关键词: Cost of living crisis Health policy Healthcare Inequity

Mesh : Humans Female Male Adult Middle Aged Aged Young Adult Adolescent Health Status Surveys and Questionnaires Europe Sweden Germany Quality of Life United Kingdom

来  源:   DOI:10.1186/s12889-024-19330-y   PDF(Pubmed)

Abstract:
BACKGROUND: The Cost of Living Crisis (CoLC), a real term reduction in basic income, risks individuals being unable to afford essentials such as heat, food and clothing. The impact of the CoLC is disproportionate - with different population sub-groups more likely to be negatively affected. The objective of this survey was to evaluate the perceived impact of the CoLC on the life and health of participants across four European countries.
METHODS: A survey housing two questions to investigate the relationship between the CoLC and its perceived impact on life and health was developed. Four European countries (U.K., Sweden, Italy and Germany) took part via the YouGov platform. Logistic regression models were created for each country and question to evaluate which population characteristics were associated with a negative reported impact of the CoLC.
RESULTS: A total of 8,152 unique individuals responded between 17th March and 30th March 2023. Each country was equally represented. Those aged 36-64 were more likely to report a negative impact of the CoLC on their life and health than younger participants (p < 0.001, p = 0.02 respectively). Across all countries, females were significantly more likely to report a negative impact on their life and health, however, when analysed according to country, in Sweden females were less likely to report a negative impact (p < 0.001). Those in lower income families or who reported poor health in the preceding 12 months were significantly more likely to report a negative impact of the CoLC on their life and health. There was no difference within the participant group on the reported impact of the CoLC based on location (rural vs. urban).
CONCLUSIONS: We demonstrate the disproportionate negative impact of the CoLC on both life and health in different population subgroups. Germany and Sweden appeared to be more resilient to the effects of the CoLC, particularly for certain population subgroups. It is important to understand the differing effects of a CoLC, and to learn from successful health and economic strategies in order to create targeted policy and create a population resilient to economic shocks.
摘要:
背景:生活成本危机(CoLC),基本收入的实际减少,冒着个人负担不起热量等必需品的风险,食物和衣服。CoLC的影响不成比例-不同的人口亚群更可能受到负面影响。这项调查的目的是评估CoLC对四个欧洲国家参与者的生活和健康的感知影响。
方法:进行了一项包含两个问题的调查,以调查CoLC及其对生活和健康的感知影响之间的关系。四个欧洲国家(英国,瑞典,意大利和德国)通过YouGov平台参加。为每个国家创建了Logistic回归模型,并询问了哪些人群特征与CoLC的负面影响相关。
结果:在2023年3月17日至3月30日期间,共有8,152名独特个体做出了回应。每个国家都有平等的代表。与年轻参与者相比,年龄在36-64岁之间的参与者更有可能报告CoLC对其生活和健康的负面影响(分别为p<0.001,p=0.02)。在所有国家,女性更有可能报告对她们的生活和健康产生负面影响,然而,当根据国家进行分析时,在瑞典,女性不太可能报告负面影响(p<0.001)。低收入家庭或在过去12个月中报告健康状况欠佳的人更有可能报告CoLC对其生活和健康的负面影响。参与者组内对CoLC基于位置的报告影响没有差异(农村与城市)。
结论:我们证明了CoLC对不同人群亚组的生活和健康的不成比例的负面影响。德国和瑞典似乎对CoLC的影响更具弹性,特别是对于某些人口亚组。重要的是要了解CoLC的不同影响,并从成功的卫生和经济战略中学习,以便制定有针对性的政策,并使人口能够抵御经济冲击。
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