Economic Stress Research Articles

Struggling and Thriving: Effectuation in Social and Economic Stress

How do citizens respond when provisioning systems are severely changed and curtailed? We apply effectuation theory from the entrepreneurship literature to address a socio-economic issue. We used an online survey and collected data from 1014 citizens in Iran to investigate how an effectual logic of thinking as a psychological framework enables some citizens of a non-Western country to address the uncertainties caused by international economic sanctions and sustain their well-being. We find that optimistic members of society use their effectual logic to enhance their satisfaction with life and social and economic sustainability in the medium-longer run. This study contributes to the multifactorial view of quality of life as well as effectuation theory and enhances our understanding of social sustainability and how it can be cultivated. Implications for policymakers are provided.

Factors associated with anxiety during the first two years of the COVID-19 pandemic in the United States: An analysis of the COVID-19 Citizen Science study.

COVID-19 increased the prevalence of clinically significant anxiety in the United States. To investigate contributing factors we analyzed anxiety, reported online via monthly Generalized Anxiety Disorders-7 (GAD-7) surveys between April 2020 and May 2022, in association with self-reported worry about the health effects of COVID-19, economic difficulty, personal COVID-19 experience, and subjective social status. 333,292 anxiety surveys from 50,172 participants (82% non-Hispanic white; 73% female; median age 55, IQR 42-66) showed high levels of anxiety, especially early in the pandemic. Anxiety scores showed strong independent associations with worry about the health effects of COVID-19 for oneself or family members (GAD-7 score +3.28 for highest vs. lowest category; 95% confidence interval: 3.24, 3.33; p<0.0001 for trend) and with difficulty paying for basic living expenses (+2.06; 1.97, 2.15, p<0.0001) in multivariable regression models after adjusting for demographic characteristics, COVID-19 case rates and death rates, and personal COVID-19 experience. High levels of COVID-19 health worry and economic stress were each more common among participants reporting lower subjective social status, and median anxiety scores for those experiencing both were in the range considered indicative of moderate to severe clinical anxiety disorders. In summary, health worry and economic difficulty both contributed to high rates of anxiety during the first two years of the COVID-19 pandemic in the US, especially in disadvantaged socioeconomic groups. Programs to address both health concerns and economic insecurity in vulnerable populations could help mitigate pandemic impacts on anxiety and mental health.

Does being ‘left behind’ corrode government legitimacy? Tax morale and economic stress

By now we are familiar with studies which tie being ‘left behind’ to voter support for populist or other extreme views. In the UK case, this is seen in support for Brexit but can also apply to support of parties such as UKIP (e.g. Bolet, 2021; Ford and Goodwin, 2014). Comparative studies show that electoral support for populist parties in part reflects lowered trust in mainstream politics (e.g. Geurkink et al., 2020; Keefer et al., 2021; Mauk, 2020), which is seen as a behavioural indicator of slipping legitimacy. Political support for populist movements is interpreted as declining legitimacy of existing governments, and that decline is seen as being tied to economic stress and the ‘left behind’ areas. In this article, we ask whether economics stresses also have impact upon another and possibly more direct measure of government legitimacy – tax morale.

Effect of Tobacco Use on Semen in Infertile Male.

Infertility is one of the major global public health issues. In a social setup like India, there is a strong emphasis on childbearing, which leads to economic and psychological stress and trauma. Various studies have shown that worldwide, there is a decline in the quality of semen. Many environmental, nutritional, and lifestyle factors are responsible for the reduced semen quality. The methods of this study are the source of data, the method of collection of data, and statistical analysis. Semen analysis is an important diagnostic test in the assessment of infertility in male partners. Ninety-eight semen samples were analyzed from the patients who presented with the complaint of infertility over a period of 2 years (June 2018-May 2020). Based on our analysis, it can be inferred that an escalation in the intensity of tobacco consumption is directly associated with a proportional decline in sperm count and motility and a notable increase in liquefaction time.

Exploring the Association Between Behavioural Modification in Response to the Prevailing Economic Crisis and Mental Health Outcomes of Nurses from Teaching Hospitals, Sri Lanka.

