Is recession bad for your mental health? The answer could be complex: evidence from the 2008 crisis in Spain.

Is recession bad for your mental health? The answer could be complex: evidence from the 2008 crisis in Spain.
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DOI:
10.1186/s12874-018-0538-2
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发表时间:
2018-07-13
影响因子:
4
通讯作者:
Nolasco A
Nolasco A
中科院分区:
医学3区
文献类型:
--
作者:
Moncho J;Pereyra-Zamora P;Tamayo-Fonseca N;Giron M;Gómez-Beneyto M;Nolasco A

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我们探讨了2008年经济衰退对西班牙心理健康问题患病率的影响。重复横断面调查设计。使用了2006年和2011年的数据集,并检查了时间变化。这项研究是在从事经济活动的人口(16-64岁)中进行的。两次调查分别有29,478人及21,007人参与,回应率分别为96%及89.6%。调整多元逻辑回归模型以确定不良心理健康的危险因素。进行标准化分析,以估计精神健康状况不佳(GHQ+)风险人群的患病率。危机发生后,GHQ+的流行率在男性中增加,在女性中减少。两项逻辑回归分析确定了GHQ+风险因素。从2006年到2011年,男女失业率上升,收入下降,躯体疾病和限制的流行率下降,这些因素与GHQ+的流行率较高有关。在控制年龄后,男性就业和收入的变化促使GHQ+患病率增加,而躯体疾病和限制的变化往往会减轻这种影响。经济衰退后,失业男性的身体健康状况有所改善。在女性中没有发现同样的效果。经济衰退对男子的心理健康问题产生了复杂的影响。妇女患病率的降低与经济危机相关的社会经济因素的变化无关,也与身体健康的变化无关。
We explored the impact of 2008 recession on the prevalence of mental health problems in Spain. Repeated cross-sectional survey design. Datasets from 2006 and 2011 were used, and temporal change was examined. The study was conducted on the economically active population (16–64 years old). The two surveys included 29,478 and 21,007 people, obtaining a 96 and 89.6% response rate, respectively. Multiple logistic regression models were adjusted to identify poor mental health risk factors. A standardisation analysis was performed to estimate the prevalence of people at risk of poor mental health (GHQ+). The prevalence of GHQ+ following the crisis increased in men and decreased in women. Two logistic regression analyses identified GHQ+ risk factors. From 2006 to 2011, unemployment rose and income fell for both men and women, and there was a decline in the prevalence of somatic illness and limitations, factors associated with a higher prevalence of GHQ+. After controlling for age, the change in employment and income among men prompted an increase in the prevalence of GHQ+, while the change in somatic illness and limitations tended to mitigate this effect. After the recession, unemployed men showed a better level of somatic health. The same effects were not detected in women. The economic recession exerted a complex effect on mental health problems in men. The reduction of prevalence in women was not associated with changes in socioeconomic factors related to the economic crisis nor with changes in somatic health.
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