Health Effects of Unemployment Benefit Program Generosity

Health Effects of Unemployment Benefit Program Generosity
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DOI:
10.2105/ajph.2014.302253
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发表时间:
2015-02-01
影响因子:
12.7
通讯作者:
Avendano, Mauricio
Avendano, Mauricio
中科院分区:
医学2区
文献类型:
--
作者:
Cylus, Jonathan;Glymour, M. Maria;Avendano, Mauricio

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目标。我们评估了失业救济计划对失业者健康的影响。方法。我们将 1985 年至 2008 年间美国各州允许的最高失业救济水平的法律数据与收入动态小组研究中户主的个人自评健康状况联系起来,并实施了州和年份固定效应模型。结果。在线性概率(b = 0.0794;95% 置信区间 [CI] = 0.0623, 0.0965)和逻辑模型(比值比 = 2.777;95% CI = 2.294, 3.362)中,失业与男性报告健康状况不佳的风险增加相关,但当国家失业救济金的慷慨程度较高时,这种效应较低(b 表示失业与失业之间的相互作用)。效益 = -0.124;95% CI = -0.197,-0.0523)。福利增加 63% 完全抵消了失业对自我报告健康状况的影响。结论。结果表明,失业救济金可以显着减轻男性失业对健康的不利影响。
Objectives. We assessed the impact of unemployment benefit programs on the health of the unemployed.Methods. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models.Results. Unemployment was associated with increased risk of reporting poor health among men in both linear probability (b = 0.0794; 95% confidence interval [CI] = 0.0623, 0.0965) and logistic models (odds ratio = 2.777; 95% CI = 2.294, 3.362), but this effect is lower when the generosity of state unemployment benefits is high (b for interaction between unemployment and benefits = -0.124; 95% CI = -0.197, -0.0523). A 63% increase in benefits completely offsets the impact of unemployment on self-reported health.Conclusions. Results suggest that unemployment benefits may significantly alleviate the adverse health effects of unemployment among men.