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Financial stress in late adulthood and diverse risks of incident cardiovascular disease and all-cause mortality in women and men
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Ctr Family Med, Huddinge, Sweden.;Uppsala Univ, Dept Med Sci Mol Epidemiol & Sci Life, Uppsala, Sweden..ORCID-id: 0000-0001-6113-0472
Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier.
Karolinska Inst, Inst Environm Med, Div Cardiovasc Epidemiol, S-10401 Stockholm, Sweden..
Karolinska Inst, Inst Environm Med, Div Cardiovasc Epidemiol, S-10401 Stockholm, Sweden..
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2014 (Engelska)Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, artikel-id 17Artikel i tidskrift (Refereegranskat) Published
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Abstract [en]

Background: Financial stress may have adverse health effects. The main aim of this study was to investigate whether having a cash margin and living alone or cohabiting is associated with incident cardiovascular disease (CVD) and all-cause mortality. Methods: Representative population-based prospective cohort study of 60-year-old women (n = 2065) and men (n = 1939) in Stockholm County, Sweden. National registers were used to identify cases of incident CVD (n = 375) and all-cause mortality (n = 385). The presence of a cash margin was determined in the questionnaire with the following question: Would you, if an unexpected situation occurred, be able to raise 10 000 SEK within a week? (This was equivalent to US$ 1250 in 1998). Results: Compared with cohabiting women with a cash margin, the risk of all-cause mortality was higher among cohabiting women without a cash margin, with hazard ratios (HRs) of 1.97 (95% confidence interval (CI) 1.06-3.66). Using cohabiting men with cash margin as referent, single men without a cash margin were at an increased risk of both incident CVD and all-cause mortality: HR 2.84 (95% CI 1.61-4.99) and 2.78 (95% CI 1.69-4.56), respectively. Single men with cash margins still had an increased risk of all-cause mortality when compared with cohabiting men with a cash margin: HR 1.67 (95% CI 1.22-2.28). Conclusions: Financial stress may increase the risks of incident CVD and all-cause mortality, especially among men. Furthermore these risks are likely to be greater in men living in single households and in women without cash margins. Living with a partner seems to protect men, but not women, from ill-health associated with financial stress due to the lack of a cash margin.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2014. Vol. 14, artikel-id 17
Nyckelord [en]
Cash margin, Financial stress, Cohort study, All-cause mortality, Cardiovascular disease
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
Folkhälsovetenskap
Identifikatorer
URN: urn:nbn:se:kau:diva-41555DOI: 10.1186/1471-2458-14-17ISI: 000332708000001PubMedID: 24406139OAI: oai:DiVA.org:kau-41555DiVA, id: diva2:923099
Tillgänglig från: 2016-04-25 Skapad: 2016-04-11 Senast uppdaterad: 2019-12-12Bibliografiskt granskad

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Carlsson, Axel C.Starrin, Bengt

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