Table 3.
Summary of cross-sectional associations between financial strain with health outcomes among U.S. adults
| Study, sample, & setting | Financial strain measurement | Associations between financial strain with outcomes | Socioeconomic adjustment | Health adjustment | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| # of items | Lacking basic needs | Difficulty making ends | Coping Strategies | Financial satisfaction | Financial stress/worry | Anticipating strain | Lack of money for wants | ||||
| Acute myocardial infarction registry (n = 3410) | 1 | X | Higher C-reactive protein at 30 days after a myocardial infarction (Qintar et al., 2017) | X | |||||||
| Aged 12+ in rural Appalachia (n=2565) | 5 | X | X | X | X | Poorer health-related quality of life, (Banyard et al., 2017) lower life satisfaction, higher posttraumatic growth and more trauma symptoms (Hamby et al., 2018) | |||||
| Hospice patients with cancer in Utah, Massachusetts, & Florida 2010 (n=102) | 1 | X | More anxiety and depressive symptoms but not associated with positive affect/well-being (Tay et al., 2022) | ||||||||
| Korean women who immigrated to the US in an East Coast city (n=130) | 8 | X | X | More emotional and somatic symptoms of well-being (Lee et al., 2016) | X | ||||||
| Aged 100+ Iowans (n=152) | 6 | X | X | X | More limitations in activities of daily living, cognitive impairment and depressive symptoms among those in institutional settings, but not community-dwelling (Garasky et al., 2012) | ||||||
| Aged 18+ near Dallas (n=238) | 8 | X | Higher odds of food insecurity (Hernandez et al., 2017) | X | |||||||
| 9 | X | X | X | Higher risk of smoking and more cigarette use among smokers (Waters et al., 2019) | X | ||||||
| Aged 50+ with arthritis and comorbidities in Austin (n=117) | 1 | X | Less self-efficacy and self-reported health care utilization but not associated with quality of life (Zhang et al., 2020) | X | |||||||
| Aged 65+ with chronic condition(s) in Maryland retirement communities (n=146) | 3 | X | X | Not associated with odds of frailty (Hladek et al., 2020) | |||||||
| Aged 40–65 in Phoenix, Arizona (n=680) | 6 | X | X | Higher IL-6 but not associated with CRP (Sturgeon et al., 2016) | X | X | |||||
| Adults at two Midwest dialysis units (n=109) | 7 | X | X | X | Higher levels of illness intrusiveness (Boehmer et al., 2016) | X | |||||
| Heart disease patients hospitalized at Vanderbilt (n=1527) | 1 | X | Less adherence to home medication regimens and poorer overall health (Osborn et al., 2017) | X | X | ||||||
| Adults in Livingston or Selma, Alabama (n=179) | 2 | X | Not associated with awareness of hospice (Noh et al., 2022) | ||||||||
| Recruited from Southwestern unemployment centers (n= 174) | 3 | X | X | Less psychological well-being (Huffman et al., 2015) | |||||||
| Adults with a significant limb loss (n=46) | 1 | X | Poorer role function and emotional health, but not associated with physical function, pain, general health, social functioning, vitality or mental health (Lee et al., 2020) | ||||||||
| Adults 35–80 with chronic condition(s) in St. Louis, Missouri (n=270) | 2 | X | X | More likely to spend less on basic needs to pay for medication (Rohatgi et al., 2021) | X | X | |||||
| Adults with tobacco use recruited online (n=234) | 6 | X | X | X | X | More depressive symptoms (Rogers, 2019) | |||||
| African American fathers in a parenting program in Midwestern cities (n=347) | 1 | X | More depressive symptoms (Tsuchiya et al., 2018) | X | |||||||
| African American females with breast cancer in a psychoeducational trial in urban Pennsylvania and Ohio (n=101) | 1 | X | Lower levels of knowledge about chemotherapy but not associated with belief in the necessity of chemotherapy (Jiang et al., 2016) | X | X | ||||||
| African American men 18+ recruited from a community health fair in Ohio (n=243) | 1 | X | Lower health self-efficacy (Tucker-Seeley, Mitchell, et al., 2015) | X | |||||||
| African American men 30–50 near San Francisco (n=92) | 1 | X | Not associated with shorter telomere length (Schrock et al., 2018) | X | |||||||
| African American mothers living with at least one child (n=305) | 1 3 |
X | X | X | X | X | Lower life satisfaction, poorer emotional well-being, more depressive symptoms and anxiety symptoms (Williams et al., 2021) | X | |||
| African American parents 18+ in public housing in Connecticut with depression (n=135) | 6 | X | X | More post-traumatic stress symptoms (Holmes et al., 2021) | |||||||
