Mortgage delinquency and changes in access to health resources and depressive symptoms in a nationally representative cohort of Americans older than 50 years.

TitleMortgage delinquency and changes in access to health resources and depressive symptoms in a nationally representative cohort of Americans older than 50 years.
Publication TypeJournal Article
Year of Publication2011
AuthorsAlley, DE, Lloyd, J, Pagán, JA, Pollack, CE, Shardell, M, Cannuscio, C
JournalAm J Public Health
Volume101
Issue12
Pagination2293-8
Date Published2011 Dec
ISSN Number1541-0048
Keywordsdepression, Drug Costs, Economic Recession, Female, Health Services Accessibility, Health Status, Housing, Humans, Male, Medication Adherence, Middle Aged, Socioeconomic factors, Stress, Psychological, United States
Abstract

OBJECTIVES: We evaluated associations between mortgage delinquency and changes in health and health-relevant resources over 2 years, with data from the Health and Retirement Study, a longitudinal survey representative of US adults older than 50 years.

METHODS: In 2008, participants reported whether they had fallen behind on mortgage payments since 2006 (n = 2474). We used logistic regression to compare changes in health (incidence of elevated depressive symptoms, major declines in self-rated health) and access to health-relevant resources (food, prescription medications) between participants who fell behind on their mortgage payments and those who did not.

RESULTS: Compared with nondelinquent participants, the mortgage-delinquent group had worse health status and less access to health-relevant resources at baseline. They were also significantly more likely to develop incident depressive symptoms (odds ratio [OR] = 8.60; 95% confidence interval [CI] = 3.38, 21.85), food insecurity (OR = 7.53; 95% CI = 3.01, 18.84), and cost-related medication nonadherence (OR = 8.66; 95% CI = 3.72, 20.16) during follow-up.

CONCLUSIONS: Mortgage delinquency was associated with significant elevations in the incidence of mental health impairments and health-relevant material disadvantage. Widespread mortgage default may have important public health implications.

URLhttp://ajph.aphapublications.org/doi/full/10.2105/AJPH.2011.300245
DOI10.2105/AJPH.2011.300245
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/22021301?dopt=Abstract

Alternate JournalAm J Public Health
Citation Key7659
PubMed ID22021301
PubMed Central IDPMC3222434
Grant ListT32 AG000262-12 / AG / NIA NIH HHS / United States
K12 HD043489 / HD / NICHD NIH HHS / United States
T32 AG000262 / AG / NIA NIH HHS / United States
T32AG000262 / AG / NIA NIH HHS / United States
K12HC043489 / HC / NHLBI NIH HHS / United States
K12 HD043489-10 / HD / NICHD NIH HHS / United States