Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs
Impact of the economic crises on suicide in Italy: the moderating role of active labor market programs
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DOI：
10.1007/s00127-018-1625-8
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发表时间：
2019-02-01
影响因子：
4.4
通讯作者：
De Vogli, Roberto
中科院分区：
文献类型：
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作者：
Mattei, Giorgio;Pistoresi, Barbara;De Vogli, Roberto
目的分析1990-2014年期间意大利失业与自杀之间的关联，特别关注大衰退（GR）以及社会保障作为缓冲机制对健康结局负面影响的作用。方法采用固定效应面板回归法评估失业率和自杀率变化之间的关联。其他模型调查的作用，积极的劳动力市场计划（ALMP）作为可能的主持人的协会。进行了分析，男性和女性，分层的年龄和region.Results的负面时间趋势显示自杀率在意大利，直到2007年放缓的GR开始时，失业率的变化，当这种趋势逆转，自杀率开始增加。25-64岁的男性工人和55-64岁的女性工人既受到“正常”失业率波动的影响，也受到严重经济危机的影响。35-44岁的妇女只受后者的影响。男性受益于ALMPs主要是在意大利中部，而女性并没有从ALMPs.Conclusions显着受益，在意大利，经济衰退与增加自杀主要是男性，而严重的经济危机与增加自杀之间的男性和女性。ALMPs仅在意大利中部显示出在缓和45-54岁男性的失业与自杀之间的关联方面是有效的。这类方案的总体成效不大，可能是由于缺乏足够的资金。
Purpose To analyze the association between unemployment and suicide in Italy during the years 1990-2014, with a peculiar focus on the great recession (GR) and the role played by social protection as buffering mechanism against the negative effect on health outcomes.Methods Fixed effects panel regressions were used to assess the association between changes in unemployment rate and suicide rates. Additional models investigated the role of active labor market programs (ALMPs) as possible moderators of the association. Analyses were carried out for both males and females, stratified by age and region.Results The negative time-trend displayed by suicide rate in Italy until 2007 was slowed down by changes in unemployment at the beginning of the GR, when this trend reversed and the rate of suicide started increasing. Male workers aged 25-64 and women aged 55-64 years were affected by both "normal" unemployment rate fluctuations as well as severe economic crises. Women aged 35-44 were only influenced by the latter. Men benefit from ALMPs mainly in Central Italy, while women did not benefit significantly from ALMPs.Conclusions In Italy, economic downturns were associated with increased suicides mainly among men, while severe economic crises were associated with increased suicides among both men and women. ALMPs showed to be effective in moderating the association between unemployment and suicide among men aged 45-54 only in Central Italy. The overall small effectiveness of such programs may be due to lack of sufficient funding.