The association between financial strain and volatility in daily relationship uncertainty: A dyadic investigation

2022 ◽  
pp. 026540752110568
Author(s):  
Jamie M. Gajos ◽  
Casey J. Totenhagen ◽  
Melissa J. Wilmarth
Keyword(s):  
Marital Status ◽  
Financial Strain ◽  
Future Research ◽  
Lower Income ◽  
Relational Uncertainty ◽  
Daily Diaries ◽  
Income Levels ◽  
Relationship Length ◽  
Married Individuals ◽  
Relational Outcomes

Prior research suggests that financial strain negatively impacts relational outcomes and that fluctuations (i.e., volatility) in daily reports of relationship aspects may be detrimental for relational outcomes. Daily relational uncertainty may also be associated with financial stressors; however, little is known about the association between financial strain and levels of daily relational uncertainty, as well as the volatility in day-to-day relational uncertainty. The current study includes both members of 100 adult different-sex couples (relationship length M = 7.0 years, SD = 7.1) who completed 14 days of daily diaries. We examined whether greater baseline financial strain is associated with higher levels of daily relational uncertainty and greater day-to-day volatility in relational uncertainty among actors and partners. Individuals who reported greater financial strain also reported higher overall levels of daily relationship uncertainty, as well as greater volatility in daily relationship uncertainty. The association between actor financial strain and volatility in daily relationship uncertainty was moderated by gender and marital status, such that financial strain was only associated with greater volatility in daily relationship uncertainty for men (but not for women) and for unmarried (but not married) individuals. Evidence for partner effects were also found, where partners’ higher levels of financial strain was associated with less volatility in actors’ daily relational uncertainty; however, this relationship was moderated by income, gender, and marital status. Individuals with lower income levels (versus high income levels) reported less volatility in their daily relationship uncertainty when their partners reported higher financial strain. Males rather than women reported lower volatility in daily relational uncertainty when their partners reported greater financial strain. In addition, unmarried rather than married individuals reported greater volatility in daily relationship uncertainty when their partners reported higher financial strain. Implications for future research and practice are discussed.

Dyadic coping and discrete emotions during COVID-19: Connecting the communication theory of resilience with relational uncertainty

2021 ◽  
pp. 026540752110093
Author(s):  
Helen M. Lillie ◽  
Skye Chernichky-Karcher ◽  
Maria K. Venetis
Keyword(s):  
Structural Equation ◽  
Communication Theory ◽  
Dyadic Coping ◽  
Future Research ◽  
Discrete Emotions ◽  
Relational Uncertainty ◽  
Research Directions ◽  
Communication Processes ◽  
Married Individuals ◽  
Future Research Directions

The current study applies the communication theory of resilience (CTR) to assess married individuals’ utilization of resilience communication during the first wave of the COVID-19 pandemic. This study examines pathways between communicative resilience processes, relational uncertainty, discrete emotions, and evaluations of dyadic coping. Married individuals ( n = 625) were surveyed during April 21–April 29, 2020 using Qualtrics panels. Structural equation analyses revealed that most of the resilience communication processes impacted evaluations of dyadic coping via three indirect pathways, including (a) relational uncertainty, (b) relational uncertainty → anger, and (c) relational uncertainty → fear. The alternative logic of humor did not impact dyadic coping through these indirect pathways, but instead directly, positively impacted dyadic coping. Theoretical and practical implications, limitations, and future research directions are discussed.

Age and marital status predictors of binge alcohol use among adults with major depressive episode

2020 ◽  
Author(s):  
Areen Omary
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Marital Status ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Age Groups ◽  
Future Research ◽  
Major Depressive ◽  
Never Married ◽  
At Risk Populations

Aims: This study aims to examine if age and marital status can predict the risk for binge alcohol use (BAU) among adults with a major depressive episode (MDE). Methods: Data from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2018 National Survey for Drug Use and Health (NSDUH) were analyzed. The unweighted sample included 6,999 adults representing a weighted population size of 33,900,452.122 in the US. Results and Conclusions: The findings of this retrospective research confirmed that age and marital status significantly predicted BAU in the past month among adults with MDE. Adults with MDE at higher risk for BAU were adults under the age of 50, adults who were never married, and adults who were divorced/separated. Special attention must be paid to those in age groups under 50, never married, and have been separated/divorced who are particularly at-risk for future alcohol abuse. Future research should consider examining additional potential confounders for BAU among other at-risk populations.

