When pay is unstable: effects on stress, blood pressure, and cellular aging

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

['FUNDING_R01'] · CORNELL UNIVERSITY · NIH-11398357

This project changes how and when low-income adults in southwestern Bangladesh get paid to learn whether unpredictable income raises stress, worsens mood, and harms physical health.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorCORNELL UNIVERSITY (nih funded)
Locations1 site (ITHACA, UNITED STATES)
Trial IDNIH-11398357 on ClinicalTrials.gov

What this research studies

If you join, researchers will enroll adults from low-income households in southwestern Bangladesh and vary the timing and predictability of payments you receive. They will collect surveys about mood and anxiety, measure stress biomarkers (like cortisol), take blood pressure readings, and collect samples to look for signs of cellular aging. The team will compare predictable versus unpredictable income patterns and also compare changes in predictability with changes in average pay. They will examine whether age, gender, or prior mental health change how income patterns affect health.

Who could benefit from this research

Good fit: Ideal participants are adults living in low-income households in southwestern Bangladesh who experience unstable or unpredictable earnings.

Not a fit: People with steady, predictable incomes or who do not live in the study region would not be eligible and unlikely to benefit directly from participation.

Why it matters

Potential benefit: If successful, the results could show that stabilizing income reduces stress and improves mood and physical markers such as blood pressure and cellular aging, informing policies and programs to protect health.

How similar studies have performed: Previous cash-transfer and income-support trials have improved mental health and some physical measures, but experiments that deliberately change income predictability and measure physiological aging are relatively new.

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.

View on NIH RePORTER →

Last reviewed 2026-05-15 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.