The Structure of Material Hardship in U.S. Households: An Examination of the Coherence behind Common Measures of Well-Being
Abstract
Motivated by the growing interest in and the usage of measures of material hardship, together with the lack of a comprehensive theoretical understanding of the how indicators of material hardship relate to one another, we develop and test five conceptual models of the structural coherence of material hardship. While many previous analyses have relied on a unidimensional model of hardship, we argue that this is not conceptually and empirically sufficient. Instead, we compare the standard unidimensional account of hardship to a model that contrasts hardship related to physical necessities and hardship in less critical areas, two models contrasting hardships due to short-term constraints and those with longer time horizons, and finally, a model that posits each nominal type of hardship is best represented by its own latent construct. Using nationally representative data from the 2001 and 2004 panels of the Survey of Income and Program Participation (SIPP) (U.S. Census Bureau 2001, 2004), we estimate confirmatory factor analyses, which suggest that a model of hardship that separates different dimensions—health, food, bill paying, and housing hardship—fits this data better than any of the other conceptual models tested. This finding suggests strongly that the four aspects of material hardship modeled here, though obviously associated, are best understood as arising from processes and structures that are not identical. We discuss implications of our findings for both the research community and policy makers in the conclusion.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Basic expense hardship and food insecurity are both reflective of short-term economic shocks.
“The authors propose that basic expense hardship and food insecurity are both reflective of short-term economic shocks.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Housing hardship is the result of long-term economic constraints on decisions.
“In contrast, housing hardship is the result of long-term economic constraints on decisions, and medical hardship is a combination of short-term economic shocks unrelated to short-term financial resources and longer-term structural and economic constraints.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Although the four domains are correlated measures of economic vulnerability, they also reflect different causal processes and different economic experiences.
“Although these four domains are correlated measures of economic vulnerability, they also reflect different causal processes and different economic experiences [11].”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Medical hardship is a combination of short-term economic shocks unrelated to short-term financial resources and longer-term structural and economic constraints.
“In contrast, housing hardship is the result of long-term economic constraints on decisions, and medical hardship is a combination of short-term economic shocks unrelated to short-term financial resources and longer-term structural and economic constraints.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Using confirmatory factor analysis, Heflin and colleagues demonstrate that basic expense hardship, food insecurity, housing hardship, and medical hardship are related, but distinct experiences of economic vulnerability emerge through different processes on different time horizons.
“Using confirmatory factor analysis, Heflin and colleagues [11] demonstrate that basic expense hardship, food insecurity, housing hardship, and medical hardship are related, but distinct experiences of economic vulnerability emerge through different processes on different time horizons.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
The four major domains in which families can experience material hardship are basic expenses hardship, food insecurity, housing hardship, and medical hardship.
“The four major domains in which families can experience material hardship are basic expenses hardship, food insecurity, housing hardship, and medical hardship [11].”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Basic expense hardship reflects short-term shocks, whereas housing hardships likely emerge due to longer-term economic constraints.
“Basic expense hardship reflects short-term shocks, whereas housing hardships likely emerge due to longer-term economic constraints [11].”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
The results support the growing consensus that income poverty and material hardship do not necessarily reflect the same experience of economic vulnerability.
“Our results support the growing consensus that income poverty and material hardship do not necessarily reflect the same experience of economic vulnerability [1,5,6,11].”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Even the correlations between indicators of the same type of material hardship are moderate at best.
“We build on Heflin et al.’s framework [11] by showing that even the correlations between indicators of the same type of material hardship are moderate at best.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
The results support the theoretical model proposed by Heflin and colleagues that describes the four types of material hardship as different, but related, aspects of economic vulnerability that emerge from distinct social processes.
“Moreover, our results support the theoretical model proposed by Heflin and colleagues [11] that describes the four types of material hardship as different, but related, aspects of economic vulnerability that emerge from distinct social processes.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Postponed medical care is also associated with internalizing behavior problems, but this was significant only in 2002.
“Postponed medical care, which reflects short-term economic constraints similar to basic expense hardship [11] is also associated with internalizing behavior problems, but this was significant only in 2002.”
