Bottom Line: Loss of wealth over two years among middle-aged and older adults in the U.S. was associated with an increased risk of death.
Why The Research Is Interesting: A sudden loss of wealth--a negative wealth shock--may lead to a significant mental health toll and also leave fewer monetary resources for health-related expenses. With limited years remaining to regain lost wealth in older age, the health consequences of a sudden loss of wealth may be long-lasting. Little is known about the potential long-term health consequences.
Who and When : 8,714 adults (ages 51 through 61 years at study entry) first assessed for a sudden loss of wealth in 1994 and then every two years through 2014.
What (Study Measures) : Experiencing a sudden loss of wealth, defined as a loss of 75% or more of total net worth over a 2-year period, or asset poverty, defined as 0 or negative total net worth (exposures); death from any cause (outcome)
How (Study Design) : This was an observational study. Researchers were not intervening for purposes of the study and cannot control all the natural differences that could explain the study findings.
Authors: Lindsay R. Pool, Ph.D., Northwestern University Feinberg School of Medicine, Chicago, and coauthors
Study Limitations: Analyses showed that less acute shock within two years (such as >25% or >50% loss) were associated with an increased risk of death, but less acute negative wealth shocks that take more than two years to be fully realized may have been missed.
Related material: The editorial, " From Misfortune to Mortality ," by Alan M. Garber, M.D., Ph.D., Harvard University, Cambridge, is also available on the For The Media website .
For more details and to read the full study, please visit the For The Media website .
(doi:10.1001/jama.2018. 2055)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
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