Older adults from minority groups, especially those with pre-existing health conditions, have been generally considered the most vulnerable to the COVID-19. Due to greater health disadvantages prior to the pandemic, its adverse health impact in terms of mortality has been disproportionately higher on Blacks than Whites. The existing health disadvantages and worsening economic conditions due to the pandemic are likely to be anxiety-inducing that could adversely impact the mental health of Black older adults. Existing studies conducted in the pre-pandemic era have documented paradoxical findings on race differences in later life psychological well-being.
Considerable scholarly attention has been directed at increasing social isolation and loneliness during the COVID-19 pandemic, and their adverse impact on later life psychological well-being. Notably absent is the focus on financial hardship in the context of overlapping unprecedented economic and public health crisis. It is unclear whether loneliness continues to differ across different levels of financial hardship even amidst immense uncertainty, social isolation, and anxiety induced by the pandemic. Based on our nationwide web-based survey of adults aged 50 years and older (n=1861), we used ordinal logistic regression to examine the influence of financial hardship on loneliness and assessed the role of socioeconomic status (SES), emotional support, and health status in contributing to such influence. We found significantly higher odds of greater loneliness (β = .28, p < .001) among individuals who reported experiencing greater financial hardship. Among two measures of SES, only household income contributed substantially to the influence of financial hardship on loneliness. We documented significantly lower emotional support and greater health disadvantage among individuals experiencing greater financial hardship. Consideration of emotional support and health status explained the remaining influence of financial hardship, due to their association with both financial hardship and loneliness. Despite a sense of shared vulnerability and social isolation across the general population, our findings suggest that SES inequalities in later life loneliness are maintained even in the midst of the pandemic.
Objectives
Emotional support has been consistently identified as a mechanism through which socioeconomic resources influence mental health outcomes. Despite emerging evidence that compassionate love has a beneficial effect on mental health, its distribution across levels of financial strain and subsequent role in mediating the effect of financial strain on later life mental health have yet to be examined.
Methods
Based on our nationwide web-based survey of adults aged 50 years and older (n=1751), we conducted a mediation analysis to estimate the direct and indirect effects (via two mediators, feeling loved and emotional support) of financial strain on depressive symptoms and anxiety.
Results
We documented a statistically significant overall effect of financial strain on depressive symptoms (b=0.14, p-value< 0.001) and anxiety (b=0.196, p-value< 0.001). We found a statistically significant path-specific effect (from financial hardship) through compassionate love alone on depressive symptoms (b=0.018, p-value=0.003) and anxiety (b=0.016, p-value=0.005), but did not find effects for paths through emotional support. There was also a significant direct effect of financial strain on both depressive symptoms and anxiety. Discussion: Our study advances a new line of research by looking at the role of compassionate love in transmitting the effects of financial strain on mental health in later life. Findings suggest that the detrimental effect of financial hardship on mental health operates through its negative effect on the receipt of compassionate love, rather than by its impact on emotional support.
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