|Title||Mortgage delinquency and changes in access to health resources and depressive symptoms in a nationally representative cohort of Americans older than 50 years.|
|Publication Type||Journal Article|
|Year of Publication||2011|
|Authors||Alley, DE, Lloyd, J, Pagán, JA, Pollack, CE, Shardell, M, Cannuscio, C|
|Journal||Am J Public Health|
|Date Published||2011 Dec|
|Keywords||depression, Drug Costs, Economic Recession, Female, Health Services Accessibility, Health Status, Housing, Humans, Male, Medication Adherence, Middle Aged, Socioeconomic factors, Stress, Psychological, United States|
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.
|User Guide Notes|
|Alternate Journal||Am J Public Health|
|PubMed Central ID||PMC3222434|
|Grant List||T32 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