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Financial Fraud, Mental Health, and Quality of Life: A Study on the Population of the City of Madrid, Spain

Faculty of Psychology, National University for Distance Education (UNED), 28015 Madrid, Spain
Joint Research Institute IMIENS, 28029 Madrid, Spain
National School of Public Health, Carlos III Institute of Health, 28029 Madrid, Spain
Institute of Public Health, Madrid Salud, City Council of Madrid, 28029 Madrid, Spain
CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
Research Network on Health Services and Chronicity (REDISSEC), 48010 Bilbao, Spain
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(18), 3276;
Received: 27 July 2019 / Revised: 31 August 2019 / Accepted: 4 September 2019 / Published: 6 September 2019
(This article belongs to the Special Issue Economic Crisis and Health)
Over the past few decades, the financial system has engaged in abusive practices that meet the definition of fraud. Our objective is to compare the prevalence of psychological distress and levels of health-related quality of life according to having been exposed to financial fraud and its economic impact on family finances. The City of Madrid Health Survey 2017 included specific questions on exposure to financial fraud—this section was administered to half of the participants (n = 4425). Mental health need or caseness was defined by a score greater than two on the 12-item version of the Goldberg health questionnaire. Health-related quality of life was assessed by the Darmouth Coop Functional Health Assessment Charts/WONCA (COOP/WONCA). The prevalence of financial fraud was 10.8%. The prevalence rate ratio for caseness of those who experienced severe economic impact due to fraud was 1.62 (95%, CI 1.17–2.25; reference: no fraud), after adjustment by age, sex, social class, and immigrant status. Women experienced a decreased quality of life, even with a moderate impact of fraud, while men experienced a decreased quality of life related to fraud with severe economic impact. The current study contributes to a growing body of literature showing the effects of economic shocks on health as a result of financial fraud. View Full-Text
Keywords: mental health; quality of life; fraud; financial fraud; Spain mental health; quality of life; fraud; financial fraud; Spain
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Sarriá, E.; Recio, P.; Rico, A.; Díaz-Olalla, M.; Sanz-Barbero, B.; Ayala, A.; Zunzunegui, M.V. Financial Fraud, Mental Health, and Quality of Life: A Study on the Population of the City of Madrid, Spain. Int. J. Environ. Res. Public Health 2019, 16, 3276.

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