Health effects of indebtedness: a systematic review

Turunen, Elina; Hiilamo, Heikki

doi:10.1186/1471-2458-14-489

Cited by 188 publications

(186 citation statements)

References 31 publications

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“…The emotional responses to economic hardship lead to coping behaviours detrimental to health. Turunen and Hiilamo (2014) and Nelson et al (2008) find that the financially-stressed more readily indulge in impulsive unhealthy behaviours.…”

Section: Introductionmentioning

confidence: 99%

The impact of debt and financial stress on health in Northern Irish households

French

McKillop

2017

Journal of European Social Policy

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We analyse data collected from a survey of Northern Irish low-income households experiencing varying degrees of financial hardship and examine how debt affects health and health-related behaviours. Our results indicate that the subjective experience of feeling financially stressed has a robust relationship with most aspects of health, including ability to self-care, problems performing usual activities, pain problems and psychological health. In contrast, the size of the debt, the type of debt or the number of different lenders does not add any extra explanatory power. Additionally, our results indicate that the pathway from financial difficulties to worse health runs through worse diets and increased consumption of cigarettes and drugs. This research is timely as household debt burdens will soon surpass the high levels seen at the time of the financial crisis and the introduction of welfare reform in Northern Ireland will put additional strain on low-income households.

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Section: Introductionmentioning

confidence: 99%

The impact of debt and financial stress on health in Northern Irish households

French

McKillop

2017

Journal of European Social Policy

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“…A handful of studies find positive associations of debt with financial stress and anxiety among adults 33,34,37 , including mothers of young children 38 , and negative associations with adult mental health 30,33–36,38–42 and marital satisfaction and conflict 31,32 . However, others find debt to be negatively associated with depression 31 and positively associated with self-esteem and mastery 43 .…”

Section: Introductionmentioning

confidence: 99%

Parental Debt and Children’s Socioemotional Well-being

Berger

Houle²

2016

Pediatrics

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Objectives We estimated associations between amount of parental debt and of home mortgage, student loan, automobile, and unsecured debt with children’s socioemotional wellbeing. Methods We used population-based longitudinal data from the NLSY-79 and C-NLSY79. Our analytic sample consisted of 29,318 child-year observations of 9,011 children and their mothers observed annually or biennially from 1986 to 2008. We used the BPI to measure socioemotional wellbeing. We used OLS regressions to estimate between-child associations of amounts and types of parental debt with socioemotional wellbeing, net of a host of control variables, and child-specific fixed effects regressions to estimate within-child associations of changes in parental debt with changes in socioemotional wellbeing, net of all time-constant observed and unobserved confounders. Results Increases in total debt were associated with declines in children’s socioemotional wellbeing. However, this association varied considerably by type of debt. Specifically, higher levels of home mortgage and education debt were associated with greater socioemotional wellbeing for children, whereas higher level of and increases in unsecured (e.g. credit card) debt were associated with lower levels of and declines in child socioemotional wellbeing. Conclusions Debt that allows for investment in homes (and perhaps access to better neighborhoods and schools) and parental education is associated with greater socioemotional wellbeing for children, whereas unsecured debt is negatively associated with socioemotional development, which may reflect limited financial resources to invest in children and/or parental financial stress. This suggests that debt is not universally harmful for children’s wellbeing, particularly if used to invest in a home or education.

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“…Consistent with previous studies from LMICs, women (15,16,21) and lack of formal education (16) were significantly associated with geriatric depression. Akin to the studies from high-income countries, bereavement (46) and indebtedness (47) were significantly associated with geriatric depression in LMICs. Additionally, our findings have identified some hitherto unknown socioeconomic correlates of geriatric depression in LMICs.…”

Section: Prevalence and Correlates Of Geriatric Depression In Lmicsmentioning

confidence: 99%

Health, Social, and Economic Variables Associated with Depression Among Older People in Low and Middle Income Countries: World Health Organization Study on Global AGEing and Adult Health

Brinda

Rajkumar

Attermann

et al. 2016

The American Journal of Geriatric Psychiatry

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Objective: Although depression among older people is an important public health problem worldwide, systematic studies evaluating its prevalence and determinants in low and middle income countries (LMICs) are sparse. Biopsychosocial model of depression and prevailing socioeconomic hardships for older people in LMICs have provided the impetus to determine the prevalence of geriatric depression, to study its associations with health, social, and economic variables, and to investigate socioeconomic inequalities in depression prevalence in LMICs. Methods:We accessed World Health Organisation-Study on global AGEing and adult health (WHO-SAGE) wave-1 data that studied nationally representative samples from six large LMICs (N=14,877). A computerised algorithm derived depression diagnoses. We assessed hypothesised associations using survey multivariate logistic regression models for each LMIC, and pooled their risk estimates by meta-analyses. We investigated related socioeconomic inequalities using concentration indices. Results:Cross-national prevalence of geriatric depression was 4.7% (95% CI 1.9-11.9%).Women, illiteracy, poverty, indebtedness, past informal-sector occupation, bereavement, angina, and stroke had significant positive associations, while pension support and health insurance showed significant negative associations with geriatric depression. We documented pro-poor inequality of geriatric depression in five LMICs. 4 population-based public health interventions and policies to prevent and to manage geriatric depression effectively in LMICs cannot be overemphasised.

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Health effects of indebtedness: a systematic review

Cited by 188 publications

References 31 publications

The impact of debt and financial stress on health in Northern Irish households

The impact of debt and financial stress on health in Northern Irish households

Parental Debt and Children’s Socioemotional Well-being

Health, Social, and Economic Variables Associated with Depression Among Older People in Low and Middle Income Countries: World Health Organization Study on Global AGEing and Adult Health

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