The nursing profession is a cornerstone in the healthcare workforce. Yet, it remains vulnerable to severe mental health challenges, stemming from a complex interplay of social and occupational factors. It is evident that crisis situations have profound influence on the mental-wellbeing of nurses. To explore the association between behavioural modification in response to the prevailing economic crisis and mental health outcomes of nurses from teaching hospitals, Sri Lanka. This cross-sectional study was carried out among nursing professionals (n = 261) who are employed in distinct teaching hospitals (n = 7) in Sri Lanka. Considering the bed-capacity of each hospital, participants were purposively selected and invited to complete an online-based self-administered questionnaire to collect demographic characteristics and lifestyle modifications to deal with the economic crisis, while Depression, Anxiety, and Stress Scale (DASS-21) a set of three self-reported scales to assess the level of depression, anxiety, and stress, was used. Data was analyzed using the SPSS 23.0 version, Descriptive analysis was performed to present frequencies of both demographic characteristics and lifestyle and symptoms of depression, anxiety, and stress, while the Chi-square test was used to determine the association between selected independent variables and mental health outcomes. A multivariate regression model was performed to determine the predictors of mental health outcomes of the study participants. There were a total of 261 participants, 86.2% were married, and 66.2% had children. The proportion of mild to extreme depression, anxiety, and stress were 58.2%, 65.9%, and 72.0% respectively. In response to the economic challenges, 91.6% of study participants reported reducing expenditures on general household needs, while the proportion of participants who curtailed spending on food, monthly savings, and entertainment were 75.9%, 79.3%, and 73.6% respectively. Notably, 81.6% of participants initiated the process of applying for overseas employment, and 50.6% pursued academic programs to be eligible for foreign placements. The present study observed a higher level of depression, anxiety and stress among nurses from teaching hospitals in Sri Lanka. It was noted that nurses had taken steps to respond to financial strain by reducing essential elements of their routine. Additionally, study participants chose to seek foreign placements as a solution to the economic burden, as a result just over half of the respondents completed an academic program in order to be qualified for jobs abroad. Further, these initiatives are significantly associated with negative emotional disorders of the participants. Therefore, interventions should be implemented to promote positive mental health outcomes of nursing professionals in Sri Lanka.

Income Loss and Mental Health during the COVID-19 Pandemic in the United States-Investigating the Moderating Role of Race and Metro-Level Co-ethnic Density.

The COVID-19 pandemic has significantly impacted individuals' financial well-being and mental health. This study investigates the relationship between income loss and mental health outcomes during the pandemic, as well as the heterogeneity in this relationship by race/ethnicity and co-ethnic density in the metropolitan area. Using nationally representative Household Pulse Survey data, this study finds that income loss is associated with a heightened risk of depression and anxiety, even after controlling for individual and metropolitan-level characteristics. Co-ethnic density in metropolitan areas worsens the effects of income loss on depression and anxiety for Hispanics and non-Hispanic Blacks while residing in a metropolitan area with more Whites cushions the impact of income loss on depression and anxiety for non-Hispanic Whites. Overall, the study underscores the importance of considering the intersection of race/ethnicity and metropolitan-level co-ethnic density in exploring the influence of economic stressors on mental health.

Poor and satisfied? A review of the monetary poverty indicator in the EU

This article seeks to contribute to the generation of more accurate poverty indicators in the EU, by providing some further evidence of potential bias when joint income-wealth perspective on poverty measurement is not considered. Using the 2018 EU-SILC, we compare the individuals’ financial satisfaction and his/her household classification as at risk of poverty (AROP). We detect a significant group of people whose households are classified as poor but who are satisfied with their economic situation. The explanations for this mismatch lie both in errors in the income estimation and in the presence of household wealth. Through an exploratory analysis with certain limitations, we find that those in this group have different characteristics from the rest of the poor and are more similar to those who are neither poor nor dissatisfied when we analyse economic stress and proxy wealth variables. The article supports the recommendation to revise the AROP indicator based on the joint income-wealth distribution.

