The high price of debt: household financial debt and its impact on mental and physical health.

The high price of debt: household financial debt and its impact on mental and physical health.
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DOI:
10.1016/j.socscimed.2013.05.009
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发表时间:
2013-08
影响因子:
5.4
通讯作者:
McDade, Thomas W.
McDade, Thomas W.
中科院分区:
医学2区
文献类型:
--
作者:
Sweet, Elizabeth;Nandi, Arijit;Adam, Emma K.;McDade, Thomas W.

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近年来,美国家庭金融债务急剧上升。虽然有证据表明债务与不良心理健康有关,但其与其他健康结果的关系相对未知。我们调查了来自国家青少年健康纵向研究(Add Health)的8400名年轻成年受访者中的多个金融债务指数与心理和一般健康结果的相关性。我们的研究结果表明,报告相对于可用资产的高财务债务与较高的感知压力和抑郁,自我报告的一般健康状况较差以及较高的舒张压相关。当控制了先前的社会经济地位、心理和身体健康以及其他人口统计学因素时,这些关联仍然很重要。结果表明,债务是健康的一个重要的社会经济决定因素,应进一步探讨在社会流行病学研究。
Household financial debt in America has risen dramatically in recent years. While there is evidence that debt is associated with adverse psychological health, its relationship with other health outcomes is relatively unknown. We investigate the associations of multiple indices of financial debt with psychological and general health outcomes among 8400 young adult respondents from the National Longitudinal Study of Adolescent Health (Add Health). Our findings show that reporting high financial debt relative to available assets is associated with higher perceived stress and depression, worse selfreported general health, and higher diastolic blood pressure. These associations remain significant when controlling for prior socioeconomic status, psychological and physical health, and other demographic factors. The results suggest that debt is an important socioeconomic determinant of health that should be explored further in social epidemiology research.
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