Change in economic difficulties and physical and mental functioning: Evidence from British and Finnish employee cohorts

Tea Lallukka, Jane E. Ferrie, Ossi Rahkonen, Martin J. Shipley, Olli Pietiläinen, Mika Kivimäki, Michael G. Marmot, Eero Lahelma

Research output: Contribution to journalArticleScientificpeer-review

Abstract

OBJECTIVE: The main aims of this longitudinal study were to (i) examine associations between changes in economic difficulties and health functioning among middle-aged employees and (ii) assess whether the associations remained after considering conventional domains of socioeconomic position. The associations were tested in two European welfare state occupational cohorts to strengthen the evidence base and improve generalizability.

METHODS: Data came from two cohorts: the Finnish Helsinki Health Study (baseline 2000-2002, follow-up 2007, N=6328) and the British Whitehall II Study (baseline 1997-1999, follow-up 2003-2004, N=4350). Responses to the survey item "finding it hard to afford adequate food and clothes and pay bills" repeated at baseline and follow-up were used to examine persistent, increasing, and decreasing economic difficulties. Poor physical and mental health functioning were denoted as being in the lowest quartile of the Short Form 36 physical and mental component summary. Logistic regression analyses were adjusted for sex, age, childhood economic difficulties, household income at baseline and follow-up, employment status at follow-up, and baseline health functioning.

RESULTS: We observed strong sex- and age-adjusted associations between increasing [odds ratio (OR) range 1.69-2.96] and persistent (OR range 2.54-3.21) economic difficulties and poorer physical and mental health functioning in both British and Finnish occupational cohorts. These associations remained after full adjustments. Those reporting decreasing difficulties over follow-up also had poorer functioning (OR range 1.30-1.61) compared to those who did not have difficulties at baseline, possibly reflecting residual effects of economic difficulties at baseline.

CONCLUSION: Changes in economic difficulties are associated with poorer physical and mental health functioning independent of income, employment status, and baseline health functioning
Original languageEnglish
JournalScandinavian Journal of Work, Environment & Health
Volume39
Issue number5
Pages (from-to)521-530
Number of pages10
ISSN0355-3140
DOIs
Publication statusPublished - Sep 2013
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 3142 Public health care science, environmental and occupational health
  • financial problem
  • follow-up
  • health functioning
  • Helsinki Health Study
  • international
  • socioeconomic status
  • SF-36
  • Whitehalll II Study
  • 515 Psychology

Cite this

@article{9a57e37e69794dd2bb1ecbf2402e9817,
title = "Change in economic difficulties and physical and mental functioning: Evidence from British and Finnish employee cohorts",
abstract = "OBJECTIVE: The main aims of this longitudinal study were to (i) examine associations between changes in economic difficulties and health functioning among middle-aged employees and (ii) assess whether the associations remained after considering conventional domains of socioeconomic position. The associations were tested in two European welfare state occupational cohorts to strengthen the evidence base and improve generalizability. METHODS: Data came from two cohorts: the Finnish Helsinki Health Study (baseline 2000-2002, follow-up 2007, N=6328) and the British Whitehall II Study (baseline 1997-1999, follow-up 2003-2004, N=4350). Responses to the survey item {"}finding it hard to afford adequate food and clothes and pay bills{"} repeated at baseline and follow-up were used to examine persistent, increasing, and decreasing economic difficulties. Poor physical and mental health functioning were denoted as being in the lowest quartile of the Short Form 36 physical and mental component summary. Logistic regression analyses were adjusted for sex, age, childhood economic difficulties, household income at baseline and follow-up, employment status at follow-up, and baseline health functioning. RESULTS: We observed strong sex- and age-adjusted associations between increasing [odds ratio (OR) range 1.69-2.96] and persistent (OR range 2.54-3.21) economic difficulties and poorer physical and mental health functioning in both British and Finnish occupational cohorts. These associations remained after full adjustments. Those reporting decreasing difficulties over follow-up also had poorer functioning (OR range 1.30-1.61) compared to those who did not have difficulties at baseline, possibly reflecting residual effects of economic difficulties at baseline. CONCLUSION: Changes in economic difficulties are associated with poorer physical and mental health functioning independent of income, employment status, and baseline health functioning",
keywords = "3142 Public health care science, environmental and occupational health, financial problem, follow-up, health functioning, Helsinki Health Study, international , socioeconomic status, SF-36, Whitehalll II Study, 515 Psychology",
author = "Tea Lallukka and Ferrie, {Jane E.} and Ossi Rahkonen and Shipley, {Martin J.} and Olli Pietil{\"a}inen and Mika Kivim{\"a}ki and Marmot, {Michael G.} and Eero Lahelma",
year = "2013",
month = "9",
doi = "10.5271/sjweh.3366",
language = "English",
volume = "39",
pages = "521--530",
journal = "Scandinavian Journal of Work, Environment & Health",
issn = "0355-3140",
publisher = "SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH",
number = "5",

}

Change in economic difficulties and physical and mental functioning: Evidence from British and Finnish employee cohorts. / Lallukka, Tea; Ferrie, Jane E.; Rahkonen, Ossi; Shipley, Martin J.; Pietiläinen, Olli; Kivimäki, Mika; Marmot, Michael G.; Lahelma, Eero.