From Poverty, Material Hardship, and Children’s Outcomes: A Nuanced Understanding of Material Hardship in Childhood (2022) · cites this paper as [11]
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Alternative Ways of Assessing Model Fit
Browne, M. W., & Cudeck, R. (1992) · Sociological Methods & Research · doi:10.1177/0049124192021002005 · Cited by 27,200 · see citing works
Structural Equations with Latent Variables.
Clogg, C. C., & Bollen, K. A. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072165 · Cited by 17,471 · see citing works
Sen, A. K. (2009) · doi:10.1007/978-1-137-28787-8_94 · Cited by 15,886 · see citing works
Confirmatory factor analysis for applied research
Brown, T. A. (2007) · Choice Reviews Online · doi:10.5860/choice.44-2769 · Cited by 15,613 · see citing works
Flora, D. B., & Curran, P. J. (2004) · Psychological Methods · doi:10.1037/1082-989x.9.4.466 · Cited by 3,105 · see citing works
Muthén, B. (1984) · Psychometrika · doi:10.1007/bf02294210 · Cited by 2,029 · see citing works
What money can't buy: family income and children's life chances
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1231 · Cited by 940 · see citing works
Gershoff, E. T., Aber, J. L., Raver, C. C., & Lennon, M. C. (2007) · Child Development · doi:10.1111/j.1467-8624.2007.00986.x · Cited by 939 · see citing works
Alaimo, K., Olson, C. M., & Frongillo, E. A. (2001) · PEDIATRICS · doi:10.1542/peds.108.1.44 · Cited by 912 · see citing works
Perceived Cohesion: A Conceptual and Empirical Examination
Bollen, K. A., & Hoyle, R. H. (1990) · Social Forces · doi:10.1093/sf/69.2.479 · Cited by 890 · see citing works
Perceived Cohesion: A Conceptual and Empirical Examination
Bollen, K. A., & Hoyle, R. H. (1990) · Social Forces · doi:10.2307/2579670 · Cited by 890 · see citing works
Muthén, B., & Kaplan, D. (1992) · British Journal of Mathematical and Statistical Psychology · doi:10.1111/j.2044-8317.1992.tb00975.x · Cited by 690 · see citing works
Poverty and the Distribution of Material Hardship
Mayer, S. E., & Jencks, C. (1989) · The Journal of Human Resources · doi:10.2307/145934 · Cited by 640 · see citing works
Economic Determinants and Dietary Consequences of Food Insecurity in the United States
Rose, D. D. (1999) · Journal of Nutrition · doi:10.1093/jn/129.2.517s · Cited by 569 · see citing works
Vitamin B<sub>12</sub>, Folate, and Homocysteine in Depression: The Rotterdam Study
Tiemeier, H., van Tuijl, H. R., Hofman, A., Meijer, J., Kiliaan, A. J., & Breteler, M. M. B. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.12.2099 · Cited by 408 · see citing works
(2005) · Choice Reviews Online · doi:10.5860/choice.42-4060 · Cited by 373 · see citing works
Dixon, L. B., Winkleby, M. A., & Radimer, K. L. (2001) · Journal of Nutrition · doi:10.1093/jn/131.4.1232 · Cited by 340 · see citing works
Measuring the Well-Being of the Poor Using Income and Consumption
Meyer, B., & Sullivan, J. (2003) · National Bureau of Economic Research · doi:10.3386/w9760 · Cited by 312 · see citing works
Measuring the Well-Being of the Poor Using Income and Consumption
Meyer, B., & Sullivan, J. X. (2003) · The Journal of Human Resources · doi:10.2307/3558985 · Cited by 311 · see citing works
Bickel, G., Hamilton, W. L., & Associates, A. (1997) · Cited by 277 · see citing works
Income Poverty and Material Hardship: How Strong Is the Association?
Iceland, J., & Bauman, K. J. (2007) · The Journal of Socio-Economics · doi:10.1016/j.socec.2006.12.003 · Cited by 274 · see citing works
Beverly, S. G. (2001) · Journal of Poverty · doi:10.1300/j134v05n01_02 · Cited by 233 · see citing works
The international analysis of poverty
Townsend, P. (2017) · Bristol University Press eBooks · doi:10.2307/j.ctt1t89jmr.14 · Cited by 228 · see citing works
Survey of Income and Program Participation.
