The Home Foreclosure Crisis and Rising Suicide Rates, 2005 to 2010

The Home Foreclosure Crisis and Rising Suicide Rates, 2005 to 2010
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DOI:
10.2105/ajph.2013.301774
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发表时间:
2014-06-01
影响因子:
12.7
通讯作者:
Light, Michael T.
Light, Michael T.
中科院分区:
医学2区
文献类型:
--
作者:
Houle, Jason N.;Light, Michael T.

文献摘要

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目标。我们研究了2005年至2010年州级止赎与自杀率之间的关系,并考虑了止赎对自杀的影响随年龄的变化。我们使用混合随机和固定效应模型来检验2005年至2010年间各州止赎率与总自杀率和年龄特定自杀率之间的关系(n = 306个州年)。除其他因素外,州内总止赎率的增加与州内粗自杀率的增加相关(b = 0.04; P < 0.1),对房地产拥有的止赎率的影响更强(b = 0.16; P < 0.05)。对特定年龄自杀率的分析表明,中年人(46-64岁:总止赎率,b = 0.21; P < .001;房地产止赎率,b = 0.83; P < .001)的影响最大。上升的房屋止赎率解释了2005年至2010年间中年自杀率变化的18%。除了与经济衰退相关的其他经济因素外,止赎危机很可能导致了自杀率的上升。不断上升的止赎率可能是最近中年人自杀率上升的部分原因。
Objectives. We examined the association between state-level foreclosure and suicide rates from 2005 to 2010 and considered variation in the effect of foreclosure on suicide by age.Methods. We used hybrid random-and fixed-effects models to examine the relation between state foreclosure rates and total and age-specific suicide rates from 2005 to 2010 (n = 306 state-years).Results. Net of other factors, an increase in the within-state total foreclosure rate was associated with a within-state increase in the crude suicide rates (b = 0.04; P < .1), and effects were stronger for the real estate-owned foreclosure rate (b = 0.16; P < .05). Analysis of age-specific suicide rates indicated that the effects were strongest among the middle-aged (46-64 years: total foreclosure rate, b = 0.21; P < .001; real estate-owned foreclosure rate, b = 0.83; P < .001). Rising home foreclosure rates explained 18% of the variance in the middle-aged suicide rate between 2005 and 2010.Conclusions. The foreclosure crisis has likely contributed to increased suicides, independent of other economic factors associated with the recession. Rising foreclosure rates may be partially responsible for the recent uptick in suicide among middle-aged adults.