In: Scandinavian Journal of Work, Environment & Health, Vol. 39, No. 5, 09.2013, p. 521-530.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Change in economic difficulties and physical and mental functioning: Evidence from British and Finnish employee cohorts

AU - Lallukka, Tea

AU - Ferrie, Jane E.

AU - Rahkonen, Ossi

AU - Shipley, Martin J.

AU - Pietiläinen, Olli

AU - Kivimäki, Mika

AU - Marmot, Michael G.

AU - Lahelma, Eero

PY - 2013/9

Y1 - 2013/9

N2 - OBJECTIVE: The main aims of this longitudinal study were to (i) examine associations between changes in economic difficulties and health functioning among middle-aged employees and (ii) assess whether the associations remained after considering conventional domains of socioeconomic position. The associations were tested in two European welfare state occupational cohorts to strengthen the evidence base and improve generalizability. METHODS: Data came from two cohorts: the Finnish Helsinki Health Study (baseline 2000-2002, follow-up 2007, N=6328) and the British Whitehall II Study (baseline 1997-1999, follow-up 2003-2004, N=4350). Responses to the survey item "finding it hard to afford adequate food and clothes and pay bills" repeated at baseline and follow-up were used to examine persistent, increasing, and decreasing economic difficulties. Poor physical and mental health functioning were denoted as being in the lowest quartile of the Short Form 36 physical and mental component summary. Logistic regression analyses were adjusted for sex, age, childhood economic difficulties, household income at baseline and follow-up, employment status at follow-up, and baseline health functioning. RESULTS: We observed strong sex- and age-adjusted associations between increasing [odds ratio (OR) range 1.69-2.96] and persistent (OR range 2.54-3.21) economic difficulties and poorer physical and mental health functioning in both British and Finnish occupational cohorts. These associations remained after full adjustments. Those reporting decreasing difficulties over follow-up also had poorer functioning (OR range 1.30-1.61) compared to those who did not have difficulties at baseline, possibly reflecting residual effects of economic difficulties at baseline. CONCLUSION: Changes in economic difficulties are associated with poorer physical and mental health functioning independent of income, employment status, and baseline health functioning

AB - OBJECTIVE: The main aims of this longitudinal study were to (i) examine associations between changes in economic difficulties and health functioning among middle-aged employees and (ii) assess whether the associations remained after considering conventional domains of socioeconomic position. The associations were tested in two European welfare state occupational cohorts to strengthen the evidence base and improve generalizability. METHODS: Data came from two cohorts: the Finnish Helsinki Health Study (baseline 2000-2002, follow-up 2007, N=6328) and the British Whitehall II Study (baseline 1997-1999, follow-up 2003-2004, N=4350). Responses to the survey item "finding it hard to afford adequate food and clothes and pay bills" repeated at baseline and follow-up were used to examine persistent, increasing, and decreasing economic difficulties. Poor physical and mental health functioning were denoted as being in the lowest quartile of the Short Form 36 physical and mental component summary. Logistic regression analyses were adjusted for sex, age, childhood economic difficulties, household income at baseline and follow-up, employment status at follow-up, and baseline health functioning. RESULTS: We observed strong sex- and age-adjusted associations between increasing [odds ratio (OR) range 1.69-2.96] and persistent (OR range 2.54-3.21) economic difficulties and poorer physical and mental health functioning in both British and Finnish occupational cohorts. These associations remained after full adjustments. Those reporting decreasing difficulties over follow-up also had poorer functioning (OR range 1.30-1.61) compared to those who did not have difficulties at baseline, possibly reflecting residual effects of economic difficulties at baseline. CONCLUSION: Changes in economic difficulties are associated with poorer physical and mental health functioning independent of income, employment status, and baseline health functioning

KW - 3142 Public health care science, environmental and occupational health

KW - financial problem

KW - follow-up

KW - health functioning

KW - Helsinki Health Study

KW - international

KW - socioeconomic status

KW - SF-36

KW - Whitehalll II Study

KW - 515 Psychology

U2 - 10.5271/sjweh.3366

DO - 10.5271/sjweh.3366

M3 - Article

VL - 39

SP - 521

EP - 530

JO - Scandinavian Journal of Work, Environment & Health

JF - Scandinavian Journal of Work, Environment & Health

SN - 0355-3140

IS - 5

ER -