| African Americans 18+ in public prenatal clinics in Northern California (n=117) | 1 | X | More depressive symptoms and everyday discrimination, but not associated with lifetime trauma or social conflict (Dailey & Humphreys, 2011) | ||||||||
| African-American mothers of adolescents in economically disadvantaged neighborhoods in the Northeast (n=200) | 7 | X | X | More depressive symptoms and less optimism (Taylor et al., 2014) | X | ||||||
| Amazon Mechanical Turk adult respondents (n=131) | 5 | X | X | X | Lower meaning in life scores (Abeyta et al., 2017) | X | |||||
| Amazon Mechanical Turk adult respondents (n=231) | 7 | X | No association with medication adherence or rates of skipping medications (Strickland et al., 2019) | ||||||||
| Amazon Mechanical Turk respondents (n= 498) | 4 | X | X | Higher likelihood of workplace accidents and a higher likelihood of under-reporting workplace accidents (Petitta et al., 2020) | |||||||
| Amazon Mechanical Turk community-dwelling respondents (n=538) | 5 | X | X | X | More anxiety symptoms, more depressive symptoms and higher positive affect but not associated with life satisfaction (Hou et al., 2021) | ||||||
| Amazon Mechanical Turk adult respondents (n=1070) | 8 | X | X | X | X | Higher odds of using any nicotine product and combustible tobacco product(s) but not electronic nicotine product(s) (Rogers et al., 2018) | X | ||||
| Black/Latino adults 18–65 with HIV care near New York City (n=512) | 1 | X | Not associated with polysubstance use risk scores(Cleland et al., 2021) | ||||||||
| Bengali immigrant New York City parents (n=73) | 1 | X | More parent tension and depressive symptoms but not associated with sleep problems (Barajas-Gonzalez et al., 2021) | X | |||||||
| Black Baltimore senior housing adults 50+(n=450) | 1 | X | Not associated with sleep quality (Gamaldo et al., 2014) | X | X | ||||||
| Black adults 25– 65 in Tallahassee (n=128) | 1 | X | More depressive symptoms (Fuller et al., 2021) | ||||||||
| Black and White men who have sex with men 18+ with HIV in San Francisco, California and Syracuse, New York (n=77) | 1 | X | Less adherence to anti-retroviral treatment (Simmons et al., 2021) | ||||||||
| Black cis-gender men who have sex with men 18–29 in Dallas & Houston, Texas (n=1732) | 1 | X | Higher risk of sexual violence victimization, and among those who experienced sexual violence associated with a higher risk of experiencing it when they were <16 years of age (Siconolfi et al., 2021) | X | X | ||||||
| Black or White female breast cancer patients 18+in Pennsylvania & Ohio (n=119) | 1 7 |
X | X | X | X | More symptom distress (Mazanec et al., 2021) | |||||
| Black, Hispanic, or White sexual and gender minorities assigned female at birth 16–20 (n=308) | 3 | X | X | Higher risk of experiencing or perpetrating psychological IPV, physical IPV and sexual IPV (Whitton et al., 2021) | |||||||
| Boston nursing home employees (n=416) | 1 | X | Higher odds of high depressive symptoms (Okechukwu et al., 2012) | X | |||||||
| Cancer survivors 18+ treated at St. Jude Children’s Research Hospital (n=3906) | 1 | X | Not associated with suicidal ideation (Lubas et al., 2020) | X | X | ||||||
| Cancer survivors within 1–3 years of diagnosis and their partners 21–58 years (n= 98) | 1 | X | Poorer physical & mental quality of life and more pain & fatigue among survivors but not associated with quality of life or caregiver strain among partners (Lyons et al., 2022) | X | |||||||
| Carolina African American Twin Study of Aging; African American twins born between 1913 and 1975 (n=699) | 1 | X | Higher odds of having a limitation in activities of daily living and more depressive symptoms but not associated with lung function or cognitive status (Szanton et al., 2010) | X | X | ||||||
| Caregivers of a child with cancer at a large Southern medical center (n=163) | 2 | X | X | Higher risk of lacking social support, and more child problems, sibling problems, family problems, and parent stress reactions, and a lack of family coping ability at baseline (Karlson et al., 2013) | |||||||
| Chicago Community Adult Health Study; 18+(n=2093) | 9 | X | X | X | X | Higher odds of being both overweight and obese (Cuevas et al., 2019) | X | ||||
| Child Community Health Network study, fathers during the post-partum period in Baltimore & Washington D.C. (n=203) | 5 | X | X | X | Not associated with being married or being in a relationship with their baby’s mother (Kerr et al., 2018) | X | |||||
