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The association between allostatic load and guaranteed annual income using the Canadian Longitudinal Study on Aging

A cross-sectional analysis of the benefits of guaranteed public pensions

Bibliographic Data

ID21467475
AuthorsLuke Duignan (0009-0009-0859-2358, Dalhousie University, corresponding author), Daniel J Dutton (0000-0002-5411-9301, Dalhousie University)
Year2024
Volume143
Pages105054
Publication date2024-05-01
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2024.105054
PMID38522246
OpenAlexW4392979320
LanguageEN
Citations received3
References cited32

Old Age Security (OAS) represents an public policy through which income-related inequalities in health may be improved. The goal of this cross-sectional study was to investigate the health benefits of receiving OAS in financially insecure older Canadians. Using data from the Canadian Longitudinal Study on Aging (CLSA) (n=15,691), ordered logistic regression was used to measure associations between financial insecurity and allostatic load. Receiving OAS as highest personal income source appeared to remove the health penalty of being financially insecure. While financial insecurity was associated with worse allostatic load in both males and females not receiving OAS, those receiving OAS as highest personal income source had better allostatic load compared to other financially insecure older adults (ORM: 0.398, 95% CI: 0.227, 0.696; ORF: 0.677, 95% CI: 0.483, 0.949). While longitudinal data would be needed to draw causal inferences, these results suggest OAS may play a role improving health outcomes and narrowing income-related health inequalities. Such findings may have important implications on older adults, other vulnerable populations, and future directions of Canadian health and public policy

Allostasis · Allostatic load · Cross-sectional study · Demographic economics · Economics · Environmental health · Health and Retirement Study · Inequality · Logistic regression · Longitudinal study · Public health · Sociology · Demography · Employment and Welfare Studies · Health disparities and outcomes · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Gerontology

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Citations per year1.5
Citation span2024 - 2026 (3)
Highly citedNo

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