A spatial econometric investigation into road traffic accessibility and economic growth: insights from the Chengdu-Chongqing twin-city economic circle

A prevailing question in contemporary transport research queries the contribution of transport infrastructure investment to regional and local economic growth. Notably, the benefits under consideration extend beyond travel-time savings to possible additional developmental benefits. Centering on the Chengdu-Chongqing twin-city economic circle, this study sheds light on this issue. It presents a comprehensive approach involving economic, investment, and political-institutional conditions, and underscores their synergistic operation in eliciting measurable economic benefits. We delve into the effects of road traffic accessibility on economic growth in 2019, using accessibility indicators integrated into a spatial econometric model. Our research relied on robust indicators of road traffic accessibility, transportation investments, and economic outputs from the Chengdu-Chongqing region. The study demonstrates that the road traffic network’s development level is higher in the central area compared to the peripheral regions. Further, it reveals an uneven economic development distribution within the circle. Moreover, the spatial effect of road traffic on economic growth surfaces as an error term spatial interaction effect, highlighting accessibility’s pivotal role. Factors like industrial infrastructure, labor force, and new economic geography also significantly affect growth. To wrap up, we discuss the broader implications of our findings. We suggest a stronger connection between road transportation and economic growth and stress the need to enhance the supporting economic environment. Our findings have broader implications, guiding policy and planning in other urban economic circles.

Tail risk connectedness in G7 stock markets: Understanding the impact of COVID-19 and related variants

This study uses a time-varying parameter vector autoregression (TVP-VAR) approach to examine the transmission of tail risk among G7 stock markets from January 2000 to September 2022, focusing on major financial episodes like the dot-com collapse, the 2008 Global Financial Crisis, and the European debt crisis, as well as the COVID-19 pandemic and its variants. Our analysis shows fluctuating tail risk connectedness across G7 markets during the pandemic, influenced by lockdowns, supply chain issues, interventions, and investor sentiment. Notably, the UK and Italy were major tail risk transmitters, whereas Japan predominantly absorbed risk, highlighting its distinct vulnerability. The findings stress the need for a comprehensive understanding of tail risk dynamics to inform decisions by investors, governments, and regulators, ensuring financial system resilience during heightened economic stress.

Cumulative Stress Across the Life Course and Biological Aging in Adulthood.

Psychosocial stressors have been linked with accelerated biological aging in adults; however, few studies have examined stressors across the life course in relation to biological aging. In 359 individuals (57% White, 34% Black) from the Child Health and Development Studies Disparities study, economic (income, education, financial strain), social (parent-child relations, caretaker responsibilities) and traumatic (death of a sibling or child, violence exposure) stressors were assessed at multiple time points (birth and ages 9, 15, and 50 years). Experiences of major discrimination were assessed at age 50. Life period stress scores were then assessed as childhood (birth-age 15 years) and adulthood (age 50 years). At age 50 years, participants provided blood samples, and DNA methylation was assessed with the EPIC BeadChip. Epigenetic age was estimated using six epigenetic clocks (Horvath, Hannum, Skin and Blood age, PhenoAge, GrimAge, Dunedin Pace of Aging). Age acceleration was determined using residuals from regressing chronologic age on each of the epigenetic age metrics. Telomere length was assessed using the quantitative polymerase chain reaction-based methods. In linear regression models adjusted for race and gender, total life stress, and childhood and adult stress independently predicted accelerated aging based on GrimAge and faster pace of aging based on the DunedinPace. Associations were attenuated after adjusting for smoking status. In sex-stratified analyses, greater childhood stress was associated with accelerated epigenetic aging among women but not men. No associations were noted with telomere length. We found that cumulative stressors across the life course were associated with accelerated epigenetic age, with differences by sex (e.g., accelerated among women). Further research of this association in large and diverse samples is needed.

Evaluating the efficiency of medical care for children with diabetes mellitus in different regions of Ukraine over the past 20 years (2002–2021) of peacetime

