Analyses of the Health and Retirement Study (HRS) between 1992 and 2014 compare the relationship between different levels and forms of debt and heart attack risk trajectories across four cohorts. Although all cohorts experienced growing household debt, including the increase of both secured and unsecured debt, they nevertheless encountered different economic opportunity structures and crises at sensitive times in their life courses, with implications for heart attack risk trajectories. Results from frailty hazards models reveal that unsecured debt is associated with increased risk of heart attack across all cohorts. Higher levels of housing debt, however, predict higher rates of heart attack among only the earlier cohorts. Heart attack risk trajectories for Baby Boomers with high levels of housing debt are lower than those of same-aged peers with no housing debt. Thus, the relationship between debt and heart attack varies by level and form of debt across cohorts but distinguishes Baby Boomer cohorts based on their diverse exposures to volatile housing market conditions over the sensitive household formation period of the life course.

中文翻译：

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完美风暴后登陆：债务与心脏病发作风险之间关系的队列差异

1992 年至 2014 年的健康与退休研究 (HRS) 分析比较了四个队列中不同水平和形式的债务与心脏病发作风险轨迹之间的关系。尽管所有群体都经历了不断增长的家庭债务，包括有担保和无担保债务的增加，但他们在生命历程的敏感时期遇到了不同的经济机会结构和危机，这对心脏病发作的风险轨迹产生了影响。虚弱风险模型的结果表明，无担保债务与所有队列的心脏病发作风险增加有关。然而，更高水平的住房债务仅预示着早期人群的心脏病发作率更高。拥有高住房债务的婴儿潮一代的心脏病风险轨迹低于没有住房债务的同龄人。因此，债务与心脏病发作之间的关系因不同群体的债务水平和形式而异，但婴儿潮一代群体的区别在于他们在生命历程的敏感家庭形成时期对动荡的住房市场条件的不同敞口。