RB 5-18 Theories of Financial Hardship and Measures of the Construct in Health Datasets: Empirical Applications for Illinois and the Metro/Nonmetro Populations of the Nation

This paper shows how the construct “financial hardship” should be measured based on its role in the theory.  Theories from economics, psychology, and sociology guided the search for existing measures of the construct in published databases such as the Medicare Beneficiary Survey. Results of data analysis show that perceptual measures of financial hardship such as the ones in the Medicare Beneficiary Survey lack content validity – the semantic correspondence of the measures with the construct’s definition is inadequate.