Evidence map›Paper›PMID 37579468›Full record

ReviewInternational journal of health policy and management2023

The Generative Mechanisms of Financial Strain and Financial Well-Being: A Critical Realist Analysis of Ideology and Difference.

Nicole M Glenn, Aryati Yashadhana, Karla Jaques, Ana Belon, Evelyne de Leeuw, Candace I J Nykiforuk, Patrick Harris

Abstract readReview
In one paragraph

Review in International journal of health policy and management, 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. Review
  2. Review
  3. Article
  4. Review
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.

Nicole M GlennCentre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, AB, Canada.
Aryati YashadhanaCentre for Health Equity Training Research & Evaluation (CHETRE), University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0003-2573-8637
Karla JaquesCentre for Health Equity Training Research & Evaluation (CHETRE), University of New South Wales, Sydney, NSW, Australia.
Ana BelonCentre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-4600-3202
Evelyne de LeeuwCentre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0003-3434-1439
Candace I J NykiforukCentre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-1017-5475
Patrick HarrisCentre for Health Equity Training Research & Evaluation (CHETRE), University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-4649-4013

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid, strategic action is required to mitigate the negative and unequal impact of the coronavirus disease 2019 (COVID-19) pandemic on the financial well-being (FWB) of global populations. Personal financial strain (FS) worsened most significantly among systematically excluded groups. Targeted government- and community-led initiatives are needed to address these inequities. The purpose of this applied research was to identify what works for whom, under what conditions, and why in relation to community and government initiatives that promote personal and household FWB and/or address FS in high income economies.

methodsWe employed a critical realist analysis to literature that reported on FWB/FS initiatives in high income countries. This included initiatives introduced in response to the pandemic as well as those that began prior to the pandemic. We included sources based on a rapid review. We coded academic, published literature (n=39) and practice-based (n=36) reports abductively to uncover generative mechanisms - ie, underlying, foundational factors related to community or government initiatives that either constrained and/or enabled FWB and FS.

resultsWe identified two generative mechanisms: (1) neoliberal ideology; and (2) social equity ideology. A third mechanism, social location (eg, characteristics of identity, location of residence), cut across the two ideologies and demonstrated for whom the initiatives worked (or did not) in what circumstances. Neoliberal ideology (ie, individual responsibility) dominated initiative designs, which limited the positive impact on FS. This was particularly true for people who occupied systematically excluded social locations (eg, low-income young mothers). Social equity-based initiatives were less common within the literature, yet mostly had a positive impact on FWB and produced equitable outcomes.

conclusionEquity-centric initiatives are required to improve FWB and reduce FS among systemically excluded and marginalized groups. These findings are of relevance now as nations strive for financial recovery in the face of the ongoing global pandemic.

Indexed as

COVID-19Family CharacteristicsHumansIncomePandemicsPovertyCOVID-19Critical RealismFinancial StrainFinancial Well-BeingInequitiesPublic Health

Identifiers

PMID37579468
PMCPMC10125179

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.