| Chinese adults 60+ in Chicago (n=2988) | 1 | X | Fewer cognitive activities and social activities (Lai et al., 2019) | X | |||||||
| Chinese immigrants 18+in Maryland (n=247) | 1 | X | More psychological distress (Lee et al., 2015) | X | |||||||
| Chronic heart failure patients in Pennsylvania & Delaware (n=265) | 1 | X | Poorer self-rated health (Carlson et al., 2013) | X | |||||||
| University counseling center clients 18+ (n=96) | 1 | X | Not associated with a composite score capturing symptom distress, interpersonal relationships and social role (Hawley, 2020) | X | |||||||
| Cohabiting couples < 200% poverty co-parenting a child near Denver (n=588) | 1 1 |
X | X | X | Differences in coping strategies based on financial strain, with the highest scores among those with high coping and negative cognition coping (Perzow et al., 2018) | ||||||
| Low-income, Baltimore adults 65+ with functional limitations in home-based trial | 3, 1a | X | X | Less patient activation (n=277) (Gleason et al., 2016) | |||||||
| 1 | X | Not associated with limitations in Activities of Daily Living or Instrumental Activities of Daily Living (n=300) (Liu et al., 2022) | |||||||||
| Community dwelling older adults 65+ with chronic illness(es) (n=159) | 3 | X | X | Higher IL-6 levels in sweat (Hladek et al., 2022) | X | ||||||
| Community-dwelling Northern Indiana adults (n=282) | 4 | X | X | X | X | Higher perceived stress scores (Scott et al., 2011) | |||||
| Community-dwelling African American adults 55+in a disadvantaged part of Los Angeles | 3 | X | Higher odds of insomnia and more severe insomnia symptoms (n=398), (Bazargan et al., 2019) more depressive symptoms (n=740), (M. C. Evans et al., 2019) more pain (n=740), (M.C. Evans et al., 2019) and lower odds of untreated depression but not associated with odds of treated depression (n=740). (Cobb et al., 2020) Among those aged ≥65 years, lower memory scores (n=399) (Assari et al., 2020) but not associated with odds of current smoking among subset with cardiometabolic condition(s) (n=576) (Shervin Assari, James L. Smith, Marc A. Zimmerman, et al., 2019) or drinking among those with diabetes (n=231) (Shervin Assari, James L. Smith, Mohammed Saqib, et al., 2019) | X | X | ||||||
| 5 | X | X | Poorer adherence to blood pressure medications but better adherence to recommended lifestyle modifications (n=338) (Adinkrah et al., 2020), better mental and physical quality of life scores (n=905) (Bazargan et al., 2023) and, among those aged ≥65 years higher odds of currently smoking and higher odds of drinking (n=619) (S. Assari et al., 2019) but not associated with use of opioid-based medication or psychotropic medication among those aged ≥65 years with cardiometabolic disease (n=74) (Bazargan et al., 2020) | X | X | ||||||
| 3 | X | Higher likelihood of smoking and binge drinking, more depressive symptoms and chronic conditions, more pain, poorer self-rated health and more sick days (n=740) (Evans et al., 2020) | |||||||||
| 5 | X | X | Lower odds of having a primary care or emergency department visit in the past year but not associated with inpatient hospitalization (n=905) (Cobb et al., 2022) | X | |||||||
| Middle aged adult women with osteoarthritis and/or fibromyalgia (n=250) | 7 | X | X | Higher pain levels (Rios & Zautra, 2011) | X | ||||||
| Smoking adults 18–65 interested in smoking cessation in Vermont and Texas (n=58) | 7 | X | X | X | Not associated with smoking abstinence (Reitzel et al., 2015) | X | |||||
| Coronary Artery Risk Development in Young Adults study, randomly sampled adults 18–30 in Chicago and Oakland (n=1336) | 1 | X | Not associated with salivary cortisol levels or positive affect, but associated with more negative affect over the day (Puterman et al., 2013) | X | |||||||
| Depression intervention for African Americans 55+ in Philadelphia (n=182) | 1 | X | More depressive symptoms at baseline (Szanton et al., 2014) | X | |||||||
| Sleep treatment trial for adults with sleep apnea and diabetes (n=209) | 1 | X | Poorer sleep quality (Morris et al., 2021) | X | X | ||||||
| Low-income employed adults 40–64 in a chronic disease self-management trial in North Carolina (n=323) | 5 | X | X | X | More likely to prefer a financial self-management program than a health self-management program (Kneipp et al., 2019) | X | X | ||||
