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首页> 外文期刊>Social science and medicine >Household economic resources, labour-market advantage and health problems - A study on causal relationships using prospective register data
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Household economic resources, labour-market advantage and health problems - A study on causal relationships using prospective register data

机译：家庭经济资源，劳动力市场优势和健康问题-使用前瞻性登记数据进行因果关系研究

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Our aim was to find out whether the associations between health and both individual and household economic position reflected a causal effect on health of household affluence and consumption potential. We attempted to separate this effect from health-selection effects, in other words the potential effect of health on economic position, and from various effects related to occupational position and prestige that might correlate with the economic indicators. We made a distinction between individual labour-market advantage and household economic resources in order to reflect these theoretical definitions. Our aim was to test and compare two hypotheses: 1) low household economic resources lead to an increase in health problems later on, and 2) health problems are disadvantageous on the labour market, and consequently decrease the level of economic resources. We used prospective register data obtained from the databases of Statistics Finland and constituting an 11-per-cent random sample of the Finnish population in 1993-2006. Health problems were measured in terms of sickness allowance paid by the Finnish Social Insurance Institution, household economic resources in terms of household-equivalent disposable income and taxable wealth, and labour-market advantage in terms of individual taxable income and months of unemployment. We used structural equation models (n = 211,639) to examine the hypothesised causal pathways. Low household economic resources predicted future health problems, and health problems predicted future deterioration in labour-market advantage. The effect of economic resources on health problems was somewhat stronger. These results suggest that accumulated exposure to low economic resources leads to increasing health problems, and that this causal mechanism is a more significant source of persistent health inequalities than health problems that bring about a permanent decrease in economic resources.
机译：我们的目的是找出健康与个人和家庭经济状况之间的关联是否反映了对家庭富裕程度和消费潜力健康的因果关系。我们试图将这种效应与健康选择效应（换句话说，健康对经济地位的潜在效应）以及与职业地位和声誉相关的各种效应（可能与经济指标相关联）分开。为了反映这些理论定义，我们在个体劳动力市场优势和家庭经济资源之间进行了区分。我们的目的是检验和比较两个假设：1）家庭经济资源不足导致后来的健康问题增加; 2）健康问题在劳动力市场上是不利的，因此降低了经济资源水平。我们使用了从芬兰统计局数据库中获得的前瞻性登记数据，该数据构成了1993-2006年芬兰人口的11％随机样本。健康问题以芬兰社会保险机构支付的疾病津贴，家庭经济资源（以家庭当量可支配收入和应税财富）和劳动力市场优势（以个人应税收入和失业月份为单位）进行衡量。我们使用结构方程模型（n = 211,639）来检验假设的因果路径。家庭经济资源不足预示着未来的健康问题，而健康问题预示着劳动力市场优势的未来恶化。经济资源对健康问题的影响更大。这些结果表明，对低经济资源的累积暴露会导致健康问题的增加，并且这种因果机制比持续导致经济资源永久减少的健康问题更是持续存在健康不平等的重要原因。

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