州一级的收入不平等是美国自杀死亡率的决定因素。

IF 2.7 2区 社会学 Q1 SOCIAL WORK
Social work Pub Date : 2024-10-01 DOI:10.1093/sw/swae035
Andrew J Irish
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引用次数: 0

摘要

几十年来,收入不平等现象一直在加剧,现在人们已经知道,收入不平等与许多下游健康结果有关,不平等程度越高,健康状况越差。关于收入不平等与自杀之间关系的调查结果喜忧参半。本研究利用 "全国纵向死亡率研究"(National Longitudinal Mortality Study)提供的最新数据,调查各州收入不平等与自杀死亡率之间的关系。研究使用了一系列严格控制的逻辑回归模型,采用了多种不平等衡量标准和各种自杀死亡率病例对照规范来研究这一现象。结果表明,自杀死亡率随不平等程度的增加而增加,而且这一结果在所有模型中都是不变的。从美国各州收入不平等的最高值到最低值来看,基尼系数的降低可使自杀死亡率降低 20% 到 55% 或更多。研究结果适用于社会工作者和其他心理健康专业人员的临床评估和治疗。同样,社区组织者、政策倡导者和立法者也应该意识到,减少美国收入不平等的政策解决方案是减轻自杀死亡率负担的一种机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
State-Level Income Inequality as a Determinant of Suicide Mortality in the United States.

Income inequality has been increasing for decades and is now known to be related to many downstream health outcomes, where greater inequality is a predictor of poorer health. Results of investigations into the relationship between income inequality and suicidality have been mixed. This study leverages the most recent data available from the National Longitudinal Mortality Study to investigate the relationship between state-level income inequality and suicide mortality. A series of rigorously controlled logistic regression models, employing multiple measures of inequality, and various suicide mortality case-control specifications are used to investigate the phenomenon. Results indicate that the odds of suicide mortality increase with inequality, and this result is invariant across all models. A reduction in the Gini coefficient from the highest to lowest values of income inequality observed in U.S. states may reduce the odds of suicide mortality by 20 percent to 55 percent or more. Findings have application for social workers and other mental health professionals with respect to clinical assessment and treatment. Likewise, community organizers, policy advocates, and legislators should be aware that policy solutions reducing income inequality in the United States are a mechanism for alleviating the suicide mortality burden.

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来源期刊
Social work
Social work SOCIAL WORK-
CiteScore
3.90
自引率
3.40%
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