This study provides new evidence that individuals who lost a family member to COVID-19 report greater declines in their perceived economic stability and certainty, even nearly four years after the loss. While previous research has demonstrated that bereavement due to COVID-19 is associated with increased psychological distress, depression, and anxiety, our findings extend this body of work by showing that such losses may also result in a prolonged erosion of people’s sense of financial security.
The COVID-19 pandemic has placed an immense burden on United States college students, who already face considerable academic and social stress. In addition to these existing challenges, many students have been directly affected by the virus — through personal illness, the death of loved ones, or pandemic-induced financial hardship. These stressors have had serious implications for mental health, yet the full extent of their impact — particularly in terms of racial disparities — remains underexplored. A study analyzing data from 65,568 undergraduate students participating in the Spring 2021 American College Health Association-National College Health Assessment (ACHA-NCHA) found that COVID-19-related stressors were not evenly experienced across racial groups. Logistic regression analyses indicated that students who experienced the death of a loved one due to COVID-19 had a 1.14 times greater likelihood of developing moderate to serious psychological distress, while those facing financial hardship had an even higher odds ratio of 1.78. Surprisingly, students who tested positive for the virus were slightly less likely to report psychological distress, with an odds ratio of 0.82. These findings suggest that indirect consequences of the pandemic, such as bereavement and financial strain, are more impactful on student mental health than the physical experience of illness itself. However, limitations such as the cross-sectional nature of the study and reliance on self-reported data mean that causal conclusions cannot be drawn. Still, the research highlights a clear need for colleges and universities to address the broader emotional and economic fallout of the pandemic by prioritizing support systems for students coping with grief and financial instability (
14).
Another study explored the impact of pandemic-related family economic hardships on the mental health of adolescents in Korea during the COVID-19 crisis. Using data from 54,948 participants in the 2020 Korea Youth Risk Behavior Web-Based Survey, researchers conducted multiple logistic regression analyses to assess the relationship between financial strain and mental health outcomes, specifically anxiety, depressive symptoms, and suicidal ideation. Findings showed that 39.7% of adolescents reported slight economic hardship, 24.7% reported moderate hardship, and 5.9% experienced severe hardship. Results indicated a significant link between economic hardship and increased risk of mental health issues, with adolescents from families experiencing financial difficulties being more likely to report symptoms of anxiety, depression, and suicidal thoughts. This association was especially pronounced among those from low to middle socioeconomic backgrounds. Overall, the study highlights the heightened vulnerability of economically disadvantaged adolescents to the long-term psychological effects of the pandemic’s financial fallout (
21).
The global economic instability caused by the COVID-19 pandemic has led to the loss of employment for millions of people, leaving many individuals not only to cope with the immediate emotional impact of job loss but also to face the ongoing stress and uncertainty of searching for new work. It is emphasized that psychological trauma can arise from both unemployment and the job search process, urging psychologists to pay closer attention to the effects of work–life spillover as the world continues to recover from the pandemic’s aftermath (
22).
The COVID-19 pandemic has caused a significant rise in mortality across the United States and globally, resulting in countless individuals mourning the sudden loss of close family members. To quantify this impact, researchers developed a measure called the COVID-19 bereavement multiplier, which estimates the average number of people who lose a close relative — defined as a grandparent, parent, sibling, spouse, or child — for each death caused by the virus. Using demographic microsimulations of United States kinship networks, along with the well-documented age-based mortality patterns of COVID-19 and various infection prevalence scenarios, a study calculated bereavement multipliers for both White and Black Americans. The findings of that study revealed that each COVID-19 death leaves about nine close relatives in mourning, meaning that if 190,000 Americans die from the virus, around 1.7 million people would grieve the loss of a close family member. These estimates remain consistent regardless of infection levels, total deaths, or their distribution, allowing researchers to track the emotional and familial burden of the pandemic alongside its mortality figures. Such studies offer detailed bereavement multipliers by age group, relationship type, and racial background, highlighting disparities in the impact of loss. Ultimately, the bereavement multiplier serves as a powerful tool to understand and monitor the broad and lasting emotional consequences of the pandemic across American families and can also be adapted to measure the impact of other causes of death (
23).
