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International Journal of Public Health

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08.02.2019 | Original article

The impact of savings and credit on health and health behaviours: an outcome-wide longitudinal approach

verfasst von: Piotr Białowolski, Dorota Węziak-Białowolska, Tyler J. VanderWeele

Erschienen in: International Journal of Public Health | Ausgabe 4/2019

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Abstract

Objectives

This study evaluated decisions related to debt and savings on physical health, emotional health and health behaviours.

Methods

The longitudinal data from the Polish biennial household panel—Social Diagnosis Survey—were used. Evidence for a link between credit/savings and health/health behaviours was presented using three waves of the data and an outcome-wide regression analysis. To circumvent endogeneity, variables temporally prior to exposure were used as controls. Sensitivity analysis for unmeasured confounding, conducted using E-values, provided a check for robustness.

Results

Debt proved a significant stressor, affecting three of five physical health measures. Over-indebted individuals suffered even more in terms of physical health outcomes. The role of savings in physical health was much less significant, yet had significant bearing on measures of emotional health. In terms of emotional health, debt (over-indebtedness in particular) influenced loneliness and increased suicidal thoughts. With respect to health behaviours, savings appeared significant in reducing smoking and increasing uptake of sport activities, while debt had no significant effect in these areas.

Conclusions

Recommendations are formulated to foster saving activity and develop institutional solutions for over-indebtedness.

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Such products, although probably not sufficiently strengthening the link by economic incentive, are already present on the market. Allegacy Federal Credit Union offers all health account that links interest payments to physical activity of its members (https://www.allegacy.org/savings/allhealth-wellness-savings).

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Titel: The impact of savings and credit on health and health behaviours: an outcome-wide longitudinal approach
verfasst von: Piotr Białowolski
Dorota Węziak-Białowolska
Tyler J. VanderWeele
Publikationsdatum: 08.02.2019
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 4/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01214-3

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

The impact of savings and credit on health and health behaviours: an outcome-wide longitudinal approach

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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