The physiological impacts of wealth shocks in late life: Evidence from the Great Recession
The physiological impacts of wealth shocks in late life: Evidence from the Great Recession
复制标题
DOI：
10.1016/j.socscimed.2015.12.029
复制
发表时间：
2016-02-01
影响因子：
5.4
通讯作者：
Yang, Y. Claire
中科院分区：
文献类型：
--
作者：
Boen, Courtney;Yang, Y. Claire
鉴于个人社会经济地位（SES）与健康之间有记录的联系，除了对个人钱包和银行账户的影响外，大衰退还可能对个人的疾病和死亡风险造成影响。本研究采用准自然实验设计，利用全国社会生活、健康和老龄化项目（NSHAP） （2005-2011） （N = 930）的全国代表性纵向数据和个体固定效应模型，研究大衰退期间家庭层面的财富冲击与老年人生物生理功能变化的关系。结果表明，财富冲击显著地预测了生理功能的变化，例如，从衰退前到衰退后的六年时间里，净资产的损失与收缩压和c反应蛋白的增加有关。此外，尽管在分析模型中纳入社会经济地位、社会心理健康和健康行为等其他指标，财富冲击与血压变化之间的关联并未减弱，但我们记录了一些证据，证明财富变化与c反应蛋白变化之间存在中介关系，这表明财富冲击与老年人健康相关的社会和生物生理机制具有特异性。该研究将宏观水平的条件、中观水平的家庭环境和微观水平的生物过程联系起来，为经济不平等导致晚年疾病和死亡风险的机制提供了新的见解。(C) 2015 Elsevier Ltd.版权所有。
Given documented links between individual socioeconomic status (SES) and health, it is likely that in addition to its impacts on individuals' wallets and bank accounts the Great Recession also took a toll on individuals' disease and mortality risk. Exploiting a quasi-natural experiment design, this study utilizes nationally representative, longitudinal data from the National Social Life, Health, and Aging Project (NSHAP) (2005-2011) (N = 930) and individual fixed effects models to examine how household-level wealth shocks experienced during the Great Recession relate to changes in biophysiological functioning in older adults. Results indicate that wealth shocks significantly predicted changes in physiological functioning, such that losses in net worth from the pre-to the post-Recession period were associated with increases in systolic blood pressure and C-reactive protein over the six year period. Further, while the association between wealth shocks and changes in blood pressure was unattenuated with the inclusion of other indicators of SES, psychosocial well-being, and health behaviors in analytic models, we document some evidence of mediation in the association between changes in wealth and changes in C-reactive protein, which suggests specificity in the social and biophysiological mechanisms relating wealth shocks and health at older ages. Linking macro-level conditions, meso-level household environments, and micro-level biological processes, this study provides new insights into the mechanisms through which economic inequality contributes to disease and mortality risk in late life. (C) 2015 Elsevier Ltd. All rights reserved.