Research Article Published 27 July 2023

Do Individual Characteristics and Financial Burden Contribute to Health Problems? Evidence from Malaysia

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Md Kassim, A. A., Rosli, M. H., Mohamed, J., & Zainal Azim, Z. A. (2023). Do Individual Characteristics and Financial Burden Contribute to Health Problems? Evidence from Malaysia. Journal of Business Management and Accounting, 13(2), 181-205. https://doi.org/10.32890/jbma2023.13.2.2
Aza Azlina Md Kassim
Graduate School of Management, Management and Science University, Selangor, Malaysia
Mohamad Hafiz Rosli
Faculty of Accountancy, Universiti Teknologi Mara, Segamat Campus, Johor, Malaysia
Juliza Mohamed
Faculty of Business and Accountancy, Universiti Selangor, Selangor, Malaysia
Zainal Azhar Zainal Azim
Faculty of Business and Accountancy, Universiti Selangor, Selangor, Malaysia
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Abstract

The rise in the cost of living is the leading cause of stress. Therefore, it is essential to investigate the impact of financial burdens on health. However, to date, limited studies have examined the relationship between financial burden and cardiovascular disease risk factors, the leading cause of death in the world, including Malaysia. Hence, this study examined the determinants of coronary heart disease (CHD). The study administered a questionnaire on CHD patients in Selangor, the most populated State in Malaysia. A total of 300 valid responses were obtained and analysed using multiple regression analysis. The results showed that accommodation cost, salary, smoking habit, age, residential area, marital status and education level are associated with CHD. Nevertheless, the study did not find support for the relationship between education expenses and employment status on CHD. Based on the results, this study recommends that the government and housing developers increase housing affordability, particularly for low- and middle-income earners. Besides, everyone should enjoy a high quality of life regardless of job type or salary. Health awareness, particularly CHD risk, should be promoted regularly in all communication media to target a wider group, particularly the elderly.

Keywords
Age coronary heart disease accommodation cost salary education expenses

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DOI · 10.32890/jbma2023.13.2.2
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References 66
Deposited to Crossref with the article DOI
  1. Abu Bakar, E., Masud, J., & Md Jusoh, Z. (2006). Knowledge, attitude and perceptions of university students towards educational loans in Malaysia. Journal of Family Economic Issues, 27, 692–701.
  2. Akram, A. A. (2012). Impact of financial rewards on employee’s motivation and satisfaction in pharmaseutical industry, Pakistan. Global Journal of Management and Business Research, 12(17), 44-49.
  3. Assmann, G., Cullen, P., Jossa, F., Lewis, B., & Mancini, M. (1999). Coronary heart disease: reducing the risk the scientific background to primary and secondary prevention of coronary heart disease a worldwide view. Arteriosclerosis, Thrombosis, and Vascular Biology. 19(8), 1819–1824.
  4. Bergman, H. E., Chan, P. K., Cooper, A., Shirley E., Goto, T., Fine, T., Cohen, G. H., Sampson, L., Ganocy, S., Tamburrino, M., Liberzon, I., Calabrese, J., Galea, S., & Fenny, N. C. (2019). Examining the relationship between PTSD symptomatology and cigarette smoking among Ohio army national guard soldiers. Journal of Military Behavioral Health. https://doi.org/10.1080/21635781.2018.1556139.
  5. Bills, K. L., West, S. M., & Hargrove, J. (2019). Housing cost burden and maternal stress among very low income mothers. Journal of Sociology and Social Welfare, 46(1), 73-89.
  6. Cheah, Y. K., Lim K. H. & Mohd Yusoff, M. F. (2021). Demographics, knowledge and smoking: An instrumental variable approach. Journal of Business Management and Accounting, 11(2), 1-24. https://doi.org/10.32890/jbma2021.11.2.1
  7. Che Sulaiman, N. F., Sanusi, N. F., And Muhamad, S. (2020). Survey dataset of Malaysian perception on rising cost of living. Data in Brief, 20. https://doi.org/10.1016/j.dib.2019.104910
  8. Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007). Psychological stress and disease. JAMA, 298(14), 1685.