Background. The growing number of children with diabetes creates a global economic problem, including a financial burden on the country’s health care system and economic stress for families of children with diabetes. The purpose was to assess the effectiveness of medical care for children with diabetes in different regions of Ukraine over the last 20 years (2002–2021) of peacetime. Material and methods. The article presents the results of statistical evaluation and epidemiological analysis of data from the Center for Medical Statistics of the Ministry of Health of Ukraine on the rates of disability, hospitalization, and inpatient care among the pediatric population in 2002–2021. Statistical processing of the results was carried out using MS Excel, XLSTAT-Pro. Results. During 2002–2021, an increase in the rate of primary disability due to diabetes mellitus was highest among adolescents — by 4.1 times and lowest among primary schoolchildren — by 3.4 times; among children 0–6 years old, it increased by 3.6 times. The proportion of children with disabilities due to diabetes as of 2017 is 12 % among the age group of 0–6 years, and 25 % in adolescents (15–17 years). In 2013–2021, the hospitalization rate among children with diabetes increased from 1.27 to 1.35 per 1,000 of the relevant population, and the average length of hospital stay decreased by 19 %. The rate of mortality due to diabetes complications among hospitalized children varies and does not have a specific trend (in 2021, it was 0.02 per 100 in-patients). Conclusions. The analysis of the efficiency of medical care for children with diabetes during 2002–2021 in the context of increasing prevalence and incidence of diabetes showed stable trends towards a huge increase in the level of primary and general disability, a slight increase in hospitalization rates, and a decrease in the average length of hospital stay. These results call for a detailed study of the causes, control, and revision of protocol documents for the management of such patients.

The relation between economic stressors and higher education students' mental health during the initial outbreak of the COVID-19 pandemic.

The COVID-19 pandemic has had a large impact on the financial situation of higher education students, disproportionately affecting students with a low socioeconomic status (SES). This raises the question of whether economic stressors related to COVID-19 have aggravated existing socioeconomic inequalities in mental health. This study examined the relationship between economic stressors and students' depressive symptoms, and the role of students' SES and countries' socioeconomic conditions. Data from the COVID-19 International Student Well-being Study was used for multilevel analyses, with depressive symptoms as dependent variable. Three indicators measured SES: educational level of the parents, ability to borrow money from their social network, and struggling with financial resources prior to COVID-19. Students with a low SES had more depressive symptoms, and those not able to borrow money and with parents without higher education were more exposed to a deterioration in their financial situation. Both economic stressors (reduction in working hours and a deterioration of their financial situation) were positively related to depressive symptoms. In addition, the positive relationship between a decrease in working hours and depressive symptoms was stronger in countries with a higher unemployment rate. We observed socioeconomic inequalities in students' mental health, which, in part, can be ascribed to a larger exposure to the economic stressors related to COVID-19 among students' with a low SES. The macroeconomic context also played a role, as the impact of a reduction in working hours on depressive symptoms was stronger in countries with poor economic conditions.

“You just have to spread it thin”: Perceptions and feeding experiences of Australian fathers of young children living with disadvantage

The role of fathers in feeding is an emerging field within child feeding literature. Fathers have unique contributions to make to family mealtimes and child eating behaviours. However, qualitative research on fathers' experiences is limited, especially in the context of disadvantage. This study explored fathers' perceptions of their roles and feeding practices and their lived experience of disadvantage through a symbolic interactionism lens. Twenty-five Australian fathers of children aged six months to five years who experienced socioeconomic disadvantage participated in semi-structured interviews. Five themes were constructed from reflexive thematic analysis: (i) responsibilities for foodwork are based on strengths, opportunities, and values, (ii) negotiating fatherhood identity from a place of tension to acceptance, (iii) struggling with financial and mental strain, and food insecurity, (iv) managing adversity whist prioritising feeding children, and (v) paternal feeding practices are driven by values, adversity, and emotions. The division of foodwork was contingent on family capability and employment, maternal gatekeeping, paternal attitudes and values, and intergenerational, cultural and gender norms around earning and childrearing. Economic, environmental, and emotional stressors triggered changes to fathers' feeding practices, often contradicting their ideals (e.g., providing alternative meals, using rewards and electronic devices, unstructured settings). Fathers described income and food-based strategies to protect children's food intake, which may involve caregivers forgoing meals. These findings provide insight into fathers' feeding experiences through recognising personal, interpersonal, and systemic enablers and barriers. Promoting optimal feeding practices should include targeted feeding support and broader structural interventions to address inequality. Fathers' experiences as they navigate child mealtime interactions within a context of adversity can be used to inform child feeding interventions to improve child health and development.

