Homer, Kate, Taylor, Jayne, Miller, ALexander et al. (3 more authors) (2023) Making ends meet – relating a self-reported indicator of financial hardship to health status. Journal of public health. fdad161. ISSN 1741-3842
Abstract
Background Area-based index of multiple deprivation (IMD) indicators of financial hardship lack individual specificity and sensitivity. This study compared self-reports of hardship with area measures in relation to health status. Methods Interviews in one London Borough, reported financial hardship and health status. Associations of health status with most and least deprived quintiles of the IMD 2015 were compared with self-reported hardship; always or sometimes ‘having difficulty making ends meet at the end of the month’ in relation to never. Results 1024 interviews reported hardship status in 1001 (98%). 392 people (39%) reported they ‘always’ or ‘sometimes’ had hardship. In multivariate analysis, self-reported hardship was more strongly associated with smoking; odds ratio = 5.4 (95% CI: 2.8–10.4) compared with IMD, odds ratio = 1.9 (95% CI: 1.2–3.2). Health impairment was also more likely with self-reported hardship, odds ratio = 11.1 (95% CI: 4.9–25.4) compared with IMD; odds ratio = 2.7 (95% CI: 1.4–5.3). Depression was similarly related; odds ratio = 2.4 (95% CI: 1.0–5.6) and 2.7 (95% CI: 1.2–6.6), respectively. Conclusions Self-reported hardship was more strongly related to health status than area-based indicators. Validity and implementation in routine health care settings remains to be established.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © The Author(s) 2023 |
Keywords: | FINANCE,Public health,social determinants |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Sep 2023 12:10 |
Last Modified: | 24 Oct 2024 00:19 |
Published Version: | https://doi.org/10.1093/pubmed/fdad161 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1093/pubmed/fdad161 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:203533 |