Stock Volatility Increases the Mortality Risk of Major Adverse Cardiovascular Events and Suicide:A Case-Crossover Study of 12 Million Deaths  

作　　者：Ya Gao Peng Yin Haidong Kan Renjie Chen Maigeng Zhou 

机构地区：[1]School of Public Health&Key Lab of Public Health Safety of the Ministry of Education&National Health Commission(NHC)Key Lab of Health Technology Assessment,Fudan University,Shanghai 200032,China [2]National Center for Chronic Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China [3]Integrated Research on Disaster Risk(IRDR)International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health,Fudan University,Shanghai 200438,China

出　　处：《Engineering》2024年第11期157-165,共9页工程（英文）

基　　金：supported by the National Key Research and Development Program(2022YFC3702701);the Shanghai Municipal Science and Technology Commission(21TQ015);the Shanghai International Science and Technology Partnership Project,China(21230780200).

摘　　要：Stock volatility constitutes an adverse psychological stressor,but few large-scale studies have focused on its impact on major adverse cardiovascular events(MACEs)and suicide.Here,we conducted an individual-level time-stratified case-crossover study to explore the association of daily stock volatility(daily returns and intra-daily oscillations for three kinds of stock indices)with MACEs and suicide among more than 12 million individual decedents from all counties in the mainland of China between 2013 and 2019.For daily stock returns,both stock increases and decreases were associated with increased mortal-ity risks of all MACEs and suicide.There were consistent and positive associations between intra-daily stock oscillations and mortality due to MACEs and suicide.The excess mortality risks occurred at the cur-rent day(lag 0 d),persisted for two days,and were greatest for suicide and hemorrhagic stroke.Taking the present-day Shanghai and Shenzhen 300 Index as an example,a 1%decrease in daily returns was associated with 0.74%-1.04%and 1.77%increases in mortality risks of MACEs and suicide,respectively;the corresponding risk increments were 0.57%-0.85%and 0.92%for a 1%increase in daily returns and 0.67%-0.77%and 1.09%for a 1%increase in intra-daily stock oscillations.The excess risks were more pro-nounced among individuals aged 65-74 years,males,and those with lower education levels.Our findings revealed considerable health risks linked to sociopsychological stressors,which are helpful for the gov-ernment and general public to mitigate the immediate cardiovascular and mental health risks associated with stock market volatility.

关 键 词：Stock volatility Major adverse cardiovascular events SUICIDE Case-crossover study 

分 类 号：R54[医药卫生—心血管疾病]