  9. Cottini, E. (2011). Health at work and low pay: A European perspective. The Manchester School, 80(1), 75–98
  10. Davey, B., Sinha, R. Ji, H. L., Gauthier, M., & Flores, G. (2021). Social determinants of health and outcomes for children and adults with congenital heart disease: A systematic review. Pediatric Research, 89, 275–294. https://doi.org/10.1038/ s41390-020-01196-6
  11. Department of Statistics Malaysia (2014). Household Income and Basic Amenity Survey, 2014. Retrieved from: https://www. dosm. gov.my/v1/index.php
  12. Department of Statistics Malaysia. (2020). Statistics on causes of death, Malaysia, 2020. Retrieved from https://www.dosm.gov. my/v1
  13. Elfassy, T., Swift, S. L., Glymour, M. M., Calonico, S., Jacobs, D. R., Mayeda, E. R., & Zeki Al-Hazzouri, A. (2019). Associations of income volatility with incident cardiovascular disease and all-cause mortality in a US cohort. Circulation, 2, 850-859.
  14. Franks, P., Winters, P. C., Tancredi, D. J., & Fiscella, K. A. (2011). Do changes in traditional coronary heart disease risk factors over time explain the association between socio-economic status and coronary heart disease? BMC Cardiovascular Disorders, 11(28), https://doi.org/10.1186/1471-2261-11-28.
  15. Gander, J., Sui, X., Hazlett, L. J., Cai, B., Hébert, J. R., & Blair, S. N. (2014). Factors related to coronary heart disease risk among men: validation of the Framingham risk score. Preventing Chronic Disease, 11, E140.
  16. Goodman, L., & Ganesh, B. (2017, June 14). Low-income homeowners are as burdened by housing costs as renters. Retrieved from https://www.urban.org/urban-wire/low-income-homeowners-are-burdened-housing-costs-renters.
  17. Gupta, R., Prakash, H., Gupta, V. P., & Gupta, K. D. (1997). Prevalence and determinants of coronary heart disease in a rural population of India. Journal of Clin Epidemiol, 50(2), 203-209.
  18. Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis: A global perspective (8th ed.). New Jersey: Pearson.
  19. Hair Jr, J. F., Wolfinbarger, M., Money, A. H., Samouel, P., & Page, M. J. (2015). Essentials of business research methods. Routledge.
  20. Hejazi, N., Rajikan, R., & Choong, L. K. (2015). Framingham coronary heart disease and cardiovascular risk assessments of HIV/aids Malaysian population on haart: the importance of risks evaluations and predictions. Sex Transm Infect, 91(Suppl 2), 221-222.
  21. Hemelt, S. W., & Marcotte, D. E. (2011). The impact of tuition increases on enrollment at public colleges and universities. Educational Evaluation and Policy Analysis, 33(4), 435-457. DOI: 10.3102/0162373711415261
  22. Hertz, J. T., Sakita, F. M., Manavalan, P., Mmbaga, B. T., Thielman, N. M., & Staton, C. A. (2019). Knowledge, attitudes, and preventative practices regarding ischemic heart disease among emergency department patients in northern Tanzania. Public Health, 175, 60-67.
  23. Hiscock, R., Bauld, L., Amos, A., Fidler, J. A., & Munafò, M. (2012). Socioeconomic status and smoking: A review. Annals of the New York Academy of Sciences. 1248, 107–123.
  24. HSBC (2018). Nine out of 10 Malaysian students work while studying: HSBC survey. Retrieved from https://www. thestar.com.my/business/business-news/2018/08/27/nine-out-of-10-Malaysian-students-work-while-studying-hsbc-survey/#06tZKGriMmdA4dRH.99.
  25. Kamel Abd, R., Naser Abd, S., & Raman, V. (2019). Tracing the risk factors of heart diseases at Al-Nasiriyah heart center in Iraq. Cardiovasc Disease Res, 10(1), 31-34.
  26. Kirkpatrick, S. I., Tarasuk, V. (2011). Housing circumstances are associated with household food access among low-income urban families. Journal of Urban Health, 88, 284–296.
  27. Lacroix, A. Z., Bellettiere, J., Rillamas-Sun, E., Di, C.
  28. Evenson, K. R., Lewis, C. E., Buchner, D. M., Stefanick, M. L., Lee, I. M., Rosenberg, D. E., & Lamonte, M. J. (2019). Association of light physical activity measured by accelerometry and incidence of coronary heart disease and cardiovascular disease in older women. JAMA Netw Open. 2(3). doi:10.1001/ jamanetworkopen.2019.0419.
