Adolescents' psychological health during the economic recession: does public spending buffer health inequalities among young people?
Adolescents' psychological health during the economic recession: does public spending buffer health inequalities among young people?
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DOI：
10.1186/s12889-016-3551-6
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发表时间：
2016-08-24
影响因子：
4.5
通讯作者：
Richter M
中科院分区：
文献类型：
--
作者：
Rathmann K;Pförtner TK;Osorio AM;Hurrelmann K;Elgar FJ;Bosakova L;Richter M
许多经合组织国家应对经济衰退的办法是调整公共开支，为贫困家庭和青年提供社会福利。到目前为止，还没有任何研究审查最近经济衰退期间公共社会支出对健康的影响，以及青年人健康方面的社会不平等现象。本研究调查了公共支出的增加是否与健康投诉的发病率降低有关，并缓冲了青少年之间的健康不平等。数据来自2009/2010年“学龄儿童健康行为（HBSC）”研究，该研究包括来自27个欧洲国家的11 - 15岁青少年（N = 144，754）。社会经济地位的测量家庭富裕量表（FAS）。对2010年人均家庭福利公共支出绝对率与2009/2010年青少年心理健康投诉相关的家庭福利相对变化率（2006-2010年）之间的关联进行了Logistic多层次模型分析。2010年用于家庭福利的公共支出的绝对比率没有显示出与青少年心理健康投诉的显著关联。家庭福利公共支出的相对变化率（2006-2010年）与健康状况改善有关。在家庭福利公共支出变化率较高的国家，心理健康投诉的社会经济不平等程度更大（2006-2010年）。研究结果部分支持了我们的假设，并强调，在家庭福利增加方面的政策举措可能部分有利于青少年健康，但往往会扩大社会不平等的青少年健康在最近的经济衰退。本文的在线版本（doi：10.1186/s12889-016-3551-6）包含补充材料，可供授权用户使用。
Many OECD countries have replied to economic recessions with an adaption in public spending on social benefits for families and young people in need. So far, no study has examined the impact of public social spending during the recent economic recession on health, and social inequalities in health among young people. This study investigates whether an increase in public spending relates to a lower prevalence in health complaints and buffers health inequalities among adolescents. Data were obtained from the 2009/2010 “Health Behaviour in School-aged Children (HBSC)” study comprising 11 – 15-year-old adolescents from 27 European countries (N = 144,754). Socioeconomic position was measured by the Family Affluence Scale (FAS). Logistic multilevel models were conducted for the association between the absolute rate of public spending on family benefits per capita in 2010 and the relative change rate in family benefits (2006–2010) in relation to adolescent psychological health complaints in 2009/2010. The absolute rate of public spending on family benefits in 2010 did not show a significant association with adolescents’ psychological health complaints. Relative change rates of public spending on family benefits (2006–2010) were related to better health. Greater socioeconomic inequalities in psychological health complaints were found for countries with higher change rates in public spending on family benefits (2006–2010). The results partially support our hypothesis and highlight that policy initiatives in terms of an increase in family benefits might partially benefit adolescent health, but tend to widen social inequalities in adolescent health during the recent recession. The online version of this article (doi:10.1186/s12889-016-3551-6) contains supplementary material, which is available to authorized users.