Economic Hardship, Sleep, and Self-Rated Health
- 1 March 2022
- journal article
- research article
- Published by University of Chicago Press in American Journal of Health Economics
- Vol. 8 (2), 216-251
- https://doi.org/10.1086/717811
Abstract
The Supplemental Nutrition Assistance Program (SNAP) distributes vouchers for grocery shopping to around 43 million individuals across the United States to counteract food insecurity. In this study, we take advantage of the random interview day assignment of the American Time Use Survey (ATUS) and the variation in voucher issuance dates across states to identify changes in self-rated health and sleep over the monthly SNAP payment cycle. We find that the economic hardship experienced at the end of the payout period causes a significant and sizable negative effect on self-assessed physical health and sleep quality. SNAP recipients were 18 percent more likely to report fair or poor physical health at the end of the payment cycle compared with the rest of the month. During this period of scarcity, recipients were also 50 percent more likely to report sleeplessness, with the number of minutes being sleepless more than doubling while total sleep duration remained unchanged. Drawing upon information on time use in the ATUS, we discuss evidence suggesting that higher levels of stress, changed eating patterns, and reduced sleep quality may be potential mechanisms of the adverse health effects. Our findings extend the literature on sleep quality as a mediator between low socioeconomic status and self-rated health in the short run.Keywords
This publication has 49 references indexed in Scilit:
- Poverty Impedes Cognitive FunctionScience, 2013
- The relationship between self-rated health and objective health status: a population-based studyBMC Public Health, 2013
- Sleep: A Health ImperativeSleep, 2012
- Sleep and immune functionPflügers Archiv - European Journal of Physiology, 2011
- Sleep and obesityCurrent Opinion in Clinical Nutrition and Metabolic Care, 2011
- "Sleep disparity" in the population: poor sleep quality is strongly associated with poverty and ethnicityBMC Public Health, 2010
- Life-course financial strain and health in African–AmericansSocial Science & Medicine (1982), 2010
- Financial Hardship and Mortality among Older Adults Using the 1996–2004 Health and Retirement StudyAnnals of Epidemiology, 2009
- Income, Health, and Well-Being around the World: Evidence from the Gallup World PollJournal of Economic Perspectives, 2008
- Self-reported economic difficulties and coronary events in men: evidence from the Whitehall II studyInternational Journal of Epidemiology, 2005