  29. Leigh, J. P., & De Vogli, R. (2016). Low wages as occupational health hazards. Journal of Occupational and Environmental Medicine, 58(5), 444-447.
  30. Loh, F. F. (2019, Oct 31). Heart attack leading cause of death. Retrieved from https://www.thestar.com.my/news/nation/2019/10/31/ heart-attack-leading-cause-of-death.
  31. Maceda, C. (2017, January 15). Rise in living costs top cause of stress, but UAE residents ‘satisfied’ with life. Retrieved from https://www.gulfnews.com
  32. Martin, D., & Joomis, K. (2007). Building teachers: a constructivist approach to introducing. Education. Belmont, CA: Wadsworth
  33. Mccarthy, Y. (2011). Behavioral characteristics and financial distress. Working Paper Series, 1303, European Central Bank.
  34. Monteiro, C. A., Moura, E. C., Conde, W. L., & Popkin, B. M. (2004). Socioeconomic status and obesity in adult populations of developing countries: a review. Bulletin of the World Health Organization, 82(12), 940–946.
  35. Moran, K. E., Ommerborn, M. J., Blackshear, C. T., Sims, M., & Clark, C. R. (2019). Financial stress and risk of coronary heart disease in the Jackson heart study. American Journal of Preventive Medicine, 56(2), 224–231.
  36. Muhammad Zubair, T. (2019). Smoking and its risks in Saudi Arabia: Literature review. Hamdan Medical Journal. DOI: 10.4103/2227-2437.241549.
  37. NAHP (2004). Housing affordability: A summary of evidence and issues in measurement, national affordable housing project. Report prepared for AHURI and Policy Research Working Group.
  38. Ng, S. M., Yeung, C. H., & Gao, S. (2019). A concise self-report scale can identify high expressed emotions and predict higher relapse risk in schizophrenia. Comprehensive Psychiatry, 89, 1–6.
  39. Nobari, T. Z., Whaley, S. E., Blumenberg, E., Prelip, M. L., & Wang, M. C. (2019). Severe housing-cost burden and obesity among preschool-aged low-income children in Los Angeles County. Preventive Medicine Reports, 13, 139–145.
  40. Osman, Z., Madzlan, E. M., & Ing, P. (2018). In pursuit of financial well-being: The effects of financial literacy, financial behaviour and financial stress on employees in Labuan. International Journal of Service Management and Sustainability, 3(1), 56-94.
  41. Pallant, J. (2016). SPSS survival manual: A step by step guide to data analysis using IBM SPSS. (6th Ed.). Crows Nest. NSW: Allen &Unwin.
  42. Rachell, P. (2017). University debts so high students are suffering ‘increased mental health problems’ and ‘can’t afford food’. Retrieved from https://www.independent.co.uk/student/news/ university-debts-so-high-students-suffering-increased-mental-health-problems-cant-afford-food-a7587656.html
  43. Rahman, M., Akter, S., Zohora, F. T., & Shibly, A. Z. (2019). Public knowledge of cardiovascular disease and its risk factors in Tangail, Bangladesh: A cross-sectional survey. International Journal of Community Medicine and Public Health, 6(5), 1838-1842.
  44. Rehkopf, D. H., Burmaster, K., Landefeld, J. C., Adler-Milstein, S., Flynn, E. P., Acevedo, M. C., & Fernald, L. C. H. (2018). The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country. BMC Public Health, 18(179), https://doi.org/10.1186/s12889-018-5052-2.
  45. Rodgers, J., Briesacher, B. A., Wallace, R. B., Kawachi, I., Baum, C. F., & Kim, D. (2019). County-level housing affordability in relation to risk factors for cardiovascular disease among middle-aged adults: The National Longitudinal Survey of Youths 1979. Health & Place, 59, doi:10.1016/j.healthplace.2019.10219.
  46. Ross, J. S., Bradley, E. H., & Busch, S. H. (2006) Use of health care services by lower income and higher-income uninsured adults. JAMA, 295, 2027–2036.
  47. Rowley, S., Ong, R., & Haffner, M. (2015). Bridging the gap between housing stress and financial stress: The Case of Australia. Housing Studies, 30(3), 473-490.
