Evidence map›Paper›PMID 35393645›Full record

ArticleJournal of the American Geriatrics Society2022

The effect of COVID-19 pandemic-related financial challenges on mental health and well-being among US older adults.

Laura J Samuel, Pallavi Dwivedi, Melissa Hladek, Thomas K M Cudjoe, Brittany F Drazich, Qiwei Li, Sarah L Szanton

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 37 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Laura J SamuelJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.ORCID 0000-0003-2161-5031
Pallavi DwivediJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Melissa HladekJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.ORCID 0000-0002-0625-2474
Thomas K M CudjoeDepartment of Medicine, Division of Division of Geriatric Medicine and Gerontology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-2590-209X
Brittany F DrazichJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Qiwei LiJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Sarah L SzantonJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Johns Hopkins University · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Household income, financial stress and physiologic aging markers in low income adults across the life courseK01AG054751 · NIA · JOHNS HOPKINS UNIVERSITY · PI SAMUEL, LAURA · 2018 to 2022
$651k
NIA NIH HHS K01 AG054751NIA NIH HHS U01 AG032947
6 · The paper itself

Abstract

backgroundDespite profound financial challenges during the COVID-19 pandemic, there is a gap in estimating their effects on mental health and well-being among older adults.

methodsThe National Health and Aging Trends Study is an ongoing nationally representative cohort study of US older adults. Outcomes included mental health related to COVID-19 (scores averaged across eight items ranging from one to four), sleep quality during COVID-19, loneliness during COVID-19, having time to yourself during COVID-19, and hopefulness during COVID-19. Exposures included income decline during COVID-19 and financial difficulty due to COVID-19. Propensity score weighting produced covariate balance for demographic, socioeconomic, household, health, and well-being characteristics that preceded the pandemic to estimate the average treatment effect. Sampling weights accounted for study design and non-response.

resultsIn weighted and adjusted analyses (n = 3257), both income decline during COVID-19 and financial difficulty due to COVID-19 were associated with poorer mental health related to COVID-19 (b = -0.159, p < 0.001 and b = -0.381, p < 0.001, respectively), poorer quality sleep (OR = 0.63, 95% CI: 0.46, 0.86 and OR = 0.42, 95% CI: 0.30, 0.58, respectively), more loneliness (OR = 1.53, 95% CI: 1.16, 2.02 and OR = 2.72, 95% CI: 1.96, 3.77, respectively), and less time to yourself (OR = 0.54, 95% CI: 0.40, 0.72 and OR = 0.37, 95% CI: 0.27, 0.51, respectively) during COVID-19.

conclusionsPandemic-related financial challenges are associated with worse mental health and well-being regardless of pre-pandemic characteristics, suggesting that they are distinct social determinants of health for older adults. Timely intervention is needed to support older adults experiencing pandemic-related financial challenges.

Indexed as

COVID-19AgedCohort StudiesFinancial StressHumansMental HealthPandemicsfinancial strainmental healtholder adultspandemicsocioeconomic factorswell-being

Identifiers

PMID35393645
PMCPMC9115091
OpenAlexW4224084413

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.