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How financial strain affects health: Evidence from the Dutch National Bank Household Survey

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  • Prentice, Carla
  • McKillop, Donal
  • French, Declan

Abstract

The mechanisms by which financial strain affects health are not well understood. In this paper, we conduct a longitudinal mediation analysis of the Dutch National Bank Household Survey. To quantify the relative importance of biological and nonbiological pathways from financial strain to health, we consider smoking, heavy drinking and being overweight as plausible behavioural responses to financial strain but find that only 4.9% of the response of self-reported health to financial strain is mediated by these behaviours. Further analysis indicates that although financial strain increases impulsivity this has little effect on unhealthy behaviours. Economic stresses therefore appear to be distinct from other forms of stress in the relatively minor influence of nonbiological pathways to ill-health.

Suggested Citation

  • Prentice, Carla & McKillop, Donal & French, Declan, 2017. "How financial strain affects health: Evidence from the Dutch National Bank Household Survey," Social Science & Medicine, Elsevier, vol. 178(C), pages 127-135.
    • Handle: RePEc:eee:socmed:v:178:y:2017:i:c:p:127-135
    DOI: 10.1016/j.socscimed.2017.02.006
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    Cited by:

    1. French, Declan, 2023. "Exploring household financial strain dynamics," International Review of Financial Analysis, Elsevier, vol. 86(C).
    2. French, Declan & Vigne, Samuel, 2019. "The causes and consequences of household financial strain: A systematic review," International Review of Financial Analysis, Elsevier, vol. 62(C), pages 150-156.
    3. Joreintje D. Mackenbach & Marielle A. Beenackers & J. Mark Noordzij & Joost Oude Groeniger & Jeroen Lakerveld & Frank J. van Lenthe, 2019. "The Moderating Role of Self-Control and Financial Strain in the Relation between Exposure to the Food Environment and Obesity: The GLOBE Study," IJERPH, MDPI, vol. 16(4), pages 1-12, February.
    4. Faraz Vahid Shahidi & Carles Muntaner & Ketan Shankardass & Carlos Quiñonez & Arjumand Siddiqi, 2018. "Widening health inequalities between the employed and the unemployed: A decomposition of trends in Canada (2000-2014)," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-22, November.
    5. Xu, Yuanwei & Wang, Feicheng, 2022. "The health consequence of rising housing prices in China," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 114-137.
    6. Soomin Ryu & Lu Fan, 2023. "The Relationship Between Financial Worries and Psychological Distress Among U.S. Adults," Journal of Family and Economic Issues, Springer, vol. 44(1), pages 16-33, March.
    7. Alexandrina Stoyanova & Jaime Pinilla, 2020. "The Evolution of Mental Health in the Context of Transitory Economic Changes," Applied Health Economics and Health Policy, Springer, vol. 18(2), pages 203-221, April.

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    Keywords

    Financial strain; Health;

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