Social Science & Medicine最新文献_第10页

Comprehensive assessment of the impact of mandatory community-based health insurance in Burkina Faso

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-25 DOI: 10.1016/j.socscimed.2025.117870

Delphine Boutin , Laurène Petitfour , Yvonne Allard , Souleymane Kountoubré , Valéry Ridde

{"title":"Comprehensive assessment of the impact of mandatory community-based health insurance in Burkina Faso","authors":"Delphine Boutin , Laurène Petitfour , Yvonne Allard , Souleymane Kountoubré , Valéry Ridde","doi":"10.1016/j.socscimed.2025.117870","DOIUrl":"10.1016/j.socscimed.2025.117870","url":null,"abstract":"<div><div>Health coverage for informal workers in Sub-Saharan Africa remains a major challenge. This study evaluates an alternative approach: bundling health insurance with microcredit. We conducted a randomized controlled trial in Ouagadougou, Burkina Faso, to assess the impact of mandatory health insurance linked to microcredit. The study covered 88 microcredit groups (44 treated, 44 control), analyzing outcomes for 1,095 individuals who reported illness episodes in the six months preceding the final survey in January–February 2022. Results show that the insurance requirement did not lead to program dropout, with loan renewal rates remaining stable between groups. Health insurance had a significant positive impact on financial protection: out-of-pocket expenses decreased by over 50% and payment difficulties by 36%. The study also reveals changes in health-seeking behaviors. Use of modern healthcare facilities increased by 7%, while reliance on traditional medicine decreased by 61%. Insured individuals also sought care more quickly, with 23% more seeking care on the same day symptoms appeared. However, no significant impact was observed on physical or psychological health outcomes. These findings suggest that bundling health insurance with other services like microcredit can be a viable solution for deploying mandatory health coverage to populations working in the informal sector. This approach provides significant financial protection against health risks and improves access to healthcare.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117870"},"PeriodicalIF":4.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural disaster-induced dementia and cognitive decline: A meta-analysis and systematic review

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-25 DOI: 10.1016/j.socscimed.2025.117898

Jacob Thompson , Maryam Vasefi

{"title":"Natural disaster-induced dementia and cognitive decline: A meta-analysis and systematic review","authors":"Jacob Thompson , Maryam Vasefi","doi":"10.1016/j.socscimed.2025.117898","DOIUrl":"10.1016/j.socscimed.2025.117898","url":null,"abstract":"<div><div>Recently, some studies have noted a negative cognitive impact on individuals in the aftermath of large-scale natural disasters; however, the causal relationship between disasters and cognitive/neurodegenerative effects remains widely unexplored. This review analyzes the impact of natural disasters on the development of cognitive decline (CD), all-cause dementia, and Alzheimer's disease (AD) in disaster-affected individuals. Studies reported from their inception to August 2023 were obtained via public online databases. All data presented in this review was derived from precalculated study results, data presented within/alongside articles, or statistics calculated using data obtained by contacting the articles' authors for ancillary information. Data from 28 studies, representing 4,606,561 individuals, 158,994 CD events, 179,694 dementia events, and 47,193 AD events was included for analysis. The pooled odds ratio (OR) and 95% confidence interval (CI) estimates showed that natural disasters significantly increased the risk of CD (OR: 1.25, CI: 1.20–1.30), all-cause dementia (OR: 1.07, CI: 1.05–1.08), and AD (OR: 1.07, CI: 1.05–1.10) in disaster victims as opposed to less- or non-impacted individuals. The greatest effects were noted following hurricanes, earthquakes with tsunamis, and heat waves. The findings from this meta-analysis indicate that natural disasters are significantly associated with the development of CD, all-cause dementia, and AD.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117898"},"PeriodicalIF":4.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The power paradox of patient-centred care in Chinese community health: Towards a conceptualisation

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-24 DOI: 10.1016/j.socscimed.2025.117883