scholarly journals Financial Resources and Biomarkers of Aging in the National Health and Aging Trends Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 589-589
Author(s):  
Laura Samuel ◽  
Laken Roberts ◽  
Danielle Boyce ◽  
Melissa Hladek ◽  
Sarah LaFave ◽  
...  
Keyword(s):  
Hemoglobin A1c ◽  
Income Group ◽  
Cross Sectional Study ◽  
Financial Strain ◽  
Diabetes Diagnosis ◽  
Lower Income ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Lower Income Group ◽  
Biomarkers Of Aging

Abstract Lower income and financial strain (i.e. difficulty making ends meet) are associated with worse aging biomarkers, but evidence among nationally representative samples is limited. This cross-sectional study tested whether income to poverty ratio (analyzed separately for those <500% vs. ≥500% poverty threshold) and financial strain are associated with biomarkers of aging among NHATS participants aged ≥65 years (n=4,648), adjusting for age, race/ethnicity, gender, smoking, BMI, and diabetes diagnosis for hemoglobin A1c. Sampling weights were applied. Among those with incomes <500% poverty, higher income was associated with lower hemoglobin A1c (b= -0.0196, p=0.007), CMV (b= -0.0689, p<0.001) and CRP (b= -0.0428, p=0.012). Among those with incomes ≥500%, higher income was associated with lower IL-6 (b= -0.0001, p=0.023) and lower CMV (b= -0.0001, p<0.001). Financial strain was not associated with biomarkers. Income is more strongly associated with biomarkers among the lower income group, calling for special attention to this vulnerable population.

scholarly journals Community intervention strategies to reduce the impact of financial strain and promote financial well-being: a comprehensive rapid review

2021 ◽  
Vol 28 (1) ◽  
pp. 42-50
Author(s):  
Nicole M. Glenn ◽  
Lisa Allen Scott ◽  
Teree Hokanson ◽  
Karla Gustafson ◽  
Melissa A. Stoops ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Community Intervention ◽  
Well Being ◽  
Small Sample ◽  
Financial Strain ◽  
Rapid Review ◽  
Research Centre ◽  
Future Research ◽  
The Impact

Financial well-being describes when people feel able to meet their financial obligations, feel financially secure and are able to make choices that benefit their quality of life. Financial strain occurs when people are unable to pay their bills, feel stressed about money and experience negative impacts on their quality of life and health. In the face of the global economic repercussions of the COVID-19 pandemic, community-led approaches are required to address the setting-specific needs of residents and reduce the adverse impacts of widespread financial strain. To encourage evidence-informed best practices, a provincial health authority and community-engaged research centre collaborated to conduct a rapid review. We augmented the rapid review with an environmental scan and interviews. Our data focused on Western Canada and was collected prior to the pandemic (May–September 2019). We identified eight categories of community-led strategies to promote financial well-being: systems navigation and access; financial literacy and skills; emergency financial assistance; asset building; events and attractions; employment and educational support; transportation; and housing. We noted significant gaps in the evidence, including methodological limitations of the included studies (e.g. generalisability, small sample size), a lack of reporting on the mechanisms leading to the outcomes and evaluation of long-term impacts, sparse practice-based data on evaluation methods and outcomes, and limited intervention details in the published literature. Critically, few of the included interventions specifically targeted financial strain and/or well-being. We discuss the implications of these gaps in addition to possibilities and priorities for future research and practice. We also consider the results in relation to the COVID-19 pandemic and its economic consequences.

