Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults
Background Health disparities exist across socioeconomic status levels, yet empirical evidence between financial well-being (FWB) and health are limited.Methods This cross-sectional study combined data from 25 370 adults aged ≥18 years in the 2019 National Health Interview Survey with estimated hous...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-04-01
|
| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000720.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832583254738206720 |
|---|---|
| author | Kai McKeever Bullard Carla Mercado Michele L F Bolduc Desmond Banks Courtni Andrews Zoe R F Freggens Rashid Njai |
| author_facet | Kai McKeever Bullard Carla Mercado Michele L F Bolduc Desmond Banks Courtni Andrews Zoe R F Freggens Rashid Njai |
| author_sort | Kai McKeever Bullard |
| collection | DOAJ |
| description | Background Health disparities exist across socioeconomic status levels, yet empirical evidence between financial well-being (FWB) and health are limited.Methods This cross-sectional study combined data from 25 370 adults aged ≥18 years in the 2019 National Health Interview Survey with estimated household FWB scores from the Consumer Financial Protection Bureau’s 2016 National Financial Well-being Survey. FWB associations with health service visits, biometric screenings, smoking status, body mass index and physical and mental conditions were tested using age-adjusted, sex-adjusted and health insurance coverage-adjusted linear regression analysis.Results In 2019, the mean FWB for US adults was 56.1 (range 14 (worse) to 95 (best)). With increasing time since the last health service visit or screening, FWB was increasingly lower compared with adults with visits or screenings <1 year (≥10 years or ‘never’, FWB ranged from −1 (blood sugar check) to −6.5 (dental examination/cleaning) points). FWB was lower with declining general health status (excellent (reference), very good (−0.5 points), good (−3.4 points) and fair/poor (−6.6 points)). Adults with physical health conditions had FWB lower than adults without (range −0.4 (high cholesterol) to −4.6 (disability) points). FWB were lower in adults who have ever been diagnosed with anxiety disorder (−1.8 points) or depression (−2 points). Adults managing their anxiety or depression (no/minimal symptoms currently) had greater FWB (anxiety: 3 points and depression: 4.1 points) than those with symptoms.Conclusion Given the observed associations between FWB and health-related measures, it is crucial to consider FWB in primary and secondary health prevention efforts, recognising the relationship between economics, health and wellness. |
| format | Article |
| id | doaj-art-bf805d8757034b3fb065c2d3a0953835 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-bf805d8757034b3fb065c2d3a09538352025-01-28T23:20:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000720Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adultsKai McKeever Bullard0Carla Mercado1Michele L F Bolduc2Desmond Banks3Courtni Andrews4Zoe R F Freggens5Rashid Njai6Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USAOffice of Health Equity, Centers for Disease Control and Prevention, Atlanta, Georgia, USABackground Health disparities exist across socioeconomic status levels, yet empirical evidence between financial well-being (FWB) and health are limited.Methods This cross-sectional study combined data from 25 370 adults aged ≥18 years in the 2019 National Health Interview Survey with estimated household FWB scores from the Consumer Financial Protection Bureau’s 2016 National Financial Well-being Survey. FWB associations with health service visits, biometric screenings, smoking status, body mass index and physical and mental conditions were tested using age-adjusted, sex-adjusted and health insurance coverage-adjusted linear regression analysis.Results In 2019, the mean FWB for US adults was 56.1 (range 14 (worse) to 95 (best)). With increasing time since the last health service visit or screening, FWB was increasingly lower compared with adults with visits or screenings <1 year (≥10 years or ‘never’, FWB ranged from −1 (blood sugar check) to −6.5 (dental examination/cleaning) points). FWB was lower with declining general health status (excellent (reference), very good (−0.5 points), good (−3.4 points) and fair/poor (−6.6 points)). Adults with physical health conditions had FWB lower than adults without (range −0.4 (high cholesterol) to −4.6 (disability) points). FWB were lower in adults who have ever been diagnosed with anxiety disorder (−1.8 points) or depression (−2 points). Adults managing their anxiety or depression (no/minimal symptoms currently) had greater FWB (anxiety: 3 points and depression: 4.1 points) than those with symptoms.Conclusion Given the observed associations between FWB and health-related measures, it is crucial to consider FWB in primary and secondary health prevention efforts, recognising the relationship between economics, health and wellness.https://bmjpublichealth.bmj.com/content/2/1/e000720.full |
| spellingShingle | Kai McKeever Bullard Carla Mercado Michele L F Bolduc Desmond Banks Courtni Andrews Zoe R F Freggens Rashid Njai Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults BMJ Public Health |
| title | Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults |
| title_full | Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults |
| title_fullStr | Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults |
| title_full_unstemmed | Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults |
| title_short | Exploring associations of financial well-being with health behaviours and physical and mental health: a cross-sectional study among US adults |
| title_sort | exploring associations of financial well being with health behaviours and physical and mental health a cross sectional study among us adults |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000720.full |
| work_keys_str_mv | AT kaimckeeverbullard exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT carlamercado exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT michelelfbolduc exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT desmondbanks exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT courtniandrews exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT zoerffreggens exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults AT rashidnjai exploringassociationsoffinancialwellbeingwithhealthbehavioursandphysicalandmentalhealthacrosssectionalstudyamongusadults |