| Family and Community Health Study, African American families with 5th grader in Iowa or Georgia (n =693) | 4, 2a | X | X | Poorer physical health functioning (Black et al., 2009) | X | ||||||
| Family caregivers for brain injury patients at a rehabilitation hospital (n=136) | 1 2 |
X | Lower life satisfaction scores (Sabella & Suchan, 2019) | ||||||||
| Family member of veteran with brain injury in Philadelphia (n=83) | 1 | X | More depressive symptoms (Moriarty et al., 2018) | ||||||||
| San Francisco Female Condom Intervention Trial participants 18–39 (n=735) | 7 | X | X | X | More race-based and gender-based discrimination (Ro & Choi, 2009) | X | |||||
| Female, first-year Latina college students 18+ (n=104) | 3 | X | X | Not associated with depressive and anxiety symptoms or post-traumatic stress disorder symptoms (Sims et al., 2020) | |||||||
| Los Angeles first-generation Korean immigrants 65+ (n=205) | 1 | X | Less subjective well-being (Kim et al., 2015) | X | |||||||
| East Coast urban first-generation Korean immigrants (n=242) | 8 | X | X | More emotional and somatic symptoms of well-being (Lee, 2019) | X | ||||||
| Fragile Families and Child Wellbeing Study, mothers of children in 20 large US cities living with a partner (n=1886) | 8 | X | X | Higher odds of experiencing intimate partner violence emotional abuse and coercion, but not associated with odds of experiencing physical assault by partner (Golden et al., 2013) | X | ||||||
| Graduate seminary students (n=189) | 8 | X | X | X | X | X | More depressive symptoms, more anxiety and less spiritual well-being (Blea et al., 2021) | ||||
| 1 | X | Higher odds of having depressive symptoms and anxiety symptoms (n= 6776) (Marshall et al., 2021) and higher cardiometabolic risk count (C-reactive protein, blood pressure, heart rate, glycosylated hemoglobin, cholesterol, and waist circumference) (n=8231) (Mawhorter et al., 2023) but not associated with episodic memory (n=871) (Byrd et al., 2020) | X | ||||||||
| 4 | X | X | Higher odds of poor self-reported oral health (n=1359) (Chi & Tucker-Seeley, 2013) | X | |||||||
| Health and Retirement Study, randomly sampled 50+ | 3 | X | X | Higher odds of obesity, but not associated with smoking status or drinking level (n= 8,212) (Marshall et al., 2019) | X | X | |||||
| 4 | X | X | X | Less partner support and more partner undermining (n=4935) (Park & Kim, 2018) | X | X | |||||
| 4 | X | X | Higher odds of reporting poor health (n=7619) (Marshall & Tucker-Seeley, 2018) | X | |||||||
| 4 | X | X | X | Higher odds of experiencing pain among communitydwelling adults (n=2883) (Song et al., 2021) | X | ||||||
| 1 | X | X | Higher likelihood of pain and severe pain levels among men (n=3174) (Marshall et al., 2018) | X | |||||||
| 2 | X | More depressive symptoms among community-dwelling adults (n=8366) (Asebedo & Wilmarth, 2017) | X | ||||||||
| 4 | X | X | Higher hemoglobin A1c among those with diabetes (n= 2682) (Walker et al., 2021) | X | X | ||||||
| Health in Common study; adults in low-income housing in Boston area | 1 | X | Higher likelihood of poor self-rated health (n=828) (Tucker-Seeley et al., 2013), less healthy eating, and a higher likelihood of tobacco use but a lower odds of having high sedentary behavior (n=828) (Harley et al., 2014) | X | |||||||
| 1 | X | Not associated with the likelihood of trying to quit tobacco or the confidence in ability to quit (n=170) (Tucker-Seeley, Selk, et al., 2015) | X | X | |||||||
| Health, Aging and Body Composition Study, randomly selected healthy adults 70–79 in Memphis & Pittsburgh (n=2,155) | 3 | X | X | Higher IL-6 and CRP, but not TNF-alpha (Samuel, Szanton, Fedarko, et al., 2020) | |||||||
| Healthy Miami Hispanic immigrants 70+ (n=237) | 1 | X | Higher odds of high depressive symptoms (Perrino et al., 2009) | X | X | ||||||
| Heterosexual women 18+ who were not trying to get pregnant recruited online (n=932) | 5 | X | Lower rates of using short-acting hormonal contraception but not associated with use of long-acting reversible contraception or coital-specific contraception (Lyons et al., 2019) | X | |||||||
| Homeless Veterans Administration primary care patients (n=5,406) | 1 | X | Higher odds of being unsheltered (Kertesz et al., 2021) | X | X | ||||||
| Unemployed hospitality workers during COVID-19 (n=607) | 3 | X | X | Less overall well-being (Chen & Chen, 2021) | X | ||||||