Persian comedy whispers out loud: a critical discourse analysis of Persian televised stand-up comedy

This paper probes into the Iranian society through the ‘discourse access’ that Persian stand-up comedy provides. It is posited that Persian humorous discourse can be an effective and relatively safe communication toolkit to speak truth to power and address cultural deficits. Hence, it may be an insightful ‘point of entry’ into the below-the-surface construct of various social wrongs (e.g. social class inequality, cultural illiteracy). In particular, Persian stand-up comedy, as a young and burgeoning genre of Persian comedy, seems to be reliably reflecting such concerns in Iran. Within the general framework of critical discourse analysis (CDA), this article inspected into a corpus of stand-up comedy performances by the Iranian participants of the first and largest televised stand-up comedy contest in Iran. The corpus included 11 stand-up comedians and 14 performances from the three seasons of the contest (2016–2022). The reflexive thematic analysis of the stand-up routines unmasked a wealth of social criticism which is discussed under four major themes of ‘economic stress’, ‘social class inequality’, ‘more equal decision-makers’ and, ‘agents of change’. The paper elaborates on Persian stand-up comedy as a potent driving force within the society to effect individual and social changes. It contends that Persian comedy can greatly contribute to discourses of awareness and transformation within the Iranian society.

Income, stress, and sex ratios over 1895-2010

ABSTRACT The medical literature has shown that populations under high stress have a lower sex ratio at birth (i.e. number of males for every 100 females). In this paper, I examine the relationship between income, as a source of economic stress, and the sex ratio at a subnational level for the 1895–2010 period. For this, I use census microdata from Argentina -a developing country that experienced rapid growth at the end of the 19th century and stagnated in recent decades- and I estimate from a two-way fixed effects model that exploits the wide temporal and geographic variability in income. The results show that as per capita income increases, the sex ratio at birth also increases. In particular, for every US$ 1,000 increase in per capita income, the sex ratio increases between 0.3 and 0.6 points. These findings make it possible to quantify the lost boys (i.e. those boys who were not born due to high economic stress on their parents) and constitute a call for attention in favor of the implementation of prenatal care policies -especially in periods of stagnation or income decline- to maintain a more balanced sex ratio.

The prevalence of intimate partner violence and risk factors for women and men in China during the Shanghai 2022 lockdown.

Intimate partner violence (IPV) is a global public health concern with negative effects on individuals and families. The present study investigated the prevalence, risk factors and gender disparities associated with IPV during the Shanghai 2022 Covid-19 lockdown - a public health emergency which may have exacerbated IPV. We estimated the total IPV prevalence and prevalence of physical, sexual and verbal IPV by using an adapted version of the Extended-Hurt, Insult, Threaten, Scream scale. This cross-sectional study was carried out using a population quota-based sampling of Shanghai residents across 16 districts during the 2022 Shanghai lockdown (N = 2026; 1058 men and 968 women). We found a distinct gendered dynamic, where women reported a significantly higher prevalence of experienced IPV (27.1%, 95% confidence interval [CI]: 23.1-31.4) compared to men (19.8%, 95% CI: 16.1-24.0). Notably, the prevalence estimate mirrored the national lifetime IPV prevalence for women but was over twice as high for men. In multivariable logistic regression analyses, economic stress (income loss: adjusted OR [aOR] = 2.42, 95% CI: 1.28-4.56; job loss: aOR = 1.73, 95% CI: 1.02-2.92; financial worry much more than usual: aOR = 1.89, 95% CI: 1.00-3.57) and household burden (one child at home: aOR = 1.81, 95% CI: 1.12-2.92; not enough food: aOR = 1.67, 95% CI: 1.04-2.70) were associated with increased odds of overall IPV victimization among women but not men. With regard to more serious forms of IPV, job loss (aOR = 2.27, 95% CI: 1.09-4.69) and household burden (two or more children at home: aOR = 2.95, 95% CI: 1.33-7.69) were associated with increased odds of physical IPV against men. For women, a lack of household supplies was associated with increased odds of physical IPV (water: aOR = 3.33, 95% CI: 1.79-6.25; daily supplies: aOR = 2.27, 95% CI: 1.18-4.35). Lack of daily supplies (aOR = 2.17, 95% CI: 1.03-4.55) and job loss (aOR = 2.66, 95% CI: 1.16-6.12) were also associated with increased odds of sexual IPV. Although a larger proportion of women reported IPV, men experienced greater IPV during the lockdown than previously estimated before the pandemic. Economic stressors, including job loss, and household burden were critical risk factors for serious forms of IPV. Improving gender equality that my account for disparities in IPV in China is critically needed. Policies that mitigate the impact of economic losses during crises can potentially reduce IPV.

