Unemployment insurance and deteriorating self-rated health in 23 European countries.
Unemployment insurance and deteriorating self-rated health in 23 European countries.
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DOI：
10.1136/jech-2013-203721
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发表时间：
2014-07
影响因子：
6.3
通讯作者：
Sjöberg O
中科院分区：
文献类型：
--
作者：
Ferrarini T;Nelson K;Sjöberg O
2008年的全球金融危机可能会对欧洲的公共卫生产生影响，尤其是由于大规模失业加剧、财政紧缩措施和社会保护体系不足。这项研究的目的是分析失业保险在欧洲财政危机开始时对工作年龄人口中自我评估健康状况恶化的作用。多层次逻辑条件变化模型在2006年和2009年两次重复地将关于失业保险覆盖面和收入替代的机构一级数据与关于23个欧洲国家自我评级健康的个人一级小组数据联系起来。失业保险大大减少了向自我评定的健康不良的过渡，特别是在这方面，方案复盖面很重要。失业保险也与个人一级的健康的社会经济梯度有关，在这种情况下，方案的覆盖范围大大降低了受教育程度带来的健康风险。在金融危机期间，失业保险减轻了个人和国家一级对健康的不利影响。由于方案覆盖的中心地位，失业保险改革的重点应放在扩大劳动力中的参保人数上。
The global financial crisis of 2008 is likely to have repercussions on public health in Europe, not least through escalating mass unemployment, fiscal austerity measures and inadequate social protection systems. The purpose of this study is to analyse the role of unemployment insurance for deteriorating self-rated health in the working age population at the onset of the fiscal crisis in Europe. Multilevel logistic conditional change models linking institutional-level data on coverage and income replacement in unemployment insurance to individual-level panel data on self-rated health in 23 European countries at two repeated occasions, 2006 and 2009. Unemployment insurance significantly reduces transitions into self-rated ill-health and, particularly, programme coverage is important in this respect. Unemployment insurance is also of relevance for the socioeconomic gradients of health at individual level, where programme coverage significantly reduces health risks attached to educational attainment. Unemployment insurance mitigated adverse health effects both at individual and country-level during the financial crisis. Due to the centrality of programme coverage, reforms to unemployment insurance should focus on extending the number of insured people in the labour force.
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影响因子：
13.7
作者：
Ruhm, CJ
通讯作者：
Ruhm, CJ
影响因子：
6.3
作者：
Bambra, C.;Eikemo, T. A.
通讯作者：
Eikemo, T. A.
影响因子：
3.3
作者：
Chung, Haejoo;Muntaner, Carles
通讯作者：
Muntaner, Carles
影响因子：
2.4
作者：
RODGERS, GB
通讯作者：
RODGERS, GB
影响因子：
4.2
作者：
Ferrarini, Tommy;Nelson, Kenneth;Palme, Joakim
通讯作者：
Palme, Joakim