Evidence map›Paper›PMID 23849243›Full record

ArticleSocial science & medicine (1982)2013

The high price of debt: household financial debt and its impact on mental and physical health.

Elizabeth Sweet, Arijit Nandi, Emma K Adam, Thomas W McDade

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Subjective Financial Strain and Fatalistic Beliefs about Cancer Among U.S. Adults: A Cross-Sectional Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elizabeth SweetNorthwestern University Feinberg School of Medicine, Department of Medical Social Sciences, Abbott Hall, 710 N. Lake Shore Drive, Suite 729, Chicago, IL 60611, USA. e-sweet@northwestern.edu
Arijit Nandi
Emma K Adam
Thomas W McDade

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
Social Influences on Early Adult Stress BiomarkersR01HD053731 · NICHD · NORTHWESTERN UNIVERSITY · PI MC DADE, THOMAS W · 2007 to 2011
$1.8M
NICHD NIH HHS 1R01 HD053731-01NICHD NIH HHS P01 HD031921NICHD NIH HHS P01-HD31921NICHD NIH HHS R01 HD053731
6 · The paper itself

Abstract

Household financial debt in America has risen dramatically in recent years. While there is evidence that debt is associated with adverse psychological health, its relationship with other health outcomes is relatively unknown. We investigate the associations of multiple indices of financial debt with psychological and general health outcomes among 8400 young adult respondents from the National Longitudinal Study of Adolescent Health (Add Health). Our findings show that reporting high financial debt relative to available assets is associated with higher perceived stress and depression, worse self-reported general health, and higher diastolic blood pressure. These associations remain significant when controlling for prior socioeconomic status, psychological and physical health, and other demographic factors. The results suggest that debt is an important socioeconomic determinant of health that should be explored further in social epidemiology research.

Indexed as

Family CharacteristicsFinancial ManagementHealth Status DisparitiesAdultDepressionDiagnostic Self EvaluationFemaleFollow-Up StudiesHumansHypertensionIncomeMaleSocioeconomic FactorsStress, PsychologicalUnited StatesYoung AdultFinancial debtSocial determinants of healthSocioeconomic status

Identifiers

PMID23849243
PMCPMC3718010

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.