Factors Driving Male Violence Against Women in Intimate Relationships

Cases of male violence against women continue to grow. Therefore, this study aimed to examine the influencing factors that lead men to commit violence against their partners. Employing a descriptive research design, this study first identified the demographic profile of 50 identified aggressive men toward women with whom they have an intimate relationship. Subsequently, the influencing factors behind their aggressive behavior were identified. Respondents were selected from those with current cases of violence against women in the Philippines. Data were gathered through interviews, which were then analyzed and interpreted both quantitatively and qualitatively. Results showed that among the influencing factors that lead men to commit violence against women are the perpetrators’ childhood learned behavior/conditioning, economic stress, and alcohol consumption. The results of this study will be used to further develop and improve a program aimed at the elimination of violence against women.

Risk of COVID-19 reinfection and its severe complications in adults treated with long-term opioids for chronic non-cancer pain

Since December 2019, over 770 million cases and over 6.9 million deaths attributed to SARS-CoV-2 infection have been reported globally. 1 The pandemic has disproportionately affected populations impacted by chronic health issues, including people with chronic non- cancer pain. 2,3 Research has shown the COVID-19 pandemic increased the burden of chronic pain, with worsened social isolation, economic stress, anxiety, and disrupted access to pain management contributing to this distress. 2,4,5 Pharmacological treatments, including long-term opioid therapy (LTOT), are a part of standard of care in chronic non-cancer pain, 6,7 with an increase in opioid medication use for managing chronic pain noted likely in compensation for stopping physical/psychological treatments due to the pandemic.

Antecedents and service contact in an observational study of 242 suicide deaths in middle-aged men in England, Scotland and Wales, 2017

IntroductionMiddle-aged men are the demographic group at highest risk of dying by suicide. We conducted a national study of deaths by suicide in men in mid-life to investigate the stresses...

The impact of maternal mood and economic stress during Covid-19 pandemic on infant behaviour: Findings from the cross-sectional UK Covid-19 New Mum Study.

The UK Covid-19 New Mum Study (cross-sectional study) recorded maternal experience during the early stages of the pandemic. Our previous analyses showed that the pandemic and 2020 national lockdown negatively impacted maternal mental health. Here, we describe changes in infant behaviour (crying and fussiness) reported by the mother during the Covid-19 pandemic compared to beforehand, and test whether these changes are associated with maternal variables (mental health, coping, financial insecurity, income and household support). We included only responses of mothers whose infants were born before the pandemic started (n = 2,031). Composite scores for maternal mental health and coping were obtained using principal components analysis. Multivariable logistic regression analysis was used to test whether maternal mood and coping and household financial stresses were associated with changes in infant behaviour considered negative (becoming fussier, crying more). Adjusting for confounders, the odds of the infant being fussier and crying more increased by 52% (OR = 1.52, 95% CI = 1.35;1.72) and 64% (OR = 1.64, 95% CI = 1.38;1.95), respectively, if the mother experienced poorer mental health. If the mother coped better and had more time to focus on her health and interests, the odds of these outcomes decreased by 27% (OR = 0.73, 95% CI = 0.65;0.83) and 23% (OR = 0.77, 95% CI = 0.65;0.91), respectively. Mothers who reported that, during the lockdown, household chores were more equally divided 'to a high extent' had 40% (OR = 0.60, 95% CI = 0.39;0.92) lower odds of reporting that their babies became fussier. Reporting major/moderate impact on food expenses was associated with the infant crying more (OR = 2.52, 95% CI = 1.16;5.50). Our results are consistent with previous studies showing that maternal wellbeing plays a significant role in children's behavioural changes during lockdowns. We need strategies to improve mental health and enable women to develop the skills to maintain resilience and reassure their children in challenging times.