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Economic security defined across six domains, but measurement varies widely in scoping reviewUnderstanding How Economic Stability Affects Health and Well Being for Patients

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Key Takeaway
Consider the six-domain framework to standardize economic security measurement in research.

This scoping review examined how economic security is defined and operationalized in the literature, screening 881 sources and including 53 articles. The review focused on definitions and methods of operationalizing economic security, with no clinical population, intervention, or comparator.

The authors found variability in definitions: economic security was defined multi-dimensionally across thematic domains, incorporating both subjective and objective perspectives and temporal dimensions (present versus future risk). Six operational domain areas were identified: income/finances, healthcare, employment, housing, food, and wealth/assets.

Limitations were not reported in the source. The review is a scoping review of literature, not a clinical trial, and no effect sizes, safety data, or follow-up were reported.

The six-domain framework provides a foundation for more consistent measurement, improved intervention design, and specification of pathways linking economic conditions to health outcomes. Clinicians and researchers should interpret these findings as a conceptual synthesis rather than direct evidence of clinical impact.

Researchers looked at many different articles to see how people define economic security. They found that people often look at many different things when deciding if someone is financially stable. This can include how much money a person makes right now and how safe they feel about their future.

They identified six main areas that matter most for a person's stability. These areas are income and finances, healthcare access, steady employment, safe housing, enough food, and overall wealth or assets. Each of these parts plays a role in how a person lives and feels every day.

Having a clear way to measure these six areas helps doctors and community leaders. By looking at these specific parts, they can create better programs to help people. This helps them see exactly where a person needs the most help to improve their daily life and health.

What this means for you:
Economic security is measured by six main areas: income, healthcare, jobs, housing, food, and total assets.

Common questions

What are the six domains of economic security?

The review identified six areas: income and finances, healthcare, employment, housing, food, and wealth and assets. These came from an analysis of 53 articles selected from 881 sources. The authors say these domains could help researchers measure economic security more consistently in future work.

Is this a clinical trial?

No. This is a scoping review of published literature, not a clinical trial. It does not test a treatment or track patient outcomes. Instead, it looks at how researchers define and measure economic security across existing studies. That means it cannot show cause and effect or tell you what to do about your own situation.

Why does how we define economic security matter?

The authors say inconsistent definitions make it hard to compare findings across studies. Economic security was defined in many ways, including subjective and objective measures and present versus future risk. A shared six-domain framework could support more consistent measurement and better-designed studies on how economic conditions relate to health.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
BackgroundPersonal economic security, including stable income, employment, affordable housing, and protection against economic shocks, is fundamental to health. However, multiple and varied frameworks exist for defining or measuring economic security in health research and practice.MethodsWe conducted a scoping review of the economic (in)security literature published 2015–2025. We searched PubMed and PsycINFO for articles that defined or measured economic (in)security, or that examined the impact of economic (in)security on health-related outcomes. From 881 sources, 53 articles were reviewed. Definitions and methods of operationalizing economic security were extracted and coded based on thematic dimensions, domains, and sub-domains.ResultsThere is wide variability in definitions and measurement of economic security. Economic security was defined multi-dimensionally across thematic domains, subjectivity and objectivity, and temporal dimensions (present versus future risk). Operationally, six domain areas of economic security were identified: income/finances, healthcare, employment, housing, food, and wealth/assets.ConclusionsThis six-domain framework of economic security for health research provides a foundation for more consistent measurement, improved intervention design, and specification of pathways linking economic conditions to health outcomes. Further investigation is needed to examine the framework's utility in elucidating economic security's multi-dimensional nature and devising measurement strategies to advance the science and practice of improving economic security.
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