TY - JOUR
T1 - Living on low-incomes with multiple long-term health conditions
T2 - A new method to explore the complex interaction between finance and health
AU - Biosca, Olga
AU - Bellazzecca, Enrico
AU - Donaldson, Cam
AU - Bala, Ahalya
AU - Mojarrieta, Marta
AU - White, Gregory
AU - McHugh, Neil
AU - Baker, Rachel
AU - Morduch, Jonathan
N1 - Publisher Copyright:
© 2024 Biosca et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2024/6
Y1 - 2024/6
N2 - People on low-incomes in the UK develop multiple long-term health conditions over 10 years earlier than affluent individuals. Financial diaries -new to public health- are used to explore the lived experiences of financially-vulnerable individuals, diagnosed with at least one long-term condition, living in two inner-city London Boroughs. Findings show that the health status of these individuals is a key barrier to work opportunities, undermining their income. Their precarious and uncertain financial situation, sometimes combined with housing issues, increased stress and anxiety which, in turn, contributed to further deteriorate participants’ health. Long-term health conditions limited the strategies to overcome moments of financial crisis and diarists frequently used credit to cope. Restrictions to access reliable services and timely support were connected to the progression of multiple long-term conditions. Models that integrate healthcare, public health, welfare and financial support are needed to slow down the progression from one to many long-term health conditions.
AB - People on low-incomes in the UK develop multiple long-term health conditions over 10 years earlier than affluent individuals. Financial diaries -new to public health- are used to explore the lived experiences of financially-vulnerable individuals, diagnosed with at least one long-term condition, living in two inner-city London Boroughs. Findings show that the health status of these individuals is a key barrier to work opportunities, undermining their income. Their precarious and uncertain financial situation, sometimes combined with housing issues, increased stress and anxiety which, in turn, contributed to further deteriorate participants’ health. Long-term health conditions limited the strategies to overcome moments of financial crisis and diarists frequently used credit to cope. Restrictions to access reliable services and timely support were connected to the progression of multiple long-term conditions. Models that integrate healthcare, public health, welfare and financial support are needed to slow down the progression from one to many long-term health conditions.
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U2 - 10.1371/journal.pone.0305827
DO - 10.1371/journal.pone.0305827
M3 - Article
C2 - 38923966
AN - SCOPUS:85196962872
SN - 1932-6203
VL - 19
JO - PloS one
JF - PloS one
IS - 6 June
M1 - e0305827
ER -