Health costs and benefits associated with economic transitions: Linking records of address change, property value, and self-reported health
Health costs and benefits associated with economic transitions: Linking records of address change, property value, and self-reported health
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DOI：
10.1002/psp.2466
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发表时间：
2021-05-02
影响因子：
2.4
通讯作者：
McCann, Mark
中科院分区：
文献类型：
--
作者：
Moriarty, John;Maguire, Aideen;McCann, Mark
贫困是人口健康的主要风险，特别是在儿童时期经历过的情况。早年的健康状况不佳会不断累积，并表现为成年后的健康不平等。政策制定者的目标可能是通过努力增加社会流动性并促进改善收入和生活条件，或者通过防止经济下行和贫困经历的影响来减轻贫困的不良影响。本文使用个人和家庭层面的地址变更和财产价值数据来研究在地址之间搬家的人，特别是搬到财产价值较低的房产的人，是否更频繁地发生不良健康结果。我们使用北爱尔兰纵向研究，将 2001 年和 2011 年人口普查的健康和人口数据联系起来，对 10-64 岁人口中 28% 的代表性人口 (N = 342,681) 进行房屋估价。居住在价值超过 160,000 英镑的房屋中的年轻人（10-15 岁）被报告患有精神疾病的可能性是居住在价值低于 75,000 英镑的房屋中的年轻人的一半（OR = 0.49，CI：0.31-0.78）。没有强有力的证据表明向上或向下流动会影响年轻人的心理健康或身体健康，但工作老年人的健康状况不佳与搬到价值较低的房屋有很强的相关性。讨论结果对理解社会流动性和健康动态的影响以及各种针对贫困的政策如何影响人口健康。
Deprivation is a major risk to population health, in particular when experienced during childhood. Poor health in the early years accumulates and is expressed in adult health inequalities. Policy makers may aim to mitigate against the ill effects of deprivation by trying to increase social mobility and facilitating moves towards better earnings and living conditions or by protecting against the effects of downward moves and the experience of deprivation. This paper uses address change and property value data at the individual and family level to examine whether poor health outcomes occur more frequently among people who move between addresses and particularly those who move to properties with lower property values. We use the Northern Ireland Longitudinal Study, linking health and demographic data from 2001 and 2011 Censuses to house valuations for a representative 28% of the population aged 10-64 years (N = 342,681). Young persons (aged 10-15 years) living in a house valued at over 160,000 pound were half as likely to be reported as having mental ill health as those living in a house valued under 75,000 pound (OR = 0.49, CI: 0.31-0.78). There was no strong evidence that upward or downward mobility affected mental health or physical health for young people, but ill health of working aged persons showed a strong association with moving to houses of lower value. Results are discussed in terms of their implications for understanding the dynamics of social mobility and health and in terms of how various policies towards poverty may influence population health.