| Household Pulse Survey; randomly selected 18–64 with COVID-19 job loss (n=264,522) | 1 | X | Higher likelihood of anxiety symptoms, depressive symptoms, food insufficiency and housing insecurity (Kim, 2021) | X | X | ||||||
| Job seekers recruited online (n=384) | 3 | X | X | X | Not associated with coping by unemployment by drinking (Blau et al., 2013) | X | |||||
| Kentucky Substance Abuse Treatment Outcome Study randomly sampled from programs (n=734) | 8 | X | Higher perceived stress (Cole et al., 2011) | X | X | ||||||
| Korean immigrants 18+in Los Angeles and Orange counties in California | 1 | X | Lower levels of positive well-being, general well-being and vitality but not associated with anxiety or depressive symptoms or self-rated health (n=147) (Lee & Woo, 2013); more anxiety symptoms and less vitality among young adults; less well-being among older adults (n=346) (Woo et al., 2014) | X | |||||||
| Landmark Spirituality and Health Survey, randomly sampled18+, excluding atheists | 3 | X | Poorer self-rated health, more chronic health problems and more functional limitations (n=3010) (Krause et al., 2018) but not associated with a summary score for poly-drug use and meaning in life (n=2622) (Krause et al., 2017) | X | |||||||
| Latino and Black man who have sex with men in Los Angeles, New York, and Philadelphia (n=2235) | 1 | X | Higher risk of unprotected anal intercourse with sero-discordant or unknown-status partners (Ayala et al., 2012) | ||||||||
| Men 30–75 receiving urology care in Tennessee (n=90) | 1 | X | Lower health literacy but not associated with prostate-related knowledge or prostate cancer treatment regret (Joyce et al., 2020) | ||||||||
| Miami-Dade Health Survey; randomly sampled 18+ | 3 | X | X | More depressive symptoms (n=444) (Hill et al., 2017) and higher likelihood of religious attendance, but not associated with social support (n=444) (Bradley et al., 2020) | X | ||||||
| Michigan randomly sampled White and Black 18–64 (n=594) | 4, 1a | X | X | X | More conflict with spouse/partner (MacInnes & Broman, 2012) | X | |||||
| Middle-aged and older adults without dementia or depression in Tampa (n=93) | 1 | X | Less satisfaction with financial situation and income but not associated with satisfaction with home, city/town, daily life/leisure, family life, health or life as a whole (Gamaldo et al., 2021) | X | X | ||||||
| Midlife in the United States; randomly sampled Black adults 20–74 in Milwaukee, Wisconsin (n=592) | 2 | X | Higher odds of being a current smoker, but not associated with odds of past smoking (Slopen et al., 2012) | X | |||||||
| Midwestern Head Start Program staff (n=295) | 1 | X | Higher odds of reporting poor self-reported physical and mental health (Snyder et al., 2020) | ||||||||
| Mothers of children aged 4–17 receiving treatment from a community mental health clinic (n=336) | 1 8 |
X | More depressive symptoms (Gjesfjeld et al., 2010) | ||||||||
| Utah and Idaho National Guard Personnel (n=889) | 1 | X | Not associated with suicidal ideation or suicide attempts (Bryan & Bryan, 2019) | X | |||||||
| National Latino and Asian American Study | 2 | X | X | Poorer self-rated health (n=2095) (de Castro et al., 2010) | X | X | |||||
| 2 | X | X | Higher risk of heavy episodic drinking and an alcohol use disorder among Asian Americans but not Latinos (n=4649) (Cook et al., 2020) | X | |||||||
| National Longitudinal Study of Adolescent to Adult Health; randomly selected teenagers in the 7th-12th grade followed for <13 years | 3 | X | X | Higher likelihood of using prescription opioid medication(s) among parents (n= 6,872) (Austin & Shanahan, 2017) | |||||||
| 6 | X | Among young adults in relationships, more intimate partner violence among married couples but not cohabitating couples and not associated with relational affection (n= 1702) (Hardie & Lucas, 2010) | X | ||||||||
| 6 | X | X | More depressive symptoms and a higher likelihood of suicidal ideation (n=10058) (Eitle, 2022). Among Asian American young adults, more alcohol abuse symptoms but not associated with frequent drunkenness, or alcohol-dependence symptoms (n=719) (Cook et al., 2013) | X | |||||||
| 7 | X | Higher odds of both being overweight and obese (n=6515 for women, 5985 for men) (Averett & Smith, 2014) | X | X | |||||||
| 7 | X | Higher likelihood of experiencing or perpetrating intimate partner violence among adults in relationships (n=10665) (Spencer et al., 2016) | |||||||||