Bo Li

{"title":"The power paradox of patient-centred care in Chinese community health: Towards a conceptualisation","authors":"Bo Li","doi":"10.1016/j.socscimed.2025.117883","DOIUrl":"10.1016/j.socscimed.2025.117883","url":null,"abstract":"<div><div>Patient-centred care (PCC) is widely heralded as a transformative healthcare paradigm, designed to prioritise patients' unique needs, preferences, and values in clinical decision-making. By potentially shifting away from the historically provider-centric model, PCC aims to empower patients as autonomous, active participants. However, critical questions remain: Does PCC genuinely dismantle power asymmetries, or does it merely serve as rhetoric subtly reinforcing existing hierarchies under the guise of empowerment? This study examines this power paradox—the disconnect between PCC's rhetorical positioning and its superficial implementation—through Steven Lukes' three dimensions of power, focusing on China's community healthcare system, where patient-centred ideals are strongly advocated. A year-long non-participant observation at a major community health centre in Shenzhen, complemented by semi-structured interviews with 16 general practitioners (GPs) and 18 hypertensive patients (HPs), informed an iterative thematic analysis. The analysis identified three paradoxes that complicate PCC's vision of patient empowerment. First, protective authority demonstrates how GPs' protective intentions manifest as directive behaviours, fostering dependency and limiting patient agency. Second, framing authority reveals how organisational norms, policies, and clinical expectations constrain patient choice, prioritising compliance over autonomy. Lastly, internalised compliance highlights PCC's ideological power, where HPs internalise adherence as integral to their identity as ‘good’ patients, embedding deference to medical authority within their sense of well-being. These findings offer critical insights into PCC's power paradox, questioning its theoretical capacity to redress entrenched provider-patient power imbalances. Addressing these challenges necessitates systemic reforms and shifts in clinical practice to genuinely prioritise patient-centredness.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117883"},"PeriodicalIF":4.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disputed and disfavored: Pain, mental illness, and invisible conditions in disability discrimination cases

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-24 DOI: 10.1016/j.socscimed.2025.117885

Rachel Kahn Best , Yan Fang , Catherine Fisk , Linda Hamilton Krieger , Diana Reddy

{"title":"Disputed and disfavored: Pain, mental illness, and invisible conditions in disability discrimination cases","authors":"Rachel Kahn Best , Yan Fang , Catherine Fisk , Linda Hamilton Krieger , Diana Reddy","doi":"10.1016/j.socscimed.2025.117885","DOIUrl":"10.1016/j.socscimed.2025.117885","url":null,"abstract":"<div><div>When they sue their employers for disability discrimination, do plaintiffs with some types of conditions fare better than others? This paper analyzes legal outcomes for three types of conditions that are potentially disputed (subject to suspicion and doubt) or disfavored (subject to stigma or judgment): mental illnesses, invisible conditions, and subjectively diagnosed pain conditions. Using logistic regression to analyze over 1,100 judicial opinions in the US federal courts, we find that invisible conditions tend to be disputed and mental illnesses tend to be disfavored. We find the strongest and most consistent disadvantages for subjectively diagnosed pain conditions; plaintiffs with these conditions are significantly less likely to be deemed a person with a disability and to win in court. The disadvantages for plaintiffs with difficult-to-document pain conditions persist even if they are deemed to be persons with disabilities, suggesting that skepticism about these conditions pollutes judges’ overall impression of plaintiffs.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117885"},"PeriodicalIF":4.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How many doctors does a health system need? Histories of workforce planning in the NHS

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-24 DOI: 10.1016/j.socscimed.2025.117882

Clare Herrick , David Armstrong

{"title":"How many doctors does a health system need? Histories of workforce planning in the NHS","authors":"Clare Herrick , David Armstrong","doi":"10.1016/j.socscimed.2025.117882","DOIUrl":"10.1016/j.socscimed.2025.117882","url":null,"abstract":"<div><div>Health systems across the world are currently facing profound workforce shortages. This is, however, not a new phenomenon. Drawing on the case study of the British National Health Service (NHS), we explore how it has struggled to answer the fundamental question of how many doctors it needs with any accuracy or certainty. While the NHS is organisationally complex, it remains one of the world's most monopolistic health care systems. Despite this, the task of workforce planning has always been beset with basic problems of data accuracy and availability, and a lack of integration with resourcing. Given this, we first explore how fears over doctor ‘shortages’ have, historically, been intimately linked to concerns about the possible over-supply of doctors. We then examine the mechanistic ways in which current and future doctor numbers have been calculated before setting these efforts in political and policy context. These efforts have consistently revealed that there are numerous “imponderables” that, while crucial to answering the question of how many doctors the NHS needs, remain largely unknowable: how to achieve a ‘balanced’ system; understanding the work done by doctors and their productivity; and the impact of technology. Drawing on the work of British health economists writing in the 1970s, we examine how the expanded capacity to address medical need has only reinforced the need (and case) for ever more doctors. In conclusion, we argue that the insatiable need of the NHS for more doctors shows no sign of abating. Responding to this will inevitably require politically unpalatable resourcing trade-offs of the kind that have been largely absent from public debate.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117882"},"PeriodicalIF":4.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A political economy of hope: Materialisations of social class and inequity in women's imaginings of alcohol (free) futures

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-24 DOI: 10.1016/j.socscimed.2025.117884

