Health, subjective financial situation and well-being: a longitudinal observational study

Downward, Paul; Rasciute, Simona; Kumar, Harish

doi:10.1186/s12955-020-01456-3

Cited by 24 publications

(22 citation statements)

References 43 publications

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“…Our results showed that the perception of financial difficulties (item of the SQoL-MHA “financial trade-offs”) was significantly and inversely associated with the domain scales “relationship” and “hope”. This is consistent with literature as evidence shows that subjective feelings of financial hardship are associated with shame, self-stigma and hopelessness ( 48 – 50 ). In addition, subjective financial hardship tends to be more associated with mental health problems than objective financial hardship, emphasizing the importance of the assessment of subjective financial difficulties ( 48 ).…”

Section: Discussionsupporting

confidence: 92%

An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings

Mello

Luo²,

Hirdes

et al. 2021

Front. Psychiatry

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Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspective of care professionals rather than the users' perspective. The 23-item Self-Reported interRAI-QoL Survey for Mental Health and Addictions (interRAI SQoL-MHA) tackles these issues, as it is based on self-reported measures and has proven validity across settings and countries.Objective: The aim of this study is to assess and compare QoL across settings and explore associations between dimensions of self-reported QoL and some items from the interRAI SQoL-MHA in a multinational sample.Settings: Inpatient and community mental health services.Methods: Data were collected from organizations in Belgium, Finland, Russia, Brazil, Rwanda, Canada and Hong Kong. Logistic regression models were constructed using each domain scale of the interRAI SQoL-MHA (relationship, support, hope, activities and relationship with staff) as dependent variables.Results: A total of 2,474 people (51.2% female, 56.7% of age 45 or older) were included in the study. A benchmark analysis showed the samples that performed above the benchmark line or below. The models yielded significant odds ratios among the domain scales, as well as for the items of the interRAI SQoL-MHA, with positive associations for the items “work and education opportunities” and “satisfied with services”, and inverse associations for the items “financial difficulties” and for the inpatient setting.Conclusion: The analysis of associations between the determinants offers relevant information to improve mental health care and clients' perceived quality of life. Information about the determinants can help policymakers to design interventions to improve care outcomes, as well as provide more possibilities for integration into the community. The interRAI SQoL-MHA is innovative, as it can be linked to the third generation interRAI MH and Community MH-instruments, to be used in different mental health care settings, combining the objective and subjective QoL domains.

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Section: Discussionsupporting

confidence: 92%

An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings

Mello

Luo²,

Hirdes

et al. 2021

Front. Psychiatry

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“…There is an increasing evidence base that both objective and subjective financial circumstances is a key contributor to individual overall well-being throughout their lifecourse (Downward et al, 2020;Marshall et al, 2020). However, access to the appropriate longitudinal data to test this relationship, particularly data on childhood circumstances, has been limited to date.…”

Section: Predicator: Financial Circumstances In Childhood and Adulthoodmentioning

confidence: 99%

“…Evidence on the important role childhood material circumstances on various physical and mental health outcomes in adulthood has increased considerably over the last two decades (Carr, 2019;Morrissey & Kinderman, 2020). However, despite research indicating that both objective and subjective financial circumstances are key contributors to individual overall wellbeing in adulthood (Stafford et al, 2015;Wood et al, 2017;Downward et al, 2020;Marshall et al,, 2020), the relationship between childhood circumstances and adult mental wellbeing remains far less developed (Carr, 2019). Conceptually, an increased understanding of the impact of material circumstances in childhood on adult mental wellbeing outcomes is important for two interlinked reasons.…”

Section: Introductionmentioning

confidence: 99%

Estimating the Impact of Relative Financial Circumstances in Childhood on Adult Mental Wellbeing: a Mediation Analysis

Morrissey

Taylor

2022

Applied Research Quality Life

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Previous research has indicated that the role of childhood circumstances on adult mental health is primarily mediated through adult socioeconomic circumstances. Using linear regression models and mediation analysis this paper examines whether childhood financial circumstances is associated with adult mental wellbeing and to what extent any association is explained by adult financial circumstances. Adjusting for age and highest education attainment, we found that childhood financial circumstances predict wellbeing in adulthood. However, stratifying by age (respondents aged 18-40, 41-65 and 66 years plus), a more complicated pattern of associations emerged with potential cohort and age effects emerging. Only adult financial circumstances significantly impact adult wellbeing in our youngest group, while neither childhood nor adult financial circumstances are significantly associated with wellbeing in the oldest age group (66 years plus). However, both childhood and adult financial circumstances were significantly associated with wellbeing in middle age, and this effect was mostly direct (OR-1.09: CI 95%: -1.63, -0.17) rather than indirect (OR-0.08: CI 95%: -0.17, -0.01). This research adds to the evidence base that childhood is a critical period for wellbeing in middle age (41-65 years). Previous research has found that subjective wellbeing plays an important role in physical and mental health outcomes in adulthood. The impact of financial hardship in childhood on wellbeing in adulthood found in this study is particularly concerning as levels of child poverty increase in the UK.

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“…Research has primarily provided evidence on the association between (access to) health and objective economic inequality. In conjunction with the objective financial situation, there is, however, also a positive correlation between subjective financial well-being and (mental) health outcomes [34]. Also, a language barrier or a significant degree of illiteracy affects a person's ability to access and use the necessary health care services [35,36].…”

Section: Socio-economic Determinants At the Client Level And The Care Contextmentioning

confidence: 99%

Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors

Doren

Coninck

Hermans

et al. 2021

IJERPH

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One of the primary objectives of health systems is to provide a fair system by providing a comprehensive and holistic approach to caregiving rather than focusing on a single aspect of a person’s care needs. This approach is often embodied by using standardized care assessments across health and social care settings. These assessments are completed by professional assessors and yield vital information regarding a person’s health or contextual characteristics (e.g., civic engagement, psychosocial wellbeing, environmental characteristics, informal care). However, these scores may be subject to bias that endangers the fairness of the health system. In this study, we investigate to what extent socio-economic and psychological indicators and assessor-related indicators are associated with BelRAI Screener care assessment scores amongst 743 community-dwelling adults nested within 92 assessors in Flanders, Belgium. Findings indicate that there is significant variance in scores at the assessor-level. Socio-psychological characteristics of clients are associated with scores: being fluent in Dutch and providing informal care are associated with low care dependency, while living with children, feelings of depression, and the presence of an informal caregiver during assessment are associated with high care dependency. We discuss the importance of rigorous assessor training and the potential for socio-psychological factors to contribute to the allocation of welfare benefits in light of the Flemish home care system’s potential (lack of) fairness.

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Health, subjective financial situation and well-being: a longitudinal observational study

Cited by 24 publications

References 43 publications

An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings

An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings

Estimating the Impact of Relative Financial Circumstances in Childhood on Adult Mental Wellbeing: a Mediation Analysis

Examining Care Assessment Scores of Community-Dwelling Adults in Flanders, Belgium: The Role of Socio-Psychological and Assessor-Related Factors

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