Adults who experience poverty-level family income—whether sustained or intermittent—over two decades spanning young to mid-adulthood face a significantly higher risk of dying prematurely than those who are never in poverty, according to new research led by Columbia University Mailman School of Public Health.
A companion study by the same research team finds that rising unsecured debt—such as credit card debt not tied to an asset—may be one mechanism linking early-life financial hardship to higher mortality risk. Both studies used data from the National Longitudinal Survey of Youth 1979 (NLSY79), tracking income data from 1985 to 2004 and analyzing how unsecured debt trajectories across 20 years of early adulthood relate to premature mortality in midlife.
The research findings highlight the importance of interventions aimed at reducing poverty during key life periods, especially for vulnerable groups. The results draw attention to financial well-being as a dynamic factor that may have varying effects on long-term health across different periods.
An accompanying commentary in The Lancet Public Health emphasizes the need for policies that prevent and mitigate the consequences of financial burden or deepening poverty as a core public health strategy. The researchers call for further studies to better understand the impact of support during key life stages on long-term health outcomes.
The studies shed light on the significant impact of poverty and strained financial resources on health outcomes, including premature mortality. They underscore the need for comprehensive strategies to address financial hardships and support individuals at risk of facing long-term health consequences.
In conclusion, the research conducted by Columbia University Mailman School of Public Health provides valuable insights into the relationship between poverty, unsecured debt, and premature mortality. By identifying these critical factors, policymakers and public health officials can develop targeted interventions to mitigate the adverse effects of financial hardship on long-term health outcomes.

