Is Neoliberalism Killing Us? A Cross Sectional Study of the Impact of Neoliberal Beliefs on Health and Social Wellbeing in the Midst of the COVID-19 Pandemic.

Kiffer G Card, Kirk J Hepburn
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Abstract

Neoliberal ideology is linked to poorer collective health and well-being. At the individual level, however, neoliberal beliefs may actually promote self-efficacy, self-esteem, and self-reliance. We examined the effects of three beliefs underlying neoliberalism-(a) Personal Wherewithal, (b) Natural Competition, and (c) Anti-Government Interference-to understand the unique pathways by which neoliberalism affects health and well-being at the individual level. Participants were recruited using paid advertisements on social media in May/June 2020. Multivariable regression identified associations between each of the three identified neoliberal beliefs and participants' (a) self-rated physical health, (b) number of health diagnoses, (c) life satisfaction, (d) loneliness, and (e) social trust of family, close friends/partners, coworkers, neighbors, and strangers. Among 2632 respondents, personal wherewithal was associated with better health, life satisfaction, and social well-being (perhaps by promoting self-efficacy and self-reliance to undertake healthy behaviors), while anti-government beliefs were associated with worse life satisfaction and social well-being (perhaps by reducing benefits inherent in collective action and social connection). Those hoping to reduce the negative effects of neoliberalism on collective well-being must contend with the reinforcing effect that personal wherewithal might have in shaping the perceived benefits of neoliberalism among those with these beliefs.

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新自由主义正在杀死我们吗?新自由主义信仰对COVID-19大流行期间健康和社会福利影响的横断面研究
新自由主义意识形态与较差的集体健康和福祉有关。然而,在个人层面上,新自由主义信仰实际上可能促进自我效能、自尊和自力更生。我们考察了新自由主义背后的三个信念的影响——(a)个人资金,(b)自然竞争和(c)反政府干预——以理解新自由主义影响个人健康和福祉的独特途径。参与者是在2020年5月/ 6月通过社交媒体上的付费广告招募的。多变量回归确定了三种确定的新自由主义信念与参与者(a)自评身体健康,(b)健康诊断数量,(c)生活满意度,(d)孤独感和(e)家庭,亲密朋友/伙伴,同事,邻居和陌生人的社会信任之间的关联。在2632名受访者中,个人资金与更好的健康、生活满意度和社会福祉相关(可能通过促进自我效能和自力更生采取健康行为),而反政府信仰与更差的生活满意度和社会福祉相关(可能通过减少集体行动和社会联系固有的利益)。那些希望减少新自由主义对集体福祉的负面影响的人,必须与个人资金可能在形成新自由主义对这些信仰的人的感知利益方面产生的强化效应作斗争。
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