Long-term Effects of Local Area New Deal Work Relief in Childhood on Late-Life Depression.

IF 3.2 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI:10.1093/geronb/gbae207
Sepideh Modrek, David H Rehkopf
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Abstract

Objective: To investigate whether childhood exposure to local area New Deal emergency employment work relief activity was associated with lower depressive symptoms in late life.

Methods: This study utilized individual-level data from the Wisconsin Longitudinal Study (WLS) linked to the full count 1940 census. New Deal emergency employment programs were the largest nonwartime expansion in government-led infrastructure, services, and employment policy in U.S. history. We used within-county variation in WLS participants' exposure to emergency employment work relief activity during childhood (aged 0-3) to examine its association with depressive symptoms in late life. We examined depressive symptoms at 3 ages, 53-55, 65-67, and 72-74 but with a focus on depressive symptoms at ages 72-74 as a marker for late-life depression.

Results: Children who lived in neighborhoods with moderate or high levels of emergency employment work relief activity exhibited 14%-18% lower depressive symptom scores at ages 72-74 compared with those from neighborhoods with low activity. These findings were consistent across various measures of late-life depressive symptoms, different model specifications, and after accounting for prior depressive symptoms.

Discussion: The study highlights the long-term mental health benefits of economic policies aimed at mitigating concentrated economic downturns among the most impacted individuals. Childhood exposure to New Deal work relief reduced depressive symptoms in older age, particularly new onsets of depressive symptoms at ages 72-74. These results suggest social policies aimed at maintaining economic activity in downturns can have long-term positive impacts on the population mental health.

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地方新政童年工作救济对晚年抑郁症的长期影响。
目的:探讨儿童接触当地新政紧急就业工作救济活动是否与晚年抑郁症状降低有关。方法:本研究利用了威斯康星纵向研究(WLS)中与1940年人口普查相关的个人水平数据。新政紧急就业项目是美国历史上政府主导的基础设施、服务和就业政策中规模最大的非战时扩张。我们使用WLS参与者在儿童期(0-3岁)接触紧急就业工作救济活动的县内变化来检查其与晚年抑郁症状的关联。我们研究了53-55岁、65-67岁和72-74岁三个年龄段的抑郁症状,但重点关注72-74岁的抑郁症状,将其作为晚年抑郁的标志。结果:生活在中等或高水平的紧急就业工作救济活动社区的儿童在72-74岁时的抑郁症状得分比生活在低活动社区的儿童低14-18%。这些发现在不同的晚年抑郁症状测量、不同的模型规格以及考虑到先前的抑郁症状后是一致的。讨论:该研究强调了旨在缓解受影响最大的个人的集中经济衰退的经济政策的长期心理健康益处。童年时期接触新政工作减轻了老年时的抑郁症状,特别是在72-74岁时新发作的抑郁症状。这些结果表明,旨在在经济低迷时期维持经济活动的社会政策可以对人口心理健康产生长期的积极影响。
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来源期刊
CiteScore
11.60
自引率
8.10%
发文量
178
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.
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