2017
DOI: 10.1016/j.socscimed.2017.02.006
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How financial strain affects health: Evidence from the Dutch National Bank Household Survey

Abstract: The mechanisms by which financial strain affects health are not well understood. In this paper, we conduct a longitudinal mediation analysis of the Dutch National Bank 5Household Survey. To quantify the relative importance of biological and nonbiological pathways from financial strain to health, we consider smoking, heavy drinking and being overweight as plausible behavioural responses to financial strain but find that only 4.9% of the response of self-reported health to financial strain is mediated by these b… Show more

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Cited by 26 publications
(29 citation statements)
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References 44 publications
(45 reference statements)
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“…Our results are in line with a longitudinal study of Prentice et al. () that found that at‐the‐moment financial strain was not associated with health behaviours and a diet‐related outcome of overweight. However, there are also studies that show a relation between scarcity and eating behaviour, albeit not experimentally.…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…Our results are in line with a longitudinal study of Prentice et al. () that found that at‐the‐moment financial strain was not associated with health behaviours and a diet‐related outcome of overweight. However, there are also studies that show a relation between scarcity and eating behaviour, albeit not experimentally.…”
Section: Discussionsupporting
confidence: 92%
“…Although the adverse impact of scarcity on eating behaviour as an explanation for unhealthy diets among people with low income has been suggested before (Mullainathan & Shafir, ; Spears, ), empirical evidence remains scarce. A recent cross‐sectional study showed that financial scarcity (financial strain) indeed related negatively to self‐reported health behaviours including fruit and vegetable intake (Beenackers, Oude Groeniger, van Lenthe, & Kamphuis, ), whereas a longitudinal study found that financial strain had limited to no effect on diet‐related health outcomes including being overweight (Prentice, McKillop, & French, ). To our knowledge, Bratanova, Loughnan, Klein, Claassen, and Wood () showed the first experimental evidence for a causal effect of perceptions of poverty on unhealthy eating.…”
Section: Introductionmentioning
confidence: 99%
“…Alternatively, worse health could result from changes in health behaviours. Individuals become more present-biased when stressed (Haushofer and Fehr, 2014) and impulsivity has been associated with a range of unhealthy behaviours (Prentice et al, 2017). Recession can also lead to reductions in consumption with proximal links to poorer health outcomes such as food insecurity or foregoing medical care (Barcellos and Jacobson, 2015).…”
Section: Effects On Physical Healthmentioning
confidence: 99%
“…These results add to growing evidence that experiences of acculturation following immigration to the US can compromise immunologic health, at least among men, despite modestly greater financial resources (Kaestner, Pearson, Keene, & Geronimus, ; McClure et al, ). Given ample evidence showing that lower rather than higher income is associated with increased risk of poor health outcomes (Prentice et al, ; Szanton et al, ), we were surprised that men earning somewhat higher incomes relative to the poverty line had higher CRP levels. However, these higher income levels relative to the US poverty line were minimal at best (typically no more than $3,000‐$5,000 annually given household sizes and corresponding poverty rates), and likely did little to increase health enhancing resources and, in particular, improve access to health care.…”
Section: Discussionmentioning
confidence: 80%
“…The experience of financial strain has been shown to increase the risk of poor health outcomes among adults (Prentice, McKillop, & French, ; Szanton, Thorpe, & Whitfield, ). Cardio‐metabolic risk factors such as visceral obesity (Caspi et al, 2017), hypertension (Richardson et al, 2012), insulin resistance (Agardh, Allebeck, Hallqvist, Moradi, & Sidorchuk, ), and dyslipidemia (Rodriguez et al, ), all have higher prevalence rates among adults with limited financial means.…”
Section: Introductionmentioning
confidence: 99%