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Journal of Urban Health

, Volume 90, Issue 1, pp 83–100 | Cite as

Financial Distress and Depressive Symptoms among African American Women: Identifying Financial Priorities and Needs and why it Matters for Mental Health

  • Angelica JoNel StarkeyEmail author
  • Christopher R. Keane
  • Martha Ann Terry
  • John H. Marx
  • Edmund M. Ricci
Article

Abstract

Prior research found that financial hardship or distress is one of the most important underlying factors for depression/depressive symptoms, yet factors that contribute to financial distress remain unexplored or unaddressed. Given this, the goals of the present study were (1) to examine the relationship between perceived financial distress and depressive symptoms, and (2) to identify financial priorities and needs that may contribute to financial distress. Surveys from 111 African American women, ages 18–44, who reside in Allegheny County, PA, were used to gather demographic information and measures of depressive symptoms and financial distress/financial well-being. Correlation and regression analyses revealed that perceived financial distress was significantly associated with levels of depressive symptoms. To assess financial priorities and needs, responses to two open-ended questions were analyzed and coded for common themes: “Imagine you won a $10,000 prize in a local lottery. What would you do with this money?” and “What kinds of programs or other help would be beneficial to you during times of financial difficulties?” The highest five priorities identified by the participants were paying bills and debt, saving, purchasing a home or making home repairs, and/or helping others. The participant’s perceived needs during times of financial difficulty included tangible assistance and/or financial education. The findings from this study can be used to create new and/or enhance existing programs, services, and/or interventions that focus on the identified financial priorities and needs. Collaborative efforts among professionals in different disciplines are also needed, as ways to manage and alleviate financial distress should be considered and discussed when addressing the mental health of African American women.

Keywords

African American women Depression Depressive symptoms Risk factors for depression Perceived financial distress Financial strain Economic strain Financial priorities Financial needs 

Notes

Acknowledgments

The authors would like to acknowledge Dr. Richard Day for providing statistical consultation. Appreciation is also expressed to the Personal Finance Employee Education Foundation @ http://www.personalfinancefoundation.org/scale/well-being.html for permission to use the PFW scale.

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Copyright information

© The New York Academy of Medicine 2012

Authors and Affiliations

  • Angelica JoNel Starkey
    • 1
    Email author
  • Christopher R. Keane
    • 1
  • Martha Ann Terry
    • 1
  • John H. Marx
    • 2
  • Edmund M. Ricci
    • 3
  1. 1.Department of Behavioral and Community Health SciencesUniversity of Pittsburgh, Graduate School of Public HealthPittsburghUSA
  2. 2.Department of SociologyUniversity of Pittsburgh, School of Arts and SciencesPittsburghUSA
  3. 3.Institute for Evaluation Science in Community HealthUniversity of Pittsburgh, Graduate School of Public HealthPittsburghUSA

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