ArticleThe Gerontologist2019
Midlife Family Economic Hardship and Later Life Cardiometabolic Health: The Protective Role of Marital Integration.
Article in The Gerontologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Windows of susceptibility to air pollution during and surrounding pregnancy in relation to longitudinal maternal measures of adiposity and lipid profiles.Environmental research · 2025Article
- Living arrangements and metabolic syndrome: a national cross-sectional study in the Republic of Korea.Osong public health and research perspectives · 2024Article
- Midlife financial strain and later-life health and wellbeing of husbands and wives: Linking and moderating roles of couple intimacy trajectories.Family process · 2022Article
- Couple processes of family economic hardship, depressive symptoms, and later-life subjective memory impairment: moderating role of relationship quality.Aging & mental health · 2021Article
- The Contribution of Stressful Marital Interactions to Loneliness and Health across Mid-life and Later Adulthood.Journal of family issues · 2021Article
- Couple BMI trajectory patterns during mid-later years: Socioeconomic stratification and later-life physical health outcomes.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2020Article
- Aging Together in Enduring Couple Relationships: A Life Course Systems Perspective.Journal of family theory & review · 2020Article
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3 authors.
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Abstract
BACKGROUND AND
objectivesThe current study assesses the unique influences of family economic hardship (FEH) in early and late midlife on husbands' and wives' body mass index (BMI) and the influence of BMI on the onset of cardiometabolic (CM) disease in later adulthood. The protective role of marital integration is also considered in relation to the stress-response link between FEH and BMI. RESEARCH DESIGN AND
methodsAnalyses were performed using structural equation modeling with prospective data from 257 husbands and wives in enduring marriages over a period of 25 years beginning when they were approximately 40 years old. A multigroup analysis tested the moderating role of marital integration.
resultsThe distal influence of FEH in early midlife on BMI in later adulthood remained statistically significant even after controlling for proximal FEH. Proximal FEH in later midlife was influential for wives', but not husbands', BMI. BMI in later midlife was related to the onset of CM disease in their later life. Moderation analysis showed that FEH and subsequent BMI were associated for couples with below average levels of behavioral integration but not for couples with above average levels of integration. DISCUSSION AND IMPLICATIONS: Taken together, these findings suggest a family-health process stemming from early FEH and operating cumulatively over the life course. FEH in early midlife is a persistent determinant of physiological dysregulation as reflected by BMI. Findings identify BMI as a modifiable leverage point for the long-term reduction of CM disease risk and highlight the role of spouses as a buffer against the detrimental stress-health association.
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