ArticleBMC geriatrics2022
Propensity score weighted associations between financial strain and subsequent inflammatory biomarkers of aging among a representative sample of U.S. older adults.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Exploring Loneliness, Social Factors, and Clinical Correlates of C-reactive Protein in African American Breast Cancer Survivors.Journal of racial and ethnic health disparities · 2026Article
- Health-Related Consequences of Financial Strain Among Family Caregivers in the U.S.Research on aging · 2026Article
- Uncovering the biological toll of neighborhood disorder trajectories: a machine learning based weighting analysis of biomarkers in older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Predictive Value of a Financial Strain Question to Pre-screen Individuals for Social Risks.Journal of general internal medicine · 2025Article
- Examining Trends in Medicare Advantage Plan Disenrollment Associated With Expanded Supplemental Benefit Adoption.Health services research · 2025Article
- Uncovering the Biological Toll of Neighborhood Physical Disorder: Links to Metabolic and Inflammatory Biomarkers in Older Adults.medRxiv : the preprint server for health sciences · 2024Article
- Social Risks and Health Care Use in Medically Complex Patients.JAMA network open · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundDespite known socioeconomic disparities in aging-related outcomes, the underlying physiologic mechanisms are understudied. This study applied propensity score weighting to estimate the effect of financial strain on inflammation-related aging biomarkers among a national sample of older adults.
methodsFinancial strain severe enough to lack money for housing, utilities, medical/prescription bills or food was measured among 4,593 community-dwelling National Health and Aging Trends Study participants aged ≥ 65 years in 2016. Inverse probability propensity score weights were generated based on 2015 background characteristics, including age, gender, race/ethnicity, income to poverty ratio, education, occupation, home ownership, retirement, Sect. 8 housing, Medicaid, food/energy assistance, childhood health, marital status, and U.S. region. Sampling weights additionally accounted for study design and non-response.
resultsIn propensity score-weighted analyses adjusting for age, gender, race/ethnicity, 2017 income to poverty ratio and education, those with 2016 financial strain had 15% higher IL-6 (p = 0.026) and 20% higher CRP levels (p = 0.002) in 2017 than those who were not strained, but did not differ with regard to hemoglobin A1c or CMV. In weighted comparisons, those with financial strain did not differ from those without with regard any 2015 background characteristics.
conclusionsThese results strengthen the etiologic evidence suggesting that financial strain increases inflammatory biomarkers among older adults. Importantly, inflammation is likely a key physiologic pathway contributing to socioeconomic disparities. Therefore, research is needed to address financial strain.
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