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Financial health as a measurable social determinant of health
Journal article   Open access   Peer reviewed

Financial health as a measurable social determinant of health

Emily Brown Weida, Pam Phojanakong, Falguni Patel and Mariana Chilton
PloS one, v 15(5), pp e0233359-e0233359
2020
PMID: 32421755
url
https://doi.org/10.1371/journal.pone.0233359View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Financial health, understood as one's ability to manage expenses, prepare for and recover from financial shocks, have minimal debt, and ability to build wealth, underlies all facets of daily living such as securing food and paying for housing, yet there is inconsistency in measurement and definition of this critical concept. Most social determinants research and interventions focus on siloed solutions (housing, food, utilities) rather than on a root solution such as financial health. In light of the paucity of public health research on financial health, particularly among low-income populations, this study seeks to: 1) introduce the construct of financial health into the domain of public health as a useful root term that underlies other individual measures of economic hardship and 2) demonstrate through outcomes on financial, physical and mental health among low-income caregivers of young children that the construct of financial health belongs in the canon of social determinants of health. In order to extract features of financial health relevant to overall well-being, principal components analysis were used to assess survey data on banking and personal finances among caregivers of young children who participate in public assistance. Then, a series of logistic regressions were utilized to examine the relationship between components of financial health, depression and self-rated health. Components aligned with other measures of financial health in the literature, and there were strong associations between financial health and health outcomes. Financial health can be conceived of and measured as a key social determinant of health.

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98 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#1 No Poverty
#3 Good Health and Well-Being
#10 Reduced Inequalities

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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