  48. Safford, M. M., Reshetnyak, E., Sterling, M. R., Richman, J. S., Muntner, P. M., Durant, R. W., Booth, J., & Pinheiro, L. C. (2021). Number of social determinants of health and fatal and nonfatal incident coronary heart disease in the REGARDS study. Circulation, 1, 143:244–253. https://doi.10.1161/ Circulationaha.120.048026
  49. Sun, L., Zhuang, L. P., Li, X. Z., Zheng, J., & Wu, W. F. (2019). Tai Chi can prevent cardiovascular disease and improve cardiopulmonary function of adults with obesity aged 50 years and older. Medicine (Baltimore), 98(42), 1-5.
  50. Surendran, S. (2018). Household across Malaysia face ‘different realities’ on income. The Edge, Retrieved from https://www. theedgemarkets.com/article/households-across-malaysia-face-different-realities-income-0
  51. The World Bank (2020). Aspirations unfulfilled: Malaysia’s cost of living challenges. Retrieved from https://www.worldbank.org/ en/country/malaysia/publication/
  52. Usman, S., Akbar, M. T., & Ramzan, M. (2013). Effect of salary and stress on job satisfaction of teachers in district Sialkot, Pakistan. IOSR Journal of Humanities and Social Science (IOSR-JHSS), 15(2), 68-74.
  53. Vidyattama, Y., Tanton, R., & Nepal, B. (2013). The effect of transport costs on housing-related financial stress in Australia. Urban Studies, 50(9), 1779–1795.
  54. Vijayashree, J., & Parveen Sultana, H. (2020). Heart disease classification using hybridized Ruzzo-Tompa memetic based deep trained Neocognitron neural network. Health and Technology, 10, 207–216.
  55. Wang, X., Zhang, T., Wu, J., Yin, S., Nan, X., Du, M., Liu, A., & Wang, P. (2019). The association between socioeconomic status, smoking, and chronic disease in inner Mongolia in Northern China. International Journal of Environmental Research and Public Health, 16, 169.Wenger, N. K. (2014). Prevention of cardiovascular disease: Highlights for the clinician of the 2013 American College of Cardiology/American Heart Association guidelines. Clinical Cardiology, 37, 239–51.
  56. Williams, G. (2016). Studying the effects of student poverty. Retrieved from https://www.nst.com.my/news/2016/01/123401/studying-effects-student-poverty
  57. Wong, K., Chan, A. H. S., & Ngan, S. C. (2019). The effect of long working hours and overtime on occupational health: A meta-analysis of evidence from 1998 to 2018. Int J Environ Res Public Health, 16(12), 1-22.
  58. Wong, S. K., Ahmad, N., & Kamisah, I. (2015). Education loan repayment and performances: The Malaysian graduates perspectives. Journal of Southeast Asia Studies, 20, 158-172.
  59. Woolf, H. S., Aron, L., Dubay, L., Simon, S. M., Zimmerman, E., & Luk, K. X. (2015). How are income and wealth linked to health and longevity? Urban Institute. Retrieved from webarchive. urban.org/UploadedPDF/2000178.
  60. World Health Organization (2018, March 9). Tobacco. Retrieved from https://www.who.int/news-room/fact-sheets/detail/tobacco
  61. World Health Organization (2017, May 17). Cardiovascular diseases (CVDs). Retrieved from https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  62. Yang, R., Wang, Y., Wang, B., & Gong, L. (2019). Exploring the pan-relationship between disease and symptom related to coronary heart disease from Chinese electronic medical records. Proceedings of the 15th Int Con ICIC 2019 (pp. 235–243). China: Springer.
  63. Yates, J. (2007). Housing affordability and financial stress, Australian Housing and Urban Research Institute, Sydney Research Centre, Research Paper No 6.
  64. Yong, K. C. & Mahadir Naidu, B. (2012). Exploring Factors Influencing Smoking Behaviour in Malaysia. Asian Pacific Journal of Cancer Prevention, 13, 1125-1130. doi.org/10.7314/ APJCP.2012.13.4.1125
  65. Zainal, N. R., & Ismail, N. (2012). Debt composition and attitude towards education loan among Malaysian graduates. Procedia - Social and Behavioral Sciences, 36, 280-286.
  66. Zamri, A. M. (2019). Homeownership gaps among the middle-income group in Malaysia. Journal of Science, Technology and Innovation Policy, 5(2), 50-62.

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