| 5 | X | X | Higher risk of obesity among women, but not men (n=10091) (Kim et al., 2020) | X | X | ||||||
| 5 | X | No association with metabolic syndrome(n=11575) (Goldberg et al., 2019) | X | ||||||||
| 6 | X | X | Higher likelihood of engaging in instrumental& violent crime and illegal drug use (n=13288) (Dennison, 2019) | X | X | ||||||
| 6 | X | X | Higher likelihood of perpetrating intimate partner violence among young adults recently in a relationship (n=11499) (Schwab-Reese et al., 2016) | X | |||||||
| National Survey of American Life; randomly sampled | 8 | X | X | More depressive symptoms (Hughes et al., 2014) | X | ||||||
| African Americans 18+ (n=3,570) | |||||||||||
| National Survey of Fertility Barriers National, randomly selected women 25–45 | 3 | X | X | Lower life satisfaction and more depressive symptoms among those partnered and with a child (n=2675) (Pritchard & Falci, 2020) | X | X | |||||
| 3 | X | X | More treatment concerns and depressive symptoms but not associated with infertility services use or fertility-specific distress (n=1218) (Greil et al., 2020) | X | |||||||
| National survey of Whites and African Americans 66+ | 2 | X | Poorer self-rated health, more depressive symptoms and less life satisfaction among atheists (n=1535) (Krause & Hayward, 2015) | X | |||||||
| 3 | X | X | More depressive symptoms but not associated with suffering in silence at seven years among Christians (n= 596) (Krause, 2010) | X | |||||||
| Non-Hispanic Black or Hispanic older adults at a Southwestern senior center (n=102) | 1 | X | More likely to feel older than their age (Choi et al., 2021) | X | |||||||
| Latinx 50+ (n=214) | 1 | X | More depressive symptoms (Aranda & Lincoln, 2011) | X | |||||||
| Non-binary gender, nonwhite and non-Latinx patients 18+ in Rio Grande Valley (n=546) | 5 | X | X | Higher odds of foregoing medical care and a higher odds of poor health (Tabler & Mykyta, 2021) | X | ||||||
| Online survey respondents 21+ (n=821) | 3 | X | Not associated with emotional exhaustion (Choi & Heo, 2021) | X | X | ||||||
| Online survey of first- and second-generation African immigrants 18+ (n=173) | 4 | X | X | More mental health symptoms (Saasa & Miller, 2021) | X | ||||||
| Parents/guardians of children admitted to hospitals in California, Wisconsin, Ohio, Utah, Washington, & Texas (n=526) | 8 | X | X | X | X | X | Not associated with parent’s preferences for health care cost- transparency practices (Bassett et al., 2021) | X | X | ||
| Cancer prevention and physical activity trial participants 21+in Appalachia (n=1,992) | 1 | X | Poorer self-rated health and more chronic conditions (Tarasenko & Schoenberg, 2017) | ||||||||
| Physical activity intervention participants in Dallas, Texas (n=238) | 8 | X | X | X | Poorer self-rated health and lower quality of life scores; association with quality of life was attenuated among those with greater social support (Garey et al., 2017) | X | |||||
| Midwest diabetes patients 18–74(n=117) | 3 | X | X | Lower diabetes self-efficacy scores and spouses less confidence in patienťs ability to manage diabetes (Novak et al., 2017) | X | ||||||
| Patients with urinary prolapse symptoms in | 1 | X | Higher odds of overactive bladder syndrome (Tellechea et al., 2021) | X | |||||||
| New York and Baltimore (n=256) | |||||||||||
| Randomly sampled Indiana White and Black adults 18–75 (n=970) | 1 | X | Not associated with likelihood of mammograms, colorectal cancer screening or cervical cancer screening (Kasting et al., 2021) | X | X | ||||||
| Randomly sampled Texans 18+ (n=1504) | 1 | X | More psychological distress (Acevedo et al., 2014) | X | |||||||
| Employed bone marrow transplant recipients | 2 | X | Lower self-rated health and less quality of life and higher perceived stress (n=171) (Albelda et al., 2019) | X | X | ||||||
| 3 | X | X | Poorer quality of life and self-rated health and more perceived stress 150 days after transplant (n=325) (Abel et al., 2016) | X | |||||||
| Pregnancy Risk Assessment Monitoring System; randomly sampled women after a live birth (n= 69,023) | 1 | X | Higher likelihood of food insecurity (Testa & Jackson, 2020) | X | |||||||
| Pregnant Californians18–45 | 1 | X | Higher likelihood of reporting that providers have reduced perinatal visit options during COVID-19 and worries about lacking birth support, provider availability for the birth, and lacking resources, and a higher likelihood of considering an out-of-hospital birth but not associated with seeking care or having remote visits (n=820) (Whipps et al., 2021) | ||||||||
