Evidence map›Paper›PMID 37055742›Full record

ArticleInternational journal for equity in health2023

An action-oriented public health framework to reduce financial strain and promote financial wellbeing in high-income countries.

Candace I J Nykiforuk, Ana Paula Belon, Evelyne de Leeuw, Patrick Harris, Lisa Allen-Scott, Kayla Atkey, Nicole M Glenn, Elaine Hyshka, Karla Jaques, Krystyna Kongats and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

15 authors.

Candace I J Nykiforuk *Centre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada. candace.nykiforuk@ualberta.ca.
Ana Paula Belon *Centre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Evelyne de LeeuwCentre for Primary Health Care & Equity, University of New South Wales, Level 3, AGSM, UNSW, Sydney, NSW, 2052, Australia.
Patrick HarrisCentre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Sydney Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, NSW, Liverpool, BC, 1871, Australia.
Lisa Allen-ScottProvincial Population and Public Health, Alberta Health Services, 2210, 2nd Street SW, Calgary, AB, T2S 3C3, Canada.
Kayla AtkeyCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Nicole M GlennCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Elaine HyshkaCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Karla JaquesCentre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Sydney Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, NSW, Liverpool, BC, 1871, Australia.
Krystyna KongatsCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Stephanie MontesantiCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Laura M NieuwendykCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Roman PabayoCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Jane SpringettCentre for Healthy Communities, School of Public Health, University of Alberta, ECHA 3-300, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Aryati YashadhanaCentre for Primary Health Care & Equity, University of New South Wales, Level 3, AGSM, UNSW, Sydney, NSW, 2052, Australia.

Funding

CIHR 172694
6 · The paper itself

Abstract

backgroundPerceived financial security impacts physical, mental, and social health and overall wellbeing at community and population levels. Public health action on this dynamic is even more critical now that the COVID-19 pandemic has exacerbated financial strain and reduced financial wellbeing. Yet, public health literature on this topic is limited. Initiatives targeting financial strain and financial wellbeing and their deterministic effects on equity in health and living conditions are missing. Our research-practice collaborative project addresses this gap in knowledge and intervention through an action-oriented public health framework for initiatives targeting financial strain and wellbeing.

methodsThe Framework was developed using a multi-step methodology that involved review of theoretical and empirical evidence alongside input from a panel of experts from Australia and Canada. In an integrated knowledge translation approach, academics (n = 14) and a diverse group of experts from government and non-profit sectors (n = 22) were engaged throughout the project via workshops, one-on-one dialogues, and questionnaires.

resultsThe validated Framework provides organizations and governments with guidance for the design, implementation, and assessment of diverse financial wellbeing- and financial strain-related initiatives. It presents 17 priority actionable areas (i.e., entry points for action) likely to have long-lasting, positive effects on people's financial circumstances, contributing to improved financial wellbeing and health. The 17 entry points relate to five domains: Government (All Levels), Organizational & Political Culture, Socioeconomic & Political Context, Social & Cultural Circumstances, and Life Circumstances.

conclusionsThe Framework reveals the intersectionality of root causes and consequences of financial strain and poor financial wellbeing, while also reinforcing the need for tailored actions to promote socioeconomic and health equity for all people. The dynamic, systemic interplay of the entry points illustrated in the Framework suggest opportunities for multi-sectoral, collaborative action across government and organizations towards systems change and the prevention of unintended negative impacts of initiatives.

Indexed as

COVID-19Public HealthDeveloped CountriesHumansIncomePandemicsCOVID-19 pandemicFinancial strainFinancial wellbeingFrameworkHealth equityInterventionPolicySocial determinants of health

Identifiers

PMID37055742
PMCPMC10099014

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.