Pension reforms, economic security, and mental health: The need for a human rights-based approach.

IF 2.8 2区 医学 Q2 PSYCHIATRY
Global Mental Health Pub Date : 2025-08-01 eCollection Date: 2025-01-01 DOI:10.1017/gmh.2025.10047
Sarah Steele, Milagros Ruiz, Matthew Parbst, David Stuckler
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引用次数: 0

Abstract

Pension systems play a crucial role in providing economic security and supporting well-being in later life. However, as governments implement reforms to ensure financial sustainability-such as raising the retirement age, reducing benefits, and shifting to defined-contribution schemes-these measures often overlook their psychological and social consequences. Pension insecurity has been linked to heightened stress, anxiety, and depression, as well as increased social isolation, particularly among vulnerable populations, including those in physically demanding jobs, low-income workers, and individuals with existing health conditions. Despite clear evidence of these effects, mainstream pension reform discourse prioritises fiscal concerns over social and mental health implications. This article examines pension reform through the Human Rights-Public Health Pension Framework (HRPHPF), integrating legal, public health, and policy perspectives to assess its impact on mental well-being. It situates pension rights within international human rights law, explores the psychological risks associated with pension insecurity, and advocates for a human rights-based approach to pension policymaking. The article calls for integrating mental health impact assessments into pension reforms to prevent adverse outcomes and ensure that policies promote dignity, social inclusion, and economic security in old age. A more balanced approach is necessary to align financial sustainability with broader well-being and human rights principles.

养恤金改革、经济保障和精神健康:需要采取基于人权的办法。
养老金制度在提供经济保障和支持晚年福祉方面发挥着至关重要的作用。然而,随着政府实施改革以确保财政可持续性,如提高退休年龄、减少福利和转向固定缴款计划,这些措施往往忽视了它们的心理和社会后果。养恤金不安全与压力、焦虑和抑郁加剧以及社会孤立加剧有关,特别是在弱势群体中,包括体力要求高的工作人员、低收入工人和现有健康状况的个人。尽管这些影响有明确的证据,但主流养老金改革话语优先考虑财政问题,而不是社会和心理健康影响。本文通过人权-公共卫生养老金框架(HRPHPF)考察养老金改革,整合法律、公共卫生和政策观点,评估其对心理健康的影响。它将养老金权利置于国际人权法的框架内,探讨了与养老金不安全相关的心理风险,并倡导在养老金政策制定中采用基于人权的方法。这篇文章呼吁将心理健康影响评估纳入养老金改革,以防止不良后果,并确保政策促进老年人的尊严、社会包容和经济保障。有必要采取更加平衡的办法,使财政可持续性与更广泛的福祉和人权原则保持一致。
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来源期刊
Global Mental Health
Global Mental Health PSYCHIATRY-
自引率
5.10%
发文量
58
审稿时长
25 weeks
期刊介绍: lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.
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