| Pregnant women in Ohio (n=138) | 3 | X | X | More depressive symptoms, pregnancy-specific distress, perceived stress and anxiety (Mitchell & Christian, 2017) | X | ||||||
| Previously deployed female military veterans (n=128) | 1 | X | More depressive symptoms (Sairsingh et al., 2018) | X | X | ||||||
| Primary caregivers of Early Head Start children in northeastern cities (n=978) | 4, 2b | X | X | More depressive symptoms, but not anxiety symptoms. Difficulty making ends meet was associated with less dysfunction in parent-child relationship (Hurwich-Reiss et al., 2019) | X | ||||||
| Houston African Americans 18+ at Black churches (n=1341) | 7 | X | X | X | Lower composite scores that captured both physical activity levels and fruit and vegetable consumption (n=1009) (Heredia et al., 2020) | X | |||||
| 7 | X | X | X | Poorer self-rated health (Savoy et al., 2014) | X | X | |||||
| Puerto Rican Elderly Health Conditions, randomly sampled>60 (n=978) | 1 | X | Not associated with the age at the onset of natural menopause (Novak & Lozano-Keymolen, 2018) | X | |||||||
| Random national sample (n=1801) | 7 | X | X | X | Lower odds of good mental health (Marshall et al., 2017) | X | |||||
| Random sample of Black adults in New York City; Boston; Nassau-Suffolk, New York; and Florida (n = 962) | 2 | X | X | More psychological distress (Lincoln & Chae, 2010) | X | ||||||
| Randomly sampled homeless Veterans Administration primary care patients(n=4777) | 1 | X | Poorer care coordination, more hassles and long wait times when referred for services but not associated with satisfaction with community care (Jones et al., 2021) | X | X | ||||||
| Randomly sampled adults 18+(n=5083) | 1 | X | Higher odds of experiencing both migraines and post-traumatic stress disorder, but not associated with experiencing just one condition (Rao et al., 2015) | X | |||||||
| Randomly sampled Detroit adults 18–64 of Gujarati decent (n=373) | 1 | X | More attitudes supporting intimate partner violence (Yoshihama et al., 2014) | X | |||||||
| Randomly sampled healthy adults 18+not in prison/police custody (n=2312) | 1 | X | Higher odds of using any drug but not associated with binge drinking (Gerber et al., 2020) | X | X | ||||||
| Randomly sampled female community college students in a relationship in Midwestern city (n=435) | 1 3 |
X | More depressive symptoms and more PTSD symptoms (Schrag et al., 2019) | ||||||||
| Randomly sampled post-partum women in New York City (n=3566) | 1 | X | Not associated with being diagnosed with post-partum depression (Liu & Tronick, 2013) | X | |||||||
| Rectal cancer survivors in Minnesota, Colorado, Northern California, and the Northwest (n=527) | 1 | X | Less participation in life activities (Bulkley et al., 2021) | X | |||||||
| Living kidney donors (n=2455) | 1 | X | Less life satisfaction (Messersmith et al., 2014) | X | |||||||
| Resources for Enhancing Alzheimer’s Caregiver Health, co-residing caregivers 21+ | 1 | X | More depressive and anxiety symptoms(n=2133) (Sun et al., 2009) | X | X | ||||||
| 1 | X | More depressive symptoms among those with distress (n=642) (Miller et al., 2020) | |||||||||
| Retired community-dwelling Mexican Americans 66+ in Texas, Colorado, New Mexico, Arizona, & California (n=1005) | 3 | X | X | More cognitive and somatic symptoms of depression (Krause, 2012) | X | ||||||
| Young adults who had attended Minneapolis-St. Paul secondary schools(n=675) | 1 | X | More unhealthy weight control behaviors and more eating to cope behavior, but not associated with binge eating (Simone et al., 2021) | X | |||||||
| Staff of Pennsylvania Head Start program(n=2105) | 5 | X | X | More depressive symptoms and higher likelihood of having depression (Whitaker et al., 2021) | X | ||||||
| Stem cell transplantation survivors 18+ in remission and with distress in New York City and New Jersey (n=181) | 9 | X | X | X | Poorer physical, emotional and functional well-being and more transplant-specific concerns but not associated with social/family well-being (Hamilton et al., 2013) | X | X | ||||
| Minnesota public university students (n=1117) | 1 | X | Less physical activity and more unhealthy weight-control behaviors or binge drinking, but not associated with overweight/obesity or diet (VanKim & Laska, 2012) | X | |||||||
