title: Predictors of health behaviors after the economic downturn: a longitudinal study.
abstract: Economic declines and their associated stress, shortage of financial resources, and changes in available time can impair health behaviors. This study tested the association between change in working hours, change in employment status, and financial strain and health behaviors measured after the 2008 recession after controlling for pre-recession levels of the health behaviors. The moderating influences of demographic factors and pre-recession levels of the health behaviors on the association between change in working hours and employment status and financial strain and the health behaviors were also tested. Participants (N = 3984) were from a longitudinal study of a U.S. Midwestern community-based sample. Regression analyses tested the unique relations between change in hours worked per week, change in employment status, and financial strain and five health behaviors over and above demographic factors and pre-recession levels of the same behavior. Models included predictor by covariate interactions. Participants who reported higher levels of financial strain engaged in lower levels of all but one of the five health behaviors, but there were no significant main effects of a change in the number of hours worked per week or change in employment status. Significant interactions revealed moderation of these relations by demographic characteristics, but findings differed across health behaviors. Financial strain negatively affected engagement in multiple healthy behaviors. Promoting the maintenance of healthy behaviors for disease prevention is an important public health goal during times of economic decline.
authors.affiliation: Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN 47405, United States. jtmacy@indiana.edu
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Macy
authors.forename: Laurie
authors.initials: L
authors.lastname: Chassin
authors.forename: Clark C
authors.initials: CC
authors.lastname: Presson
mesh_terms: D000328:Adult; D004032:Diet / Q000523:psychology*; D057172:Economic Recession; D004651:Employment / Q000706:statistics & numerical data*; D015444:Exercise / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D008960:Models, Psychological; D012307:Risk Factors; D012622:Seat Belts / Q000706:statistics & numerical data*; D012907:Smoking / Q000523:psychology*; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D013997:Time Factors