症状和日常生活活动的影响.
- 为社会经济因素和健康的文献提供因果关系证据.
主要方法:
- 利用了来自洛桑65岁以上 (n=1352) 队列的纵向数据,2004年65-70岁的社区成年人.
- 采用了11年后续数据 (2006-2016) 的动态面板模型.
- 分析了健康指标,包括自我评估的健康状况,病情数量,抑郁症状和日常生活活动中的困难.
主要成果:
- 发现财务困难对自我评估健康的统计学上显著的因果关系 (系数). = 0.059,P < 0.10).如果是这样的话.
- 确定了经济困难和抑郁症状增加之间的因果关系 (系数=0.060,P <0.05).
- 对于影响医疗状况的数量或日常生活活动中的困难的经济困难,没有发现因果关系证据.
结论:
- 这项研究为老年人经济困难对健康的不利影响提供了新的因果证据.
- 结果强调了解决经济困难的重要性,以改善这一人口群体的健康状况.
- 支持整合旨在减轻老年人经济困难对健康的负面影响的卫生政策.
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