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Multiple financial stressors and serious psychological distress among adults in the USA

Author

Listed:
  • Kazumi Tsuchiya

    (University of Minnesota)

  • Cindy W. Leung

    (University of Michigan, School of Public Health)

  • Andrew D. Jones

    (University of Michigan, School of Public Health)

  • Cleopatra H. Caldwell

    (University of Michigan, School of Public Health)

Abstract

Objectives Financial stress has adverse consequences for health. However, the association between individual and cumulative associations of multiple financial stressors and serious psychological distress (SPD) is unclear. Methods Using data from the 2017 National Health Interview Survey, we examined cross-sectional associations between perceived financial worries, healthcare insecurity, food insecurity, and SPD among 23,317 US adults. Associations were examined using logistic regression. Results Among US adults in 2017, the overall prevalence of SPD was 3.6%. Among those with SPD, 85.5% were financially worried, 50.3% were food insecure, and 51.2% were healthcare insecure. Financial worries (OR 4.27; CI 3.31, 5.52), food insecurity (OR 2.34; CI 1.92, 2.85), and healthcare insecurity (OR 2.26; CI 1.85, 2.76) were each associated with higher odds of SPD. A dose–response association was found between the number of stressors and SPD. Conclusions Each financial stressor was adversely associated with SPD both individually and cumulatively, indicating the adverse effects of the accumulation of these stressors. Additional studies are needed to understand the longitudinal effects of multiple financial stressors on mental health outcomes.

Suggested Citation

  • Kazumi Tsuchiya & Cindy W. Leung & Andrew D. Jones & Cleopatra H. Caldwell, 2020. "Multiple financial stressors and serious psychological distress among adults in the USA," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 335-344, April.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:3:d:10.1007_s00038-020-01354-x
    DOI: 10.1007/s00038-020-01354-x
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    References listed on IDEAS

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    1. Darin-Mattsson, Alexander & Andel, Ross & Celeste, Roger Keller & Kåreholt, Ingemar, 2018. "Linking financial hardship throughout the life-course with psychological distress in old age: Sensitive period, accumulation of risks, and chain of risks hypotheses," Social Science & Medicine, Elsevier, vol. 201(C), pages 111-119.
    2. Szanton, Sarah L. & Thorpe, Roland J. & Whitfield, Keith, 2010. "Life-course financial strain and health in African-Americans," Social Science & Medicine, Elsevier, vol. 71(2), pages 259-265, July.
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    Cited by:

    1. Soomin Ryu & Lu Fan, 2023. "The Relationship Between Financial Worries and Psychological Distress Among U.S. Adults," Journal of Family and Economic Issues, Springer, vol. 44(1), pages 16-33, March.

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