The health of a nation’s economy and the health of its people are connected, but in some surprising ways. At times like these, when the economy is strong and unemployment is low, research has found that death rates rise. At least, in the short term. In the long term, economic growth is good for health. What’s going on? One study of European countries just before and during the Great Recession found that a one-percentage-point increase in the unemployment rate is associated with a 0.5 percent decline in the overall mortality rate. Other studies of Europe during different periods, as well as those of the United States, found a similar relationship between joblessness and mortality. This is counterintuitive, since economic growth is a major factor in higher living standards. When the economy is more productive, we have more resources to promote health and well-being. But a surging economy does more than generate greater income. An industrial economy also pumps out more air pollution as more goods are produced. Polluted air, it turns out, is a major contributor to the mortality-increasing effect of an economic boom. In their analysis of how economic growth increases mortality, David Cutler and Wei Huang, of Harvard University, and Adriana Lleras-Muney, of U.C.L.A., found that two-thirds of the effect can be attributed to air pollution alone. It’s a different story with agricultural economies. The Cutler, Huang and Lleras-Muney study, published as a National Bureau of Economic Research working paper, found that mortality rates fall when such economies are growing. Before 1945, when agriculture was more dominant in the U.S. economy, growth was not associated with rising mortality either. Other research published in the journal Health Economics supports the pollution hypothesis. In their analysis of the Great Recession in Europe, José Tapia Granados of Drexel University and Edward Ionides of the University of Michigan found that a one-percentage-point increase in the unemployment rate is associated with a one percent lower mortality rate for respiratory illnesses, as well as reductions in mortality for cardiovascular disease and heart conditions, which are known to be sensitive to air pollution. In countries where the recession was more severe — the Baltic States, Spain, Greece and Slovenia — respiratory disease mortality fell 16 percent during 2007-2010, compared with just a 3.2 percent decline in the four years preceding the recession. Other factors contribute to rising mortality during expansions. Occupational hazards and stress can directly harm health through work. Some studies find that alcohol and tobacco consumption increases during booms, too. Both are associated with higher death rates. Also, employed people drive more, increasing mortality from auto accidents. During recessions, people without jobs may have more time to sleep and exercise and may eat more healthfully. One study found that higher unemployment is associated with lower rates of obesity, increased physical activity and a better diet. On the other hand, suicides increase during economic downturns.

参考答案:     一个国家的经济(健康)状况与其国民的身体健康水平存在着某种联系,但二者之间的联系却有些出人意料。研究发现在经济强劲发展、失业率较低等情况下,死亡率会上升。至少,短期内是这样。长期来看,经济增长则有益于人们的身体健康。这是怎么回事呢?
    一项对经济大衰退前与衰退期间欧洲国家进行的研究发现,失业率上升一个百分点,总死亡率就会下降0.5%。对不同时期的欧洲和美国所做的研究也显示了,失业率和死亡率之间存在类似的关联性。
    这有违常理,因为经济增长是提高生活水平的主要因素。当经济的生产力更高时,我们有更多的资源来提升健康和安乐。
    但经济的快速增长不仅仅带来了更高的收入。工业经济在生产更多商品的同时,也制造着更多的空气污染。事实证明,受污染的空气,是繁荣经济体出现死亡率增长效应的主要因素。在对经济增长如何提高死亡率的分析中,哈佛大学的戴维·卡特勒(David Cutler)和黄炜、以及加州大学洛杉矶分校的阿德里亚娜·雷勒斯-穆妮(Adriana Lleras-Muney)发现,这种效应有三分之二都是空气污染造成的。
    这是一个与农业经济体截然不同的故事。卡特勒、黄炜和雷勒斯-穆妮的研究由美国全国经济研究所以工作报告的形式发表,他们的研究发现,在农业经济体增长时,死亡率有所下降。1945年以前,当农业在美国经济中占主导地位时,经济增长与死亡率上升也不存在关联。
    发表在《健康经济学》杂志上的其他研究支持污染假说。德雷克塞尔大学的何塞·塔皮亚·格拉纳多斯(José Tapia Granados)和密歇根大学的爱德华·艾奥尼德斯(Edward Ionides)对欧洲经济大衰退的分析发现,失业率增长1%与呼吸系统疾病死亡率降低1%相关联,也与心血管疾病和心脏病死亡率降低相关联,人们已经知道这些疾病对空气污染很敏感。在经济衰退更为严重的国家——波罗的海国家、西班牙、希腊和斯洛文尼亚,呼吸系统疾病死亡率在2007年至2010年间下降了16%,而在大衰退前的4年里,呼吸系统疾病死亡率仅下降了3.2%。
    其他因素也对经济扩张期间死亡率的上升起着作用。职业性危害和压力可以通过工作直接危害健康。一些研究发现,酒精和烟草的消费在繁荣时期也会增加。这两种消费都与更高的死亡率有关。此外,有工作的人更常开车,导致他们的车祸死亡率上升。
    在经济衰退期间,没有工作的人可能有更多的时间睡觉和锻炼,也可能吃得更健康。一项研究发现,较高的失业率与较低的肥胖率、更多的体力活动,以及更好的饮食存在关联。另一方面,经济衰退期间,自杀率上升。
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