Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults.

TitleGender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults.
Publication TypeJournal Article
Year of Publication2019
AuthorsMarshall, GL, Bryson, W, Ronstant, O, Canham, SL
JournalPrev Med Rep
Volume16
Pagination100962
Date Published2019 Dec
ISSN Number2211-3355
Abstract

Objective: To identify associations between modifiable risk factors (cigarette smoking, alcohol consumption, and obesity) and financial hardship (difficulty paying bills, food insecurity and medication need) among middle-aged and older Americans in a nationally representative sample.

Methods: This was a cross-sectional study of 8212 persons age 50 years and older who completed the core 2010 Health and Retirement Study survey and the psychosocial questionnaire. We ran separate multinomial logistic regressions to assess the association of three modifiable risk factors and three different financial hardship indicators.

Results: Adjusting for all covariates, compared to men of normal weight, men who were obese had a 1.4 greater odds of difficulty paying their bills (95% CI: 1.08-1.76); former smokers had a 1.8 greater odds of being food insecure (95% CI: 1.05-2.95); current smokers were twice as likely to be food insecure (95% CI: 1.21-3.73); Compared to women who never smoked, current smokers had a 1.5 greater odds of having difficulty paying their bills (95% CI: 1.11-2.02); current smokers had a 1.8 greater odds of being food insecure (95% CI: 1.13-2.91); and women who were obese had a 1.5 greater odds of reducing medication due to cost (95% CI: 1.11, 2.02).

Conclusion: Our findings contribute to the literature on health behaviors and financial hardship by highlighting the cyclical nature between different indicators of socioeconomic status, modifiable risk factors, and poor health outcomes among middle-aged and older adults. Furthermore, findings highlight how modifiable risk factors may culminate in financial hardship in later life.

URLhttps://www.ncbi.nlm.nih.gov/pubmed/31453074
DOI10.1016/j.pmedr.2019.100962
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/31453074?dopt=Abstract

Alternate JournalPrev Med Rep
Citation Key10212
PubMed ID31453074
PubMed Central IDPMC6700445
Grant ListK01 AG048416 / AG / NIA NIH HHS / United States