| Midwestern public university students (n=222) | 5, 17 | X | X | X | Lacking basic needs was associated with less life satisfaction. (Stein et al., 2013) | X | |||||
| Study of Women’s Health Across the Nation, non-Hispanic pre-menopausal White women 42–52 in Oakland, Los Angeles, Newark, Pittsburgh, Chicago, Boston and Detroit | 1 | X | Not associated with levels of per- and poly-fluoroalkyl synthetic compound substances (n=1302) (Park et al., 2019) | ||||||||
| 1 | X | Greater carotid intima media thickness and more plaque (n=1402), (Thurston et al., 2014) shorter sleep duration and more waking (n=1203) (Matthews et al., 2019) | X | ||||||||
| 1 | X | Poorer sleep quality but not associated with time sleeping (n=368) (Hall et al., 2009) | X | X | |||||||
| 1 | X | Higher odds of having a disability (n=376) (Karvonen-Gutierrez & Ylitalo, 2013) | X | ||||||||
| Sub-Saharan African immigrants 35+ with chronic illness in Washington, DC, New York, New Jersey, and Pennsylvania (n=88) | 1 | X | Poorer chronic illness self-care (Osokpo et al.) | ||||||||
| Survey of Income and Program Participation, randomly samples adults 55+(n=20852) | 3 | X | Higher odds of poor health (Li & Mutchler, 2019) | X | |||||||
| Survey of Older Floridians, White, Black, Cuban, Latino adults65+ | 1 | X | Poorer self-rated health among Cuban Americans (n=1471) (Jang et al., 2009) and non-Cuban Latino Americans, but not among those who were White or Black (n = 1,382) (Ko et al., 2014) | X | X | ||||||
| National Guard personnel (n=330) | 1 | X | More posttraumatic stress disorder symptoms, depressive symptoms, anger and insomnia symptoms (Russell et al., 2017) | ||||||||
| Midwestern university students (n=157) | 3 | X | X | X | Less academic and social integration and more psychological distress symptoms (Adams et al., 2016) | ||||||
| Midwestern university students (n=177) | 22 | X | Less physical functioning, more role limitations, more fatigue, poorer social functioning and more pain, but not associated with emotional role limitations or emotional well-being (Northern et al., 2010) | ||||||||
| Undocumented University of California students (n=508) | 4 | X | X | X | X | Poorer self-rated health (Enriquez et al., 2018) | |||||
| Community-dwelling African American Medicare beneficiaries 65+ in Alabama (n=247) | 1 | X | Poorer physical health-related and mental health-related quality of life (Clay et al., 2018) | X | X | ||||||
| Women with gynecologic cancers (n =334) | 11 | X | X | Higher risk of delaying/avoiding medical visits, prescriptions refills and buying over the counter medications or medical supplies (Esselen et al., 2021) | X | ||||||
| Workers 25–64 (n=10,748) | 1 | X | Higher odds of considering how much money was needed to retire, but not associated with having retirement account(s) (Fan et al., 2022) | X | |||||||
| Utah pregnant women 18+at prenatal clinics (n=85) | 1 | X | Higher levels of corticotropin releasing hormone at 20 weeks gestation (Latendresse & Ruiz, 2010) | ||||||||
| Washington State home care workers (n=421) | 3 | X | X | Higher pain levels (Greenspan et al., 2021) | |||||||
| Post-partum women 18+ with live births (n=304) | 10 | X | X | Higher odds of poor self-rated health (McCloskey, 2022) | |||||||
| Women who delivered a live infant during COVID-19 pandemic in New York City (n=1179) | 1 | X | X | Not associated with the odds of changing fertility intention during the COVID-19 pandemic or pregnancy intention (Kahn et al., 2021) | X | ||||||
| Mothers in low-income neighborhoods in Boston, Chicago, and San Antonio (n=2402) | 5 | X | X | X | Larger body mass index (Ross & Hill, 2013) | X | |||||
| Women with HIV-related risk behaviors (n=592) | 1 | X | Not associated with sexual risk scores (Batchelder et al., 2016) | X | |||||||
| Women’s Health and Aging Study, community-dwelling women 65–79 in Baltimore | 2 | X | Higher risk of being at risk for malnutrition (n=679) (Samuel et al., 2012) | X | X | ||||||
| 1 | X | Higher levels of oxidative stress (n=728) (Palta et al., 2015) | X | X | |||||||
| Women’s Health Study; health professionals 45+ (n=24,809) | 3 | X | X | Not associated with odds of reporting a diagnosis of atrial fibrillation (Westcott et al., 2018) | X | ||||||
Two financial strain measures were used. If not specified, both were associated with study outcome.
Values differed based on sub-sample included.
Values differed across sub-domains.