Unemployment, measured and perceived decline of economic resources: Contrasting three measures of recessionary hardships and their implications for adopting negative health behaviors
Unemployment, measured and perceived decline of economic resources: Contrasting three measures of recessionary hardships and their implications for adopting negative health behaviors
复制标题
DOI：
10.1016/j.socscimed.2014.01.007
复制
发表时间：
2014-04-01
影响因子：
5.4
通讯作者：
Burgard, Sarah A.
中科院分区：
文献类型：
--
作者：
Kalousova, Lucie;Burgard, Sarah A.
如果经济衰退促进健康行为的改变，可能会对人口健康产生长期影响，但人们在经济挑战时期是否更有可能或更少地采取负面健康行为的证据喜忧参半。本文认为，研究人员需要更仔细地区分不同类型的经济衰退的困难和机制，可能是他们与健康行为的关联。我们专注于失业经验，测量的经济资源下降，以及经济资源的感知下降，所有这些都可能在经济衰退期间更频繁地发生，并探讨它们与健康行为的关联是一致的还是不同的。我们使用密歇根州衰退和复苏研究在美国大衰退之后收集的基于人口的纵向数据。我们评估那些经历过这三种困难的人是否更有可能采取新的负面健康行为，特别是吸烟，有害和危险的酒精消费或大麻消费。我们发现，控制和其他两个衰退的困难，失业的经验与开始使用大麻的风险增加。经济资源的减少与吸烟的危害增加和开始使用大麻的危害降低有关。经济资源的减少与有害和危险的饮酒有关。我们的研究结果表明，连接困难的经验和不同的健康行为的途径的异质性。他们还指出，像过去许多研究所做的那样，仅仅依靠一种困难程度的衡量标准，可能会导致对经济困境和健康行为之间关系的不完整理解。(C)2014爱思唯尔有限公司版权所有。
Economic downturns could have long-term impacts on population health if they promote changes in health behaviors, but the evidence for whether people are more or less likely to adopt negative health behaviors in economically challenging times has been mixed. This paper argues that researchers need to draw more careful distinctions amongst different types of recessionary hardships and the mechanisms that may underlie their associations with health behaviors. We focus on unemployment experience, measured decline in economic resources, and perceived decline in economic resources, all of which are likely to occur more often during recessions, and explore whether their associations with health behaviors are consistent or different. We use population-based longitudinal data collected by the Michigan Recession and Recovery Study in the wake of the Great Recession in the United States. We evaluate whether those who had experienced each of these three hardships were more likely to adopt new negative health behaviors, specifically cigarette smoking, harmful and hazardous alcohol consumption, or marijuana consumption. We find that, net of controls and the other two recessionary hardships, unemployment experience was associated with increased hazard of starting marijuana use. Measured decline in economic resources was associated with increased hazard of cigarette smoking and lower hazard of starting marijuana use. Perceived decline in economic resources was linked to taking up harmful and hazardous drinking. Our results suggest heterogeneity in the pathways that connect hardship experiences and different health behaviors. They also indicate that relying on only one measure of hardship, as many past studies have done, could lead to an incomplete understanding of the relationship between economic distress and health behaviors. (C) 2014 Elsevier Ltd. All rights reserved.