The physiological impacts of wealth shocks in late life: Evidence from the Great Recession

被引:65
作者
Boen, Courtney [1 ,2 ,4 ]
Yang, Y. Claire [2 ,3 ]
机构
[1] Univ N Carolina, Dept Sociol, Chapel Hill, NC USA
[2] Univ N Carolina, Carolina Populat Ctr, Chapel Hill, NC USA
[3] Univ N Carolina, Lineberger Comprehens Canc Ctr, Dept Sociol, Chapel Hill, NC 27599 USA
[4] 155 Hamilton Hall,CB 3210, Chapel Hill, NC 27599 USA
关键词
The Great Recession; Wealth; Blood pressure; Inflammation; Longitudinal analysis; C-REACTIVE PROTEIN; SOCIOECONOMIC-STATUS; CARDIOVASCULAR-DISEASE; SOCIAL-CLASS; JOB LOSS; HEALTH; MORTALITY; STRESS; INFLAMMATION; DIFFERENTIALS;
D O I
10.1016/j.socscimed.2015.12.029
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Given documented links between individual socioeconomic status (SES) and health, it is likely that in addition to its impacts on individuals' wallets and bank accounts the Great Recession also took a toll on individuals' disease and mortality risk. Exploiting a quasi-natural experiment design, this study utilizes nationally representative, longitudinal data from the National Social Life, Health, and Aging Project (NSHAP) (2005-2011) (N = 930) and individual fixed effects models to examine how household-level wealth shocks experienced during the Great Recession relate to changes in biophysiological functioning in older adults. Results indicate that wealth shocks significantly predicted changes in physiological functioning, such that losses in net worth from the pre-to the post-Recession period were associated with increases in systolic blood pressure and C-reactive protein over the six year period. Further, while the association between wealth shocks and changes in blood pressure was unattenuated with the inclusion of other indicators of SES, psychosocial well-being, and health behaviors in analytic models, we document some evidence of mediation in the association between changes in wealth and changes in C-reactive protein, which suggests specificity in the social and biophysiological mechanisms relating wealth shocks and health at older ages. Linking macro-level conditions, meso-level household environments, and micro-level biological processes, this study provides new insights into the mechanisms through which economic inequality contributes to disease and mortality risk in late life. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:221 / 230
页数:10
相关论文
共 80 条
[1]  
Alley Dawn E, 2009, Am J Public Health, V99 Suppl 3, pS693, DOI 10.2105/AJPH.2009.161877
[2]  
[Anonymous], 2012, REC 2007 2009
[3]  
[Anonymous], 2011, 17310 NBER
[4]  
[Anonymous], 1990, Sociological Methodology, DOI [10.2307/271083, DOI 10.2307/271083]
[5]   Stress, inflammation and cardiovascular disease [J].
Black, PH ;
Garbutt, LD .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (01) :1-23
[6]  
Black S.E., 2012, 18660 NBER
[7]   Effects of Layoffs and Plant Closings on Subsequent Depression Among Older Workers [J].
Brand, Jennie E. ;
Levy, Becca R. ;
Gallo, William T. .
RESEARCH ON AGING, 2008, 30 (06) :701-721
[8]  
Bricker Jesse., 2012, Federal Reserve Bulletin, V98, P1
[9]   The Great Recession and Health: People, Populations, and Disparities [J].
Burgard, Sarah A. ;
Ailshire, Jennifer A. ;
Kalousova, Lucie .
ANNALS OF THE AMERICAN ACADEMY OF POLITICAL AND SOCIAL SCIENCE, 2013, 650 (01) :194-213
[10]   Toward a better estimation of the effect of job loss on health [J].
Burgard, Saraha A. ;
Brand, Jennie E. ;
House, James S. .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2007, 48 (04) :369-384