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- Title
Moeite met rondkomen en vitaliteit in Zuid-Holland Zuid.
- Authors
de Jonge, Ester A. L.; Bras, H. S. (Suzan); Mellaard, Arne C.
- Abstract
Introduction: The relation between poverty, stress and impaired health recently gained interest at Dutch local municipalities. Vitality is an aspect of health which policy makers would like to influence, but is not quantified and studied in every Dutch municipality yet. We studied the association between difficulties making ends meet and vitality with a focus on mediation by the risk of anxiety and depression. Methods: This cross-sectional study was performed using data of a local health monitor for adults and elderly (2016). Based on random sampling 10,650 inhabitants aged 19 years and older were included in this study. Associations between difficulties making ends meet and vitality were studied using linear regression models, adjusted for potential confounders or mediators. Differences between municipalities were studied using multilevel analyses. Results: People who experienced difficulties making ends meet were less vital than those who did not. Among people who experienced no difficulties making ends meet, the average vitality score was 4.94 (on a 7-point scale). Compared to this reference group, people who experienced a little, some or a lot of difficulties making ends meet had 0.23 (95%-CI 0.18–0.29), 0.49 (95%-CI 0.40–0.57) and 0.92 (95%-CI 0.77–1.07) lower vitality scores, after adjustment for confounders. The observed relationship was largely mediated by the risk of anxiety and depression. No significant differences between municipalities were observed. Conclusion: Financial stress was associated with impaired vitality in Dutch adults. Their increased risk of anxiety and depression might explain this association. More research of longitudinal nature is needed to further unravel causes and consequences. This study underpins the importance of multidisciplinary policy development, for example by intensifying the collaboration between the social domain and public health.
- Publication
TSG: Tijdschrift Voor Gezondheidswetenschappen, 2020, Vol 98, Issue 2, p72
- ISSN
1388-7491
- Publication type
Article
- DOI
10.1007/s12508-020-00255-x