When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey

<p>Abstract</p> <p>Background</p> <p>Several studies have demonstrated that perceived financial status has a significant impact on health status among the elderly. However, little is known about whether such a subjective perception interacts with objective socioeconomic...

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Main Authors: Tang Gao-Jun, Huang Nicole, Pu Christy, Chou Yiing-Jenq
Format: Article
Language:English
Published: BMC 2011-03-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/11/166
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author Tang Gao-Jun
Huang Nicole
Pu Christy
Chou Yiing-Jenq
author_facet Tang Gao-Jun
Huang Nicole
Pu Christy
Chou Yiing-Jenq
author_sort Tang Gao-Jun
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Several studies have demonstrated that perceived financial status has a significant impact on health status among the elderly. However, little is known about whether such a subjective perception interacts with objective socioeconomic status (SES) measures such as education that affect the individual's health.</p> <p>Methods</p> <p>This research used data from the Survey of Health and Living Status of the Middle Age and Elderly in Taiwan (SHLS) conducted by the Bureau of Health Promotion, Department of Health in Taiwan. Waves 1996, 1999 and 2003 were used. The sample consisted of 2,387 elderly persons. The interactive effects of self-rated satisfaction with financial position and educational attainment were estimated. Self-rated health (SRH), depressive symptom (measured by CES-D) and mortality were used to measure health outcomes.</p> <p>Results</p> <p>Significant interaction effect was found for depressive symptoms. Among those who were dissatisfied with their financial position, those who were illiterate had an odds ratio (OR) of 8.3 (95% CI 4.9 to 14.0) for having depressive symptoms compared with those who were very satisfied with their financial position. The corresponding OR for those with college or above was only 2.7 (95% CI 1.0 to 7.3). No significant interaction effect was found for SRH and mortality.</p> <p>Conclusions</p> <p>Although poor financial satisfaction was found to be related to poorer health, the strongest association for this effect was observed among those with low educational attainment, and this is especially true for depressive symptoms. Subjective financial status among the elderly should be explored in conjunction with traditional measures of SES.</p>
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spelling doaj.art-4859450f1bbd4fefb378b8cb74886ce32022-12-22T01:07:50ZengBMCBMC Public Health1471-24582011-03-0111116610.1186/1471-2458-11-166When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal surveyTang Gao-JunHuang NicolePu ChristyChou Yiing-Jenq<p>Abstract</p> <p>Background</p> <p>Several studies have demonstrated that perceived financial status has a significant impact on health status among the elderly. However, little is known about whether such a subjective perception interacts with objective socioeconomic status (SES) measures such as education that affect the individual's health.</p> <p>Methods</p> <p>This research used data from the Survey of Health and Living Status of the Middle Age and Elderly in Taiwan (SHLS) conducted by the Bureau of Health Promotion, Department of Health in Taiwan. Waves 1996, 1999 and 2003 were used. The sample consisted of 2,387 elderly persons. The interactive effects of self-rated satisfaction with financial position and educational attainment were estimated. Self-rated health (SRH), depressive symptom (measured by CES-D) and mortality were used to measure health outcomes.</p> <p>Results</p> <p>Significant interaction effect was found for depressive symptoms. Among those who were dissatisfied with their financial position, those who were illiterate had an odds ratio (OR) of 8.3 (95% CI 4.9 to 14.0) for having depressive symptoms compared with those who were very satisfied with their financial position. The corresponding OR for those with college or above was only 2.7 (95% CI 1.0 to 7.3). No significant interaction effect was found for SRH and mortality.</p> <p>Conclusions</p> <p>Although poor financial satisfaction was found to be related to poorer health, the strongest association for this effect was observed among those with low educational attainment, and this is especially true for depressive symptoms. Subjective financial status among the elderly should be explored in conjunction with traditional measures of SES.</p>http://www.biomedcentral.com/1471-2458/11/166agededucationhealthdepressive symptomsmortality
spellingShingle Tang Gao-Jun
Huang Nicole
Pu Christy
Chou Yiing-Jenq
When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
BMC Public Health
aged
education
health
depressive symptoms
mortality
title When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
title_full When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
title_fullStr When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
title_full_unstemmed When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
title_short When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey
title_sort when does poor subjective financial position hurt the elderly testing the interaction with educational attainment using a national representative longitudinal survey
topic aged
education
health
depressive symptoms
mortality
url http://www.biomedcentral.com/1471-2458/11/166
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