Spousal order of migration, gender, and hospitalization among immigrants in Denmark

2020 ◽  
pp. 140349482094472
Author(s):  
Jennifer Caputo ◽  
Angela Carollo ◽  
Eleonora Mussino ◽  
Linda Juel Ahrenfeldt ◽  
Rune Lindahl-Jacobsen ◽  
...  
Keyword(s):  
Preliminary Evidence ◽  
Health Needs ◽  
Event History ◽  
Future Research ◽  
Migration Patterns ◽  
Men And Women ◽  
Married Men ◽  
Married Individuals ◽  
Gendered Migration ◽  
Study Base

Background: Certain migration contexts that may help clarify immigrants’ health needs are understudied, including the order in which married individuals migrate. Research shows that men, who are healthier than women across most populations, often migrate to a host country before women. Using Danish register data, we investigate descriptive patterns in the order that married men and women arrive in Denmark, as well as whether migration order is related to overnight hospitalizations. Methods: The study base includes married immigrants who lived in Denmark between January 1, 1980 and December 31, 2014 ( N = 13,680). We use event history models to examine the influence of spousal migration order on hospitalizations. Results: The order that married individuals arrive in Denmark is indeed highly gendered, with men tending to arrive first, and varies by country of origin. Risk of hospitalization after age 50 does not depend on whether an individual migrated before, after, or at the same time as their spouse among either men or women. However, among those aged 18+, men migrating before their wives are more likely to experience hospitalizations within the first 5 years of arrival. Conclusions: These findings provide the first key insights about gendered migration patterns in Denmark. Although spousal order of migration is not related to overnight hospitalization among women, our findings provide preliminary evidence that men age 18+ who are first to arrive experience more hospitalization events in the following 5 years. Future research should explore additional outcomes and whether other gendered migration contexts are related to immigrants’ health.

Race and Ethnicity as Barriers to ART Access

2017 ◽  
Author(s):  
Judith Daar
Keyword(s):  
United States ◽  
Social Factors ◽  
Race And Ethnicity ◽  
Women Of Color ◽  
The United States ◽  
Minority Populations ◽  
Lower Income ◽  
Patient Relationship ◽  
Power Structures ◽  
Income Levels

This chapter analyzes the racialization of infertility care in the United States, and seeks to understand why ART stratifies along race and ethnic lines. Researchers and scholars have proposed several theories, including lower income levels and access to insurance in minority populations, social factors that make women of color less likely to seek treatment for infertility, historic factors that give rise to a continuing aura of mistrust in the doctor–patient relationship, and express and implied discrimination by doctors who view minority populations as less deserving of parenthood than white patients. The chapter shows how these new eugenics, like the old eugenics, can persist only so long as political power structures support and advance their agenda.

scholarly journals What’s important to you? Socioeconomic inequalities in the perceived importance of health compared to other life domains

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sanne E. Verra ◽  
Maartje P. Poelman ◽  
Andrea L. Mudd ◽  
Emely de Vet ◽  
Sofie van Rongen ◽  
...  
Keyword(s):  
Low Income ◽  
Educational Level ◽  
Latent Class ◽  
Financial Strain ◽  
Future Research ◽  
Life Domains ◽  
Perceived Importance ◽  
Long Life ◽  
Higher Educational ◽  
Future Focus

Abstract Background Pressing issues, like financial concerns, may outweigh the importance people attach to health. This study tested whether health, compared to other life domains, was considered more important by people in high versus low socioeconomic positions, with future focus and financial strain as potential explanatory factors. Methods A cross-sectional survey was conducted in 2019 among N=1,330 Dutch adults. Participants rated the importance of two health-related domains (not being ill, living a long life) and seven other life domains (e.g., work, family) on a five-point scale. A latent class analysis grouped participants in classes with similar patterns of importance ratings. Differences in class membership according to socioeconomic position (indicated by income and education) were examined using structural equation modelling, with future focus and financial strain as mediators. Results Three classes were identified, which were defined as: neutralists, who found all domains neutral or unimportant (3.5% of the sample); hedonists, who found most domains important except living a long life, work, and religion (36.2%); and maximalists, who found nearly all domains important, including both health domains (60.3%). Of the neutralists, 38% considered not being ill important, and 30% considered living a long life important. For hedonists, this was 92% and 39%, respectively, and for maximalists this was 99% and 87%, respectively. Compared to belonging to the maximalists class, a low income predicted belonging to the neutralists, and a higher educational level and unemployment predicted belonging to the hedonists. No mediation pathways via future focus or financial strain were found. Conclusions Lower income groups were less likely to consider not being ill important. Those without paid employment and those with a higher educational level were less likely to consider living a long life important. Neither future focus nor financial strain explained these inequalities. Future research should investigate socioeconomic differences in conceptualisations of health, and if inequalities in the perceived importance of health are associated with inequalities in health. To support individuals dealing with challenging circumstances in daily life, health-promoting interventions could align to the life domains perceived important to reach their target group and to prevent widening socioeconomic health inequalities.

