Evidence map›Paper›PMID 28855264›Full record

ArticleJournal of epidemiology and community health2017

Economic insecurity during the Great Recession and metabolic, inflammatory and liver function biomarkers: analysis of the UK Household Longitudinal Study.

Claire L Niedzwiedz, Srinivasa Vittal Katikireddi, Aaron Reeves, Martin McKee, David Stuckler

Open access · hybridAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
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

13 citing papers in PubMed, 24 citations in OpenAlex.

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  4. Effects of the Great Recession on Educational Disparities in Cardiometabolic Health.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
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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

5 authors at 5 institutions in 2 countries.

Claire L NiedzwiedzDepartment of Sociology, University of Oxford, Oxford, UK.
Srinivasa Vittal KatikireddiMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Aaron ReevesInternational Inequalities Institute, London School of Economics and Political Science, London, UK.
Martin McKeeDepartment of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
David StucklerDepartment of Policy Analysis and Public Management, University of Bocconi, Milan, Italy.
Bocconi University · ITLondon School of Economics and Political Science · GBLondon School of Hygiene & Tropical Medicine · GBUniversity of Glasgow · GBUniversity of Oxford · GB

Funding

Chief Scientist Office SCAF/15/02Chief Scientist Office SPHSU13Chief Scientist Office SPHSU15Medical Research Council MC_UU_12017/13Medical Research Council MC_UU_12017/15Wellcome TrustWellcome Trust 100709/Z/12/Z
6 · The paper itself

Abstract

backgroundEconomic insecurity correlates with adverse health outcomes, but the biological pathways involved are not well understood. We examine how changes in economic insecurity relate to metabolic, inflammatory and liver function biomarkers.

methodsBlood analyte data were taken from 6520 individuals (aged 25-59 years) participating in Understanding Society. Economic insecurity was measured using an indicator of subjective financial strain and by asking participants whether they had missed any bill, council tax, rent or mortgage payments in the past year. We investigated longitudinal changes in economic insecurity (remained secure, increase in economic insecurity, decrease in economic insecurity, remained insecure) and the accumulation of economic insecurity. Linear regression models were calculated for nine (logged) biomarker outcomes related to metabolic, inflammatory, liver and kidney function (as falsification tests), adjusting for potential confounders.

resultsCompared with those who remained economically stable, people who experienced consistent economic insecurity (using both measures) had worsened levels of high-density lipoprotein (HDL)-cholesterol, triglycerides, C reactive protein (CRP), fibrinogen and glycated haemoglobin. Increased economic insecurity was associated with adverse levels of HDL-cholesterol (0.955, 95% CI 0.929 to 0.982), triglycerides (1.077, 95% CI 1.018 to 1.139) and CRP (1.114, 95% CI 1.012 to 1.227), using the measure of financial strain. Results for the other measure were generally consistent, apart from the higher levels of gamma-glutamyl transferase observed among those experiencing persistent insecurity (1.200, 95% CI 1.110 to 1.297).

conclusionEconomic insecurity is associated with adverse metabolic and inflammatory biomarkers (particularly HDL-cholesterol, triglycerides and CRP), heightening risk for a range of health conditions.

Indexed as

Economic RecessionFamily CharacteristicsAdultAgedBiomarkersCholesterol, HDLC-Reactive ProteinFemaleFibrinogenFood SupplyHumansKidney Function TestsLipoproteins, HDLLiver Function TestsLongitudinal StudiesMaleBiomarkersCholesterol, HDLC-Reactive ProteinFibrinogenLipoproteins, HDLTriglyceridesSocial EpidemiologySocial InequalitiesSocio-Economic

Identifiers

PMID28855264
PMCPMC5754862
OpenAlexW2735173817

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.