Ra, H., & Kasprzyk, D. (1984) · Cited by 224 · see citing works
Poverty in America: Trends and Explanations
(2006) · doi:10.1257/089533006776526102 · Cited by 219 · see citing works
The relationship between income and material hardship
Sullivan, J. X., Turner, L., & Danziger, S. H. (2007) · Journal of Policy Analysis and Management · doi:10.1002/pam.20307 · Cited by 208 · see citing works
Damp housing and asthma: a case-control study
Williamson, I. J., Martin, C. J., McGill, G., Monie, R. D. H., & Fennerty, A. G. (1997) · Thorax · doi:10.1136/thx.52.3.229 · Cited by 208 · see citing works
Presidential address: How to improve poverty measurement in the United States
Blank, R. M. (2008) · Journal of Policy Analysis and Management · doi:10.1002/pam.20323 · Cited by 192 · see citing works
Poverty in America: a handbook
(2004) · Choice Reviews Online · doi:10.5860/choice.41-4340 · Cited by 168 · see citing works
Hardships in America: The Real Story of Working Families.
Boushey, H., Brocht, C., Gundersen, B., & Bernstein, J. (2001) · Cited by 165 · see citing works
Work, Income, and Material Hardship after Welfare Reform
Danziger, S. K., CORCORAN, M., Danziger, S. H., & Heflin, C. M. (2000) · Journal of Consumer Affairs · doi:10.1111/j.1745-6606.2000.tb00081.x · Cited by 161 · see citing works
Self-citationCristofar, S. P., & Basiotis, P. P. (1992) · Journal of Nutrition Education · doi:10.1016/s0022-3182(12)80650-9 · Cited by 156 · see citing works
Nutrition and depression: focus on folate
Alpert, J. E., Mischoulon, D., Nierenberg, A. A., & D, M. F. M. (2000) · Nutrition · doi:10.1016/s0899-9007(00)00327-0 · Cited by 148 · see citing works
Material and Financial Hardship and Income-Based Poverty Measures in the USA
Short, K. (2004) · Journal of Social Policy · doi:10.1017/s0047279404008244 · Cited by 128 · see citing works
Sanctions and Material Hardship under TANF
Kalil, A., Seefeldt, K. S., & Wang, H. (2002) · Social Service Review · doi:10.1086/342998 · Cited by 127 · see citing works
What Money Can't Buy: Family Income and Children's Life Chances
Hoffman, S. D., & Mayer, S. E. (1997) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2654627 · Cited by 127 · see citing works
Work Trajectories, Income Changes, and Food Insufficiency in a Michigan Welfare Population
Heflin, C. M., Corcoran, M. E., & Siefert, K. (2007) · Social Service Review · doi:10.1086/511162 · Cited by 104 · see citing works
Self-citationThe Extent of Material Hardship and Poverty in the United States
Rector, R. E., Johnson, K. A., & Youssef, S. E. (1999) · Review of Social Economy · doi:10.1080/00346769900000007 · Cited by 103 · see citing works
International Analysis Poverty
Townsend, P. D. (2014) · Routledge eBooks · doi:10.4324/9781315835099 · Cited by 102 · see citing works
What does it mean to be poor in America?
Federman, M. N., Ti, G., Short, K., th, C. W., Kiely, J., Levine, D., McGough, D., & McMillen, M. (1996) · PubMed · Cited by 101 · see citing works
Final Synthesis Report of Findings from ASPE'S 'Leavers' Grants
Acs, G. P. (2001) · Cited by 90 · see citing works
Measuring Poverty: Theoretical and Empirical Considerations
Iceland, J. (2005) · Measurement Interdisciplinary Research and Perspectives · doi:10.1207/s15366359mea0304_1 · Cited by 81 · see citing works
Mayer, S. E., & Jencks, C. (1993) · Palgrave Macmillan UK eBooks · doi:10.1007/978-1-349-22953-6_5 · Cited by 67 · see citing works
Dynamics of Material Hardship in the Women’s Employment Study
Heflin, C. M. (2006) · Social Service Review · doi:10.1086/505289 · Cited by 55 · see citing works
Self-citationReichman, N. E., Teitler, J. O., & Curtis, M. A. (2005) · Social Service Review · doi:10.1086/428918 · Cited by 55 · see citing works
Boushey, H., & Gundersen, B. (2001) · Cited by 51 · see citing works
Impacts of Marital Status and Parental Presence on the Material Hardship of Families with Children
Lerman, R. I. (2023) · Figshare · doi:10.57912/23845059 · Cited by 44 · see citing works
Welfare, Work and Material Hardship in Single Parent and Other Households
Bauman, K. J. (2002) · Journal of Poverty · doi:10.1300/j134v06n01_02 · Cited by 38 · see citing works
Transportation Hardship: Are You Better off with a Car?