Paul R Ward , Kristen Foley , Megan Warin , Belinda Lunnay

{"title":"A political economy of hope: Materialisations of social class and inequity in women's imaginings of alcohol (free) futures","authors":"Paul R Ward , Kristen Foley , Megan Warin , Belinda Lunnay","doi":"10.1016/j.socscimed.2025.117884","DOIUrl":"10.1016/j.socscimed.2025.117884","url":null,"abstract":"<div><div>This paper explores how social class shapes affective experiences, integrating the sociology of emotions with political economic theory to examine how systems of dis/advantage influence women's hopes and hopefulness about their futures and the potential for reductions in alcohol consumption. Using 149 open-ended qualitative interviews with 86 women across three studies, we analyse 'hope stories' to investigate how capacities for hopefulness are embedded in the social practices and temporal orientations of gender and class. Interviews focused on the role of alcohol in daily life and perceptions of opportunities for reducing consumption, particularly in the context of alcohol as a health risk. Throughout data analysis, we made sense of the data though literature on the sociology of hope and the political economy of hope, revealing how class and gender create differing conditions and expressions of hope. Women in affluent social class positions expressed confidence in reducing alcohol consumption (if desired), attributing this to agency and personal virtue, often dismissing the need for hope. Middle-class women reported relying on hope to navigate pressures to conform to gendered norms and respectability, where alcohol use is socially expected. In contrast, working-class women described feelings of hopelessness, as intersecting precarities in their lives reinforced reliance on alcohol to manage life stressors. This study highlights how social class and gender create varying distributions and conditions of hope, offering empirical evidence on the structuring structures of hopefulness. Our findings provide critical insights for policy makers to develop equitable and class-sensitive approaches to supporting women in reducing alcohol consumption.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117884"},"PeriodicalIF":4.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The long-term health effects of welfare reform

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-22 DOI: 10.1016/j.socscimed.2025.117878

Emily C. Dore , Rita Hamad , Kelli A. Komro , Melvin D. Livingston III

{"title":"The long-term health effects of welfare reform","authors":"Emily C. Dore , Rita Hamad , Kelli A. Komro , Melvin D. Livingston III","doi":"10.1016/j.socscimed.2025.117878","DOIUrl":"10.1016/j.socscimed.2025.117878","url":null,"abstract":"<div><div>Childhood poverty is associated with poor health in adulthood, but social policies may buffer poverty's long-term harmful effects by providing cash and in-kind resources. This study assessed the long-term health effects of welfare reform, which added work requirements, sanctions for noncompliance, lifetime limits, and family caps to welfare programming in the US in the mid-1990s. Research has found mixed evidence on the short-term health effects of welfare reform, but fewer studies have documented its impacts on health across the life course. This study exploited temporal and state variation in the implementation of welfare reform to examine the association between exposure to welfare reform as a child on self-rated health, psychological distress, and chronic conditions in adulthood using data from the Panel Study of Income Dynamics. We found that welfare reform exposure in early childhood, from conception to age five, was associated with more psychological distress (<em>b</em> = 0.41, 95%CI 0.08, 0.74) and more chronic conditions (<em>b</em> = 0.21, 95%CI 0.10, 0.33) in adulthood. We also found that welfare reform exposure in later childhood, from ages six to 18, was associated with lower likelihood of reporting poor health (<em>b</em> = −0.03, 95%CI -0.05, −0.01), less psychological distress (<em>b</em> = −0.33, 95%CI -0.54, −0.11), and fewer chronic conditions (<em>b</em> = −0.18, 95%CI -0.25, −0.10), which was especially true for non-Hispanic Black and Hispanic individuals compared to non-Hispanic White individuals. Our findings suggest that the difference in outcomes based on age of exposure is related to the ease with which parents fulfill welfare requirements, though more research is needed on possible mechanisms.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117878"},"PeriodicalIF":4.9,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of emotional expression and platform prompts on patient selection: A multi-method study on online question and answer platforms

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-21 DOI: 10.1016/j.socscimed.2025.117868

Jiaxin Xue , Zhaohua Deng , Bin Wang

{"title":"Effects of emotional expression and platform prompts on patient selection: A multi-method study on online question and answer platforms","authors":"Jiaxin Xue , Zhaohua Deng , Bin Wang","doi":"10.1016/j.socscimed.2025.117868","DOIUrl":"10.1016/j.socscimed.2025.117868","url":null,"abstract":"<div><div>Patients lacking medical expertise in online health Q&A platforms find it difficult to assess the quality of physician responses. Emotional support provided by doctors and prompts from the platform may influence patient selection.</div><div>We developed a conceptual model based on emotions as social information theory and the Stimulus-Organism-Response framework. The model was validated using a multi-method and multi-study approach. In Study 1, we analyzed platform data using natural language processing and machine learning techniques to explore the impacts of physician expression characteristics on patient selection. In Study 2, we conducted an experiment to explore patient perceptions and influence mechanisms in the process.</div><div>Study 1 showed the effects of empathy, encouragement, and using default responses on patient selection. Study 2 revealed the importance of psychological empowerment and uniqueness neglect on patient decisions. The findings have significant implications for physicians and platforms in designing improved health services and optimizing systems.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"370 ","pages":"Article 117868"},"PeriodicalIF":4.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Not/belonging as health promotion: The affective potentialities of human and non-human relationalities in mother-baby-assemblages 不属于/归属感促进健康：母婴组合中人与非人关系的情感潜力

