Association of State Minimum Wage Rates and Health in Working-Age Adults Using the National Health Interview Survey
Association of State Minimum Wage Rates and Health in Working-Age Adults Using the National Health Interview Survey
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DOI：
10.1093/aje/kwaa018
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发表时间：
2021-01-01
影响因子：
5
通讯作者：
Otten, Jennifer J.
中科院分区：
文献类型：
--
作者：
Buszkiewicz, James H.;Hill, Heather D.;Otten, Jennifer J.
各州采用最低工资标准以改善工人的经济状况和福祉。许多（但并非所有）研究发现了较高最低工资对健康有益的证据。本研究采用严格的“三重差分”策略来确定州最低工资与成人肥胖、体重指数（体重（千克）/身高（米）²）、高血压、糖尿病、健康状况一般或较差以及严重心理困扰之间的关联。将2008 - 2015年美国全国健康访谈调查中关于25 - 64岁成年人（n = 131,430）的数据与州政策相关联，以估计在总体受教育程度较低的成年人以及按性别、种族/族裔和年龄划分的人群中，当前和滞后两年的最低工资每增加1美元与这些结果相关的患病优势比或平均差异。与先前的研究相反，当前最低工资与健康之间没有关联；然而，滞后两年的最低工资与肥胖的可能性呈正相关（患病优势比 = 1.08，95%置信区间：1.00，1.16），且与体重指数升高相关（平均差异 = 0.27，95%置信区间：0.04，0.49）。在亚组模型中，当前和滞后两年的最低工资与男性以及非白人或西班牙裔成年人肥胖可能性较高相关。与高血压的关联也因性别和暴露时间而异。
States adopt minimum wages to improve workers' economic circumstances and well-being. Many studies, but not all, find evidence of health benefits from higher minimum wages. This study used a rigorous "triple difference" strategy to identify the associations between state minimum wages and adult obesity, body mass index (weight (kg)/height (m)(2)), hypertension, diabetes, fair or poor health, and serious psychological distress. National Health Interview Survey data (United States, 2008-2015) on adults aged 25-64 years (n = 131,430) were linked to state policies to estimate the prevalence odds ratio or mean difference in these outcomes associated with a $1 increase in current and 2-year lagged minimum wage among less-educated adults overall and by sex, race/ethnicity, and age. In contrast to prior studies, there was no association between current minimum wage and health; however, 2-year lagged minimum wage was positively associated with the likelihood of obesity (prevalence odds ratio = 1.08, 95% confidence interval: 1.00, 1.16) and with elevated body mass index (mean difference = 0.27, 95% confidence interval: 0.04, 0.49). In subgroup models, current and 2-year lagged minimum wage were associated with a higher likelihood of obesity among male and non-White or Hispanic adults. The associations with hypertension also varied by sex and the timing of the exposure.