How unpredictable pay affects stress and long-term health

Unstable Income, Rising Stress? The Effects of Income Instability on Psychological and Physiological Health

NIH-funded research Cornell University · NIH-11398356

This project tests whether unpredictable, unstable income harms the mental and physical health of low-income adults in southwestern Bangladesh.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionCornell University NIH-funded
Lab location1 site (Ithaca, United States)
Project IDNIH-11398356 on NIH RePORTER

What this research studies

If you join, researchers will work with low-income adults in southwestern Bangladesh and deliberately change how steady your payments are to see what happens. They will track mood and mental health (like depression and anxiety), stress hormones such as cortisol, blood pressure, and markers of cellular aging. The team will compare predictable versus unpredictable payment schedules, look at whether simply raising average income has different effects, and study pathways like spending, sleep, and other behaviors. They will also check whether effects differ by age, gender, or pre-existing mental health.

Who could benefit from this research

Good fit: Adults with low and unstable incomes living in the study area of southwestern Bangladesh would be the ideal participants.

Not a fit: People with stable incomes, those who do not live in the study region, or those without low socioeconomic risk may not receive direct benefit from this project.

Why it matters

Potential benefit: If successful, the findings could show that stabilizing incomes improves mental and physical health and support policies that reduce income volatility.

How similar studies have performed: Previous cash transfer trials have found health and wellbeing gains, but randomized tests specifically manipulating income instability are relatively novel.

Where this research is happening

Ithaca, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.