紧缩政策是否导致许多高收入国家死亡率趋势停滞? 一个系统的审查
Philip Broadbent1, David Walsh2, Srinivasa Vittal Katikireddi1
1University of Glasgow MRC/CSO Social and Public Health Sciences Unit, Glasgow, UK.
概括
宏观经济紧缩政策与死亡人数的增加有关,影响死亡率和预期寿命. 决策者在实施紧缩措施时必须考虑这些不利的健康影响.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 宏观经济紧缩政策包括财政整合措施.
- 这些政策对人口健康的影响,特别是死亡率,需要进行系统评估.
研究的目的:
- 系统地审查和评估有关宏观经济紧缩政策对死亡率结果的影响的证据.
- 综合有关紧缩措施与高收入国家死亡率之间的关系的研究结果.
主要方法:
- 在九个数据库和灰色文献中进行系统的文献搜索.
- 使用ROBINS-I对偏差风险进行合格研究的定量评估.
- 评估证据确定性的GRADE框架;由于异质性,没有元分析的综合.
主要成果:
- 包括七项研究,其中六项表明紧缩政策对死亡率的有害影响.
- 对所有原因死亡率,预期寿命和特定原因死亡率观察到一致的不良影响.
- 较高的过度死亡率与更大的紧缩措施暴露相关;估计每年每种典型的紧缩措施剂量增加74,090-115,385例额外死亡.
结论:
- 紧缩政策始终与不良的死亡率结果有关.
- 影响的规模是不确定的,可能取决于实施细节.
- 政策制定者应该意识到紧缩政策对健康的潜在有害影响.
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