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-21 DOI: 10.1016/j.socscimed.2025.117865

Eva Neely , Michaela Pettie

{"title":"Not/belonging as health promotion: The affective potentialities of human and non-human relationalities in mother-baby-assemblages","authors":"Eva Neely , Michaela Pettie","doi":"10.1016/j.socscimed.2025.117865","DOIUrl":"10.1016/j.socscimed.2025.117865","url":null,"abstract":"<div><div>Motherhood has life-long impacts on health and exacerbates health disparities. Birthing a baby changes life immensely with heightened affectivity and emotions posing risks and opportunities. Identity-focused maternal transition theory and dominant cultural narratives of neoliberal, nuclear, and heterosexual parenting have created a narrow framework within which to understand the responsibilities and challenges of motherhood. In this we paper propose an alternative path to theorising motherhood relationally through the concept of belonging-as-affect in mother-baby-assemblages. To achieve this we plug into posthuman feminism to explore mother-baby-assemblages as relational, embodied and affective sites of fleeting and enduring not/belonging. We develop a creative qualitative reviewing approach and draw on literature that examines motherhood and mothering across place, mobilities, people, bodies and things. We explore how tracing relationalities between human and non-human actants might help us learn about ‘sticky’ sites of not/belonging in mother-baby-assemblages as a more fluid way of understanding the journey into and through mother/parenthood. The sticky-ness of not/belonging as timebound glue offers insights into the vital emergence of maternal health and is articulated as a mode of inquiry for future work in this space. Our orientation to posthuman mothering works through porosity, permeability and vacillation by turning our attention to sites of affectivity, and tracing non/sticky not/belonging emerging in multiple and diverse pathways, embracing openness, and eliciting generosity towards collective parenting. Understanding belonging as emergent co-becoming may allow for hopeful and inclusive motherhoods that are diversely care-ing and care-full.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"371 ","pages":"Article 117865"},"PeriodicalIF":4.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Causally-informative analyses of the effect of job displacement on all-cause and specific-cause mortality from the 1990s Finnish recession until 2020: A population registry study of private sector employees

IF 4.9 2区医学

Social Science & Medicine Pub Date : 2025-02-21 DOI: 10.1016/j.socscimed.2025.117867

Stephanie Zellers , Elissar Azzi , Antti Latvala , Jaakko Kaprio , Terhi Maczulskij

{"title":"Causally-informative analyses of the effect of job displacement on all-cause and specific-cause mortality from the 1990s Finnish recession until 2020: A population registry study of private sector employees","authors":"Stephanie Zellers , Elissar Azzi , Antti Latvala , Jaakko Kaprio , Terhi Maczulskij","doi":"10.1016/j.socscimed.2025.117867","DOIUrl":"10.1016/j.socscimed.2025.117867","url":null,"abstract":"<div><h3>Background</h3><div>Job loss is related to morbidity and mortality, but generation of causal evidence is challenging due to confounding factors. Finland suffered a severe economic recession in the early 1990s with unemployment reaching almost 25%, with many job losses due to mass layoff or company closure. Such job displacements are assumed to be exogenous to the individual and create a natural experiment for causal inference.</div></div><div><h3>Methods and Findings</h3><div>We evaluate the causal relationship between job displacement and mortality using register data from Finland between 1988 and 2020 (N = 590,823 individuals [43.3 % female] aged 25–55 and securely employed by the private sector at baseline, N = 93,199 total deaths by 2020). Job displacement is associated with increased risk of all-cause mortality even after accounting for sex, age, marital status, and education (HR = 1.09 [1.07, 1.11]). Risks of death by suicide, violence, alcohol, accidents, and disease are higher for displaced individuals at all follow-up periods examined. Risks of death from cancer and ischaemic heart disease are higher for displaced individuals only in later follow up periods.</div></div><div><h3>Conclusions</h3><div>Our analyses support the causal influence of job displacement on all-cause and specific-cause mortality, even up to 30 years after the recession; this risk varies by cause of death and by length of follow-up. Future work should evaluate stress and substance use as potential pathways from job displacement to mortality.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"370 ","pages":"Article 117867"},"PeriodicalIF":4.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0