Accumulated Financial Strain and Women's Health Over Three Decades

Shippee, Tetyana; Wilkinson, Lindsay R.; Ferraro, Kenneth F.

doi:10.1093/geronb/gbs056

Cited by 48 publications

(47 citation statements)

References 42 publications

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“…Financial strain is considered a stressor exposure with significant mental and physical health effects. For example, studies have shown that financial strain contributes to adverse health outcomes in women, such as increased oxidative stress levels, greater malnutrition risk, lower self-rated health, and recurrent coronary events (Georgiades et al 2009; Palta et al 2015; Samuel et al 2012; Shippee et al 2012). However, data examining the effects of financial strain during pregnancy are limited.…”

Section: Introductionmentioning

confidence: 99%

Financial strain and birth weight: the mediating role of psychological distress

Mitchell

Christian

2016

Arch Womens Ment Health

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Purpose The effects of financial strain during pregnancy have received limited attention. In addition, data examining the pathways by which SES indicators contribute to birth weight are lacking. The objective of the current study was to examine the potential pathway of psychological distress in the relationship between financial strain and birth weight. Methods Participants consisted of 138 pregnant women who completed measures assessing financial strain, depressive symptoms, pregnancy-specific distress, perceived stress, and general anxiety during pregnancy (mean gestational age=18.5, SD=7.2). Birth outcome data were obtained via medical record review. Simple and parallel mediation models were conducted using PROCESS. Results Simple mediation models showed that depressive symptoms (95% CI: −24.65, −0.90) and pregnancy-specific distress (95% CI: −37.31, −5.91), but not perceived stress (95% CI: −31.17, 4.69) or anxiety (95% CI: −25.84, 5.57), served as mediators in the relationship between financial strain and birth weight. When depressive symptoms and pregnancy-specific distress were included in the same mediation model, only pregnancy-specific distress remained significant. Conclusions Financial strain was positively associated with all facets of psychological distress and negatively associated with birth weight during pregnancy. The current study demonstrated the mechanistic role of pregnancy-specific distress in the link between financial strain and birth weight in a racially diverse sample. Interventions targeting pregnancy-specific distress may mitigate the effects of financial strain on birth weight. Studies examining whether pregnancy-specific distress accounts for the relationship between other types of stressor exposures and birth weight would be informative.

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Section: Introductionmentioning

confidence: 99%

Financial strain and birth weight: the mediating role of psychological distress

Mitchell

Christian

2016

Arch Womens Ment Health

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“…9 CIT incorporates the potential for events throughout the life course to mitigate or interrupt the cumulative effects of early life course disadvantage. An exemplar in this growing area of research was the study conducted by Shippee and colleagues 12 in their longitudinal examination showing the effects of accumulated financial strain on women's health trajectories.…”

Section: Veteran Status and Life-space Mobility -Mccaskill Et Almentioning

confidence: 99%

The Impact of Veteran Status on Life-Space Mobility among Older Black and White Men in the Deep South

et al. 2015

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Objective: To examine life-space mobility over 8.5 years among older Black and White male veterans and non-veterans in the Deep South.Design: A prospective longitudinal study of community-dwelling Black and White male adults aged >65 years (N=501; mean age=74.9; 50% Black and 50% White) enrolled in the University of Alabama at Birmingham (UAB) Study of Aging. Data from baseline in-home assessments with followup telephone assessments of life-space mobility completed every 6 months were used in linear mixed-effects modeling analyses to examine life-space mobility trajectories.Main outcome measure: Life-space mobility. Results:In comparison to veterans, nonveterans were more likely to be Black, single, and live in rural areas. They also reported lower income and education. Veterans had higher baseline life-space (73.7 vs 64.9 for non-veterans; P<.001). Race-veteran subgroup analyses revealed significant differences in demographics, comorbidity, cognition, and physical function. Relative to Black veterans, there were significantly greater declines in life-space trajectories for White non-veterans (P=.009), but not for White veterans (P=.807) nor Black non-veterans (P=.633). Mortality at 8.5 years was 43.5% for veterans and 49.5% for non-veterans (P=.190) with no significant differences by race-veteran status.Conclusions: Veterans had significantly higher baseline life-space mobility. There were significantly greater declines in lifespace trajectories for White non-veterans in comparison to other race-veteran subgroups. Black veterans and non-veterans did not have significantly different trajectories. Ethn Dis. 2015;25(3):255-262.

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“…Research has shown that financially disadvantaged individuals report poorer health ratings than the more advantaged (Shippee, Wilkinson, & Ferraro, 2012), and Cluster 2 echoes results. Its members report, on average, the poorest levels of personal health and the lowest levels of health insurance coverage (23% with no coverage) of the clusters.…”

Section: Clustermentioning

confidence: 81%

Patterns in Income Source Expectations for Retirement Among Preretirees

Whitaker

Bokemeier

2013

Res Aging

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Financial planning for retirement is a lifelong process constrained by financial literacy, resources, and competing demands for resources across the life course. Further, social structure shapes the availability of options for funding retirement. The social and economic frameworks surrounding retirement planning are changing, and policy makers and researchers question whether retirement expectations have adapted. To explore this question, this research used k-means cluster analysis of a 2010 survey data set to identify natural groupings of Michigan adult preretirees based on their expectations of income sources for retirement. The cluster analysis identified six distinct groups that hold very different expectations. Most had expectations that are not consistent with projected changes in social structure and resource availability and those that did were more likely to occupy traditionally privileged statuses including being White, male, and married.

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Accumulated Financial Strain and Women's Health Over Three Decades

Abstract: Accumulated financial strain has long-term effects on women's health during middle and later life. The findings demonstrate the importance of measuring life course exposure to stressors in studies of health trajectories.

Cited by 48 publications

References 42 publications

Financial strain and birth weight: the mediating role of psychological distress

Financial strain and birth weight: the mediating role of psychological distress

The Impact of Veteran Status on Life-Space Mobility among Older Black and White Men in the Deep South

Patterns in Income Source Expectations for Retirement Among Preretirees

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