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Income and housing satisfaction and their association with self-rated health in different life stages. A fixed effects analysis using a German panel study.

ABSTRACT: OBJECTIVE:We aim to investigate the effect of income and housing satisfaction on self-rated health in different life stages. DESIGN:A population-based panel study (German Socio-Economic Panel). PARTICIPANTS:The final sample consisted of 384 280 observations from 50 004 persons covering the period between 1994 and 2016. OUTCOME MEASURES:Average marginal effects were calculated based on fixed effects regressions to obtain the effect of changes in income and housing satisfaction on changes in self-rated health for each year of age. Self-rated health was assessed on a 5-point scale, with higher values indicating better health. RESULTS:Changes in income and housing satisfaction showed a small association with changes in self-rated health. The association was stronger for income, where it also varied considerably in different life stages. The average marginal effects for income satisfaction varied between 0.02 and 0.05 in men and 0.02 and 0.04 in women and peaked between the ages of 55-60. For housing satisfaction, average marginal effects ranged from 0.02 to 0.04 (men) and from 0.02 to 0.03 (women). CONCLUSION:Higher satisfaction with housing and income was associated with better self-rated health. Therefore, studies on the social determinants of health should not only focus on objective material conditions but also on how individuals perceive and evaluate their situation.

SUBMITTER: Knochelmann A

PROVIDER: S-EPMC7279665 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Income and housing satisfaction and their association with self-rated health in different life stages. A fixed effects analysis using a German panel study.

Knöchelmann Anja A Seifert Nico N Günther Sebastian S Moor Irene I Richter Matthias M

BMJ open 20200604 6

<h4>Objective</h4>We aim to investigate the effect of income and housing satisfaction on self-rated health in different life stages.<h4>Design</h4>A population-based panel study (German Socio-Economic Panel).<h4>Participants</h4>The final sample consisted of 384 280 observations from 50 004 persons covering the period between 1994 and 2016.<h4>Outcome measures</h4>Average marginal effects were calculated based on fixed effects regressions to obtain the effect of changes in income and housing sat ...[more]

PMID: 32503868

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Project description:BackgroundHealth interventions aimed at facilitating connectedness among seniors have recently gained traction, seeing as social connectedness is increasingly being recognized as an important determinant of health. However, research examining the association between connectedness and health across all age groups is limited, and few studies have focused on community belonging as a tangible aspect of social connectedness. Using a population-based Canadian cohort, this study aims to investigate (1) the associations between community belonging with self-rated general health and self-rated mental health, and (2) how these associations differ across life stages.MethodsData from six cycles of a national population health survey (Canadian Community Health Survey) from 2003 to 2014 were combined. Multinomial logistic regressions were run for both outcomes on the overall study sample, as well as within three age strata: (1) 18-39, (2) 40-59, and (3) ≥ 60 years old.ResultsWeaker community belonging exhibited an association with both poorer general and mental health, though a stronger association was observed with mental health. These associations were observed across all three age strata. In the fully adjusted model, among those reporting a very weak sense of community belonging, the odds of reporting the poorest versus best level of health were 3.21 (95% CI: 3.11, 3.31) times higher for general health, and 4.95 (95% CI: 4.75, 5.16) times higher for mental health, compared to those reporting a very strong sense of community belonging. The largest effects among those reporting very weak community belonging were observed among those aged between 40 and 59 years old.ConclusionThis study contributed to the evidence base supporting life stage differences in the relationship between community belonging and self-perceived health. This is a starting point to identifying how age-graded differences in unmet social needs relate to population health interventions.

Project description:Highlights • Perceived inability to procreate is associated with lower life satisfaction.• Women and men are similarly affected by the perception of inability to procreate.• Partnership status and intention to have a child moderate the association.• Life satisfaction is relevant for assisted reproductive technology choices. Most studies of the psychosocial consequences of infertility have focused on those who seek medical treatment, leaving a research gap regarding the psychosocial consequences of perceived inability to procreate in the general population. Moreover, most studies are cross-sectional and the results are thus likely affected by omitted variable bias. Inspired by aspects of the Theory of Conjunctural Action, this study analysed 10 waves of data from the German Family Panel (pairfam) for women and men using fixed effects panel regression and including time-varying control variables suggested by theory and research. This study found that both women and men experienced lower life satisfaction in years when they perceived an inability to procreate. This association was not affected by the inclusion of relevant time-varying control variables. Furthermore, the association between perceived barriers to procreation and life satisfaction was found to differ depending on life circumstances and gender. Women with partners and men without partners had lower life satisfaction when they perceived an inability to procreate compared with when they did not. Women and men who intended to have a(nother) child had lower life satisfaction when they perceived an inability to procreate compared with when they did not. The association, however, was only significant for men. Somewhat surprisingly, women who perceived an inability to procreate also had lower life satisfaction when they were not intending to have a(nother) child. This study makes an important contribution to research on the psychosocial consequences of perceived infertility, and provides insights into why some people may pursue assisted reproductive technology for family creation.

Dataset Information

Income and housing satisfaction and their association with self-rated health in different life stages. A fixed effects analysis using a German panel study.

Publications

Income and housing satisfaction and their association with self-rated health in different life stages. A fixed effects analysis using a German panel study.

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