Financial strain and self-rated health among black adults

Elaine J. Savoy, Lorraine R. Reitzel, Nga Nguyen, Pragati S. Advani, Felicia D. Fisher, David W. Wetter, Adolfo G. Cuevas, Lorna H. McNeill

Research output: Contribution to journalArticlepeer-review


Objectives: To explore associations between financial strain and self-rated health among 1341 black adults. Methods: Associations were investigated using a covariate-adjusted linear regression model. Mediation (via stress and/ or depressive symptoms) was explored in additional models using a nonparametric bootstrapping procedure. Results: Higher financial strain was associated with poorer self-rated health (p < .001). Stress and depressive symptoms were each significant mediators of this relation in both single and multiple mediator models (p values < .05). Conclusions: Financial strain may contribute to poorer health among black adults, partially via greater stress and depressive symptoms. Potential theoretical, intervention, and policy implications are discussed. Future studies with longitudinal designs are needed to confirm these results.

Original languageEnglish (US)
Pages (from-to)340-350
Number of pages11
JournalAmerican Journal of Health Behavior
Issue number3
StatePublished - May 2014


  • Depression
  • Financial strain
  • Self-rated health
  • Stress

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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