U.S. State Policy Contexts and Physical Health among Midlife Adults.

U.S. State Policy Contexts and Physical Health among Midlife Adults.
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DOI:
10.1177/23780231221091324
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发表时间:
2022-01
期刊:
影响因子:
4.5
通讯作者:
Montez, Jennifer Karas
Montez, Jennifer Karas
中科院分区:
其他
文献类型:
--
作者:
Kemp, Blakelee R.;Grumbach, Jacob M.;Montez, Jennifer Karas

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这项研究探讨了近几十年来国家政策环境如何导致不利的成人健康。它将1993-2016年行为风险因素监测系统(n= 2,166,835)的个人数据与每年在保守到自由连续体上测量的15个州级政策领域合并。我们研究了政策领域与45-64岁成年人健康之间的关联,并评估了成年人的社会经济,行为/生活方式和家庭因素对这些关联的影响。公民权利领域的更自由版本与更好的健康有关。它对教育程度较低的成年人和妇女尤为重要,其与成年人健康的关系部分取决于教育程度、就业和收入。环境、枪支安全和大麻政策领域在较小程度上是某些模型规范中的健康预测因素。总而言之,健康的改善需要更多地关注影响人们生活条件的宏观因素。
This study examines how state policy contexts may have contributed to unfavorable adult health in recent decades. It merges individual-level data from the 1993–2016 Behavioral Risk Factor Surveillance System (n=2,166,835) with 15 state-level policy domains measured annually on a conservative to liberal continuum. We examined associations between policy domains and health among adults ages 45–64 years and assess how much of the associations is accounted by adults’ socioeconomic, behavioral/lifestyle, and family factors. A more liberal version of the civil rights domain was associated with better health. It was disproportionately important for less-educated adults and women, and its association with adult health was partly accounted by educational attainment, employment, and income. Environment, gun safety, and marijuana policy domains were, to a lesser degree, predictors of health in some model specifications. In sum, health improvements require a greater focus on macro-level factors that shape the conditions in which people live.
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