ArticleAnnals of epidemiology2021
Material hardship, perceived stress, and health in early adulthood.
Article in Annals of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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The trial behind it
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Who cites it
30 citing papers in PubMed, 45 citations in OpenAlex.
- Financial, housing, food, and healthcare insecurities and their independent and joint associations with depressive symptoms and stress in a U.S. cohort of adults with and without HIV.Social science & medicine (1982) · 2026Article
- Childhood Material Hardship Linked to Adolescent Neurocognition: A Computational Modeling Approach.Developmental science · 2026Article
- Factors Affecting Acceptance of Life Education in Mainland China: National Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Impact of financial deprivation in first-episode psychosis: a prospective 4-year follow-up study.Social psychiatry and psychiatric epidemiology · 2026Article
- The Earned Income Tax Credit and short-term changes in financial strain and drug use.Health affairs scholar · 2026Article
- Perceived Financial Strain and Adolescent Mental Health: Evidence from a Population-Based Study in South Tyrol, Italy.Children (Basel, Switzerland) · 2026Article
- Understanding the experience of prescription charges in people living with parkinson's disease: a focus group study.BMC public health · 2025Article
- Material hardship, forced displacement, and negative health outcomes among unhoused people who use drugs in Los Angeles, California and Denver, Colorado: a latent class analysis.BMC public health · 2025Article
- The long-term effects of housing insecurity in young adulthood on subsequent material hardship, physiological and mental health.Social science & medicine (1982) · 2025Article
- Stress across the lifecourse and adult mental and physical health outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- The impact of material hardship severity and frequency on health outcomes: Evidence from New York City.PloS one · 2025Article
- Material hardship, not household income, predicts impaired punishment learning: a computational reinforcement learning perspective.Frontiers in psychology · 2025Article
- The electricity cost burden of durable medical equipment in the United States.Scientific reports · 2024Article
- Material Hardship, Forced Displacement, and Negative Health Outcomes Among Unhoused People Who Use Drugs in Los Angeles, California and Denver, Colorado: A Latent Class Analysis.Research square · 2024Article
- Article
- Prescription charge policy acceptance among UK adults with and without long-term health conditions: a mixed-method survey.BMJ open · 2024Article
- The Impact of Positive and Adverse Experiences in Adolescence on Health and Wellbeing Outcomes in Early Adulthood.International journal of environmental research and public health · 2024Article
- The emerging adulthood gap in diabetes prevention research.Lancet regional health. Americas · 2024Review
- Making a way out of no way: The importance of improving financial instability among African American kinship care families.Children and youth services review · 2024Article
- The influence of lifestyle habits on levels of depression among rural middle school students in Northeastern China.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeWe examined the associations between material hardship and health outcomes in early adulthood and the extent to which these associations are mediated by perceived stress.
methodsWe used wave I and IV of the National Longitudinal Study of Adolescent Health, a nationally representative survey of young adults aged 18-34 years old (n = 13,313). Multivariate logistic regression and decomposition methods were used to evaluate the associations between types and depth of material hardship (food, bill-paying, and health resource hardship), health outcomes (self-rated health, depression, sleep problems, and suicidal thoughts) in early adulthood, and the extent to which these associations were mediated by perceived stress.
resultsThe adjusted odds of fair or poor health status, depression, sleep problems, and suicidal thoughts were higher among individuals with material hardship than counterparts without. A considerable proportion of the association between material hardship and health outcomes was attributable to perceived stress.
conclusionsMaterial hardship is associated with adverse health outcomes in early adulthood, and these relationships are robust after accounting for various sociodemographic characteristics and family background. Perceived stress accounted for a sizable portion of the effects of material hardship on health. PUBLIC HEALTH IMPLICATIONS: Efforts to promote health equity in young adults should focus on material hardship and associated stressful conditions.
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Registered trials
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.