Evidence map›Paper›PMID 41810367›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Subjective Financial Strain and Incident Heart Disease Among US Adults Aged 50 Years or Older.

Derek Tharp

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

1 author.

Derek TharpDepartment of Accounting & Finance, University of Southern Maine, Portland, ME, USA.ORCID 0000-0002-5973-2586

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

Background: Financial strain has been linked to adverse cardiovascular outcomes, yet whether this association persists beyond objective socioeconomic resources remains unclear. We examined associations of financial strain with incident heart disease and all-cause mortality among US adults aged 50 years or older. Methods: Prospective cohort study using the Health and Retirement Study (2006-2022). Among 7219 participants completing the Psychosocial Leave-Behind Questionnaire, the exposure was ongoing financial strain (high vs low/none). Incident heart disease was assessed among 4956 participants without baseline cardiovascular disease using cause-specific Cox and Fine-Gray models. All-cause mortality was modeled using sequential Cox regression. Results: Among 7219 participants (mean [SD] age, 67.5 [10.6] years; 58.6% female), 1423 (19.7%) reported high financial strain. Financial strain was associated with incident heart disease (cause-specific HR, 1.18; 95% CI, 1.02-1.37; Conclusions: Financial strain was associated with incident heart disease independent of socioeconomic resources. The mortality association was attenuated by income and wealth adjustment but remained elevated among preretirement adults. Financial strain may be a clinically accessible marker of cardiovascular risk among working-age adults.

Identifiers

PMID41810367
PMCPMC12970367

What OpenQuestion holds

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Registered trials

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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.