scholarly journals Multinomial Logistic Regression Model of Demographic Predictors and Confounders of Binge Alcohol Use among Adults with Major Depression

2021 ◽  
Author(s):  
Areen Omary
Keyword(s):  
Alcohol Use ◽  
Marital Status ◽  
Multinomial Logistic Regression ◽  
Future Research ◽  
Middle Income ◽  
Never Married ◽  
Increased Risk ◽  
Assessment And Treatment ◽  
Potential Risk Factors ◽  
At Risk Populations

Identifying sociodemographic populations with a major depressive episode (MDE) who are at increased risk for binge alcohol use (BAU) is critical for developing focused prevention programs to meet the particular needs of each population. Thus, the goal of the current exploratory retrospective study is to examine sex, race, age, education, marital status, and income as risk predictors for BAU among adults with MDE; and if the risk for BAU changes after adjusting for demographic confounders. To achieve the study goal, data from the Substance Abuse and Mental Health Services Administration’s 2018 National Survey for Drug Use and Health were extracted and analyzed. The unweighted sample included 6,999 adults representing a weighted population size of 33,900,452.122 in the US. Results revealed that age and marital status significantly predicted BAU in the past month among adults with MDE. Adults under the age of 50, with a college degree, never married, divorced/separated, and with a high-middle income level or higher were at higher risk for BAU. The study's clinical implications are that understanding demographics of individuals with MDE at increased risk for BAU can inform improved tailored assessment and treatment of alcohol abuse and MDE among at-risk populations. Future research should consider examining additional potential risk factors for BAU among adults with MDE.

Prevalence and Risk Factors of Dry Eye Symptoms after Successful Dacryocystorhinostomy for Patients with Lacrimal Passage Obstruction

2021 ◽  
pp. 112067212110697
Author(s):  
Yu Jin ◽  
Yining Guo ◽  
Yushi Liu ◽  
Yuexin Wang ◽  
Guijuan Qin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Linear Regression ◽  
Dry Eye ◽  
Preoperative Evaluation ◽  
Lower Income ◽  
Educational Levels ◽  
Income Levels ◽  
Eye Symptoms ◽  
Dry Eye Symptoms

Purpose To investigate the prevalence of dry eye symptoms after successful dacryocystorhinostomy and explore the potential risk factors. Methods: This cross-sectional study included 565 patients with lacrimal passage obstruction (LPO) who underwent external dacryocystorhinostomy. Ocular Surface Disease Index (OSDI) total score of 13 or more was regarded as presence of dry eye symptoms. OSDI total score greater than 22 combined with self-reported dry eye was defined as symptomatic dry eye. Logistic regression and linear regression were used to examine the associations between OSDI scores and its potentially predictive factors. Results: Of the 565 patients, 344 completed the questionnaire, among which 101(29.4%) patients presented with dry eye symptoms, including 53(15.4%) mild, 14(4.1%) moderate and 34(9.9%) severe, and 48(14.0%) patients can be defined as symptomatic dry eye. Univariate logistic regression revealed that age, educational levels, income levels, and hypertension were significantly correlated with the presence of dry eye symptoms ( P < 0.05). After multivariate adjustment, lower income levels were found significantly associated with dry eye symptoms ( P < 0.05). Univariate linear regression demonstrated that age, lower educational levels, surgery history, and hypertension were significantly associated with OSDI total score ( P = 0.037, 0.012, 0.022, 0.029 respectively). Multivariate stepwise linear regression manifested that educational levels and the surgery history influenced the OSDI total score mostly ( P = 0.021, 0.036 respectively). Conclusions: Dry eye problem of LPO patients after successful dacryocystorhinostomy cannot be ignored. In the preoperative evaluation, we should pay special attention to the elderly patients with lower educational levels, lower income levels or systemic diseases.

Sign in / Sign up

Export Citation Format

Share Document