Journal
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
Volume 63, Issue 6, Pages S369-S374Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/geronb/63.6.S369
Keywords
Financial strain; Mortality; Health disparities; Race
Funding
- National Institutes of Health [1F3INR009470-01, 1-T32 NR07969-01, R01 AG11703, IR37AG1990502]
- John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Scholars
- Johns Hopkins Older Americans Independence Center [1P50AG 021334-01]
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Objectives. Although it is well established that low socioeconomic status is related to mortality, little research has focused on whether financial strain predicts mortality. Still less research has examined this question by race, despite the evidence that African Americans suffer earlier mortality and more financial strain at the same levels of socioeconomic status than their Caucasian counterparts. We examined the extent to which financial strain was associated with increased mortality risk in older women and whether the relationship differed by race. Methods. The sample was the Women's Health and Aging Studies I and II of community-dwelling older women aged 70 to 79. We used Cox proportional hazards models to estimate the effect of financial strain on 5-year mortality rates. Results. Women who reported financial strain were almost 60% more likely to die within 5 years independent of race, education, absolute income. health insurance status, and comorbidities (p < .001) than their counterpoints who did not, Although race was not a predictor of mortality. the association between financial strain aid mortality was stronger for African Americans than for Caucasians (p < .01). Discussion. For older women, financial strain may be a better predictor of mortality than annual income, particularly in the case of older African American women.
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