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

https://doi.org/10.1016/j.pmedr.2019.100962Get rights and content
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Highlights

  • This study contributes to the literature by describing the connection between health and individual and family finances.

  • More than 60% of women in our sample had difficulty paying bills

  • Close to 70% of women were food insecure, and 70% reduced medication use due to cost

  • Modifiable risk behaviors – often socioeconomically patterned, may culminate in financial hardship in later life.

  • This study highlights the importance of ongoing efforts to improve income equity between the genders.

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.

Keywords

Financial hardship
Cigarette smoking
Drinking
Obesity
Modifiable risk factors

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