Fletcher, C. N., Garasky, S., & Nielsen, R. B. (2005) · Journal of Family and Economic Issues · doi:10.1007/s10834-005-5901-x · Cited by 37 · see citing works
Food Insufficiency and Material Hardship in Post-TANF Welfare Families
Corcoran, M. E., Heflin, C. M., & Siefert, K. (1999) · The Knowledge Bank (The Ohio State University) · Cited by 36 · see citing works
Self-citationUnderstanding Poverty Rates and Gaps: Concepts, Trends, and Challenges
Ziliak, J. P. (2005) · Foundations and Trends® in Microeconomics · doi:10.1561/0700000009 · Cited by 32 · see citing works
Psychological Disorders as Early Symptoms of a Mild‐to‐Moderate Vitamin Deficiencya
Heseker, H., Kübler, W., Pudel, V., & Westenhöfer, J. (1992) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1992.tb17121.x · Cited by 30 · see citing works
The Level, Trend, and Composition of Poverty
Burtless, G. T., & Smeeding, T. M. (2009) · Harvard University Press eBooks · doi:10.2307/j.ctv1pncqhv.6 · Cited by 25 · see citing works
Dasgupta, I. (2006) · Economica · doi:10.1111/j.1468-0335.2006.00452_1.x · Cited by 22 · see citing works
Poverty in America: A Handbook
Statham, A. (2005) · Contemporary Sociology A Journal of Reviews · doi:10.1177/009430610503400210 · Cited by 13 · see citing works
Reaching Those in Need: State Food Stamp Participation Rates in 2004Preprint
Cunnyngham, K., Castner, L., & Schirm, A. L. (2006) · RePEc: Research Papers in Economics · Cited by 10 · see citing works
Consumption and the Poor: What We Know and What We Can Learn
Meyer, B. D., & Sullivan, J. X. (2004) · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Zilanawala, A., & Pilkauskas, N. V. (2012) · Children and Youth Services Review · doi:10.1016/j.childyouth.2012.01.008 · Cited by 128 · see citing works
Many of the kids are not alright: Material hardship among children in the United States
Rodems, R., & Shaefer, H. L. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.104767 · Cited by 70 · see citing works
Effects of unemployment and underemployment on material hardship in single-mother families
Eamon, M. K., & Wu, C.-F. (2011) · Children and Youth Services Review · doi:10.1016/j.childyouth.2010.09.006 · Cited by 55 · see citing works
Schenck-Fontaine, A., & Ryan, R. M. (2022) · Children · doi:10.3390/children9070981 · Cited by 27 · see citing works
“Moreover, our results support the theoretical model proposed by Heflin and colleagues [11] that describes the four types of material hardship as different, but related, aspects of economic vulnerability that emerge from distinct social processes.”
BackgroundMethodResultInfluential
- Authors
- Heflin, C., Sandberg, J., & Rafail, P.
- Affiliations
- University of Missouri (US)
- Corresponding author
- Heflin, Colleen
- Venue
- Social Problems
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-11
- Volume
- 56
- Issue
- 4
- Pages
- 746-764
- ISSN
- 0037-7791 (ISSN-L)
- 1533-8533
- OpenAlex
- W2129056097
- Cited by
- 131
- References
- 58
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 11 · 2023: 8 · 2022: 16 · 2021: 16 · 2020: 10 · 2019: 5 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 4 · 2012: 8
- FWCI
- 15.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Problems (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Income, Poverty, and Inequality
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- material hardship, household welfare, food hardship, housing hardship, latent constructs, Survey of Income and Program Participation, poverty measurement
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review