Public health measures aimed at controlling the spread of COVID-19 have increasingly been recognized for their unintended consequences on socioeconomic security and health disparities, disproportionately affecting the most vulnerable populations. A longitudinal study investigated the medium- to long-term effects of the pandemic and related restrictions on financial security among families living in Bradford, a deprived and ethnically diverse city. Data were collected at four points before and during the pandemic from mothers enrolled in two prospective birth cohort studies. Results reveal a sharp increase in financial insecurity during the pandemic, which has yet to return to pre-pandemic levels. Key predictors of financial insecurity included homeowner status, eligibility for free school meals, and unemployment, while protective factors included residing in more affluent areas, higher educational attainment, and households with two or more adults. Notably, families of Pakistani heritage were at the highest risk for financial insecurity throughout the pandemic. The study found strong links between financial insecurity and maternal health outcomes, with financially insecure mothers more likely to report poor general health and significant symptoms of depression and anxiety. Such findings highlight the severe and widespread impact of financial insecurity on vulnerable families during the pandemic. In light of ongoing challenges such as the cost of living and energy crises, these studies underscore the urgent need for policymakers to implement support measures aimed at preventing further exacerbation of existing social and health inequalities (
24).
A cohort study investigated the relationship between severe COVID-19 outcomes, post-COVID-19 conditions, and pandemic-related economic hardship among families in the United States, considering their socioeconomic status prior to the pandemic. Utilizing data from 6,932 families participating in the nationally representative Panel Study of Income Dynamics (PSID) in both 2019 and 2021, the study categorized families based on whether the head of household or their partner had a positive COVID-19 diagnosis with persistent symptoms, previous severe COVID-19, or mild to moderate/asymptomatic infection, compared to families with no COVID-19 history. Key outcomes measured included layoffs or furloughs, lost earnings, and financial difficulties attributable to the pandemic. Results of the study showed that about 27% of families reported incomes below twice the poverty threshold. Adjusted regression analyses revealed that families with an adult experiencing persistent COVID-19 symptoms faced significantly higher odds — ranging from nearly two to almost four times — of economic hardship, including layoffs, earnings loss, and financial strain. Families with a history of severe COVID-19 also had increased odds, although to a lesser degree. Importantly, financial difficulties linked to persistent symptoms were elevated regardless of families’ pre-pandemic income levels, whereas severe COVID-19 was primarily associated with economic hardship among lower-income families. These findings all show that persistent COVID-19 symptoms and severe illness contribute to heightened economic vulnerability, with lower-income families disproportionately affected by employment and income disruptions following a family member’s illness (
25).
Importantly, this study did not measure objective indicators such as job loss, income level, or poverty status. Rather, our focus was on how individuals feel about their financial situation — whether they perceive their financial life as stable, predictable, and sufficient to support their current and future needs. This subjective sense of economic security is known to have strong associations with well-being, stress, and long-term mental health. Our findings suggest that the emotional impact of losing a family member to COVID-19 may spill over into the economic domain, altering individuals’ confidence in their financial stability long after the acute phase of the pandemic has passed.
Several potential pathways may explain the observed association between loss of a family member and financial insecurity. The death of a close relative may result in direct financial burdens, such as funeral costs, outstanding medical bills, or the loss of shared income and caregiving responsibilities. But even beyond these tangible losses, individuals may experience disruptions in long-term financial planning, household budgeting, or the emotional resilience needed to navigate future economic uncertainty. Financial worry, when sustained over time, can further diminish confidence in one's financial outlook, creating a cycle of perceived instability that may not be fully explained by income or employment status alone.
Our findings build on, but differ from, prior research in several key ways. First, while numerous studies have documented the emotional toll of pandemic bereavement, very few have explored the long-term economic consequences as experienced by the bereaved themselves. Second, most pandemic-related economic research has focused on employment trends or national indicators rather than individual-level perceptions of financial stability. By focusing on subjective financial certainty, we identify an important and personal aspect of recovery that has likely gone unnoticed in broader economic reports. This suggests that pandemic-related losses may continue to shape lives in invisible but deeply felt ways.
From a policy perspective, these findings underscore the importance of extending the scope of COVID-19 recovery to include not just physical health and employment but also financial well-being as perceived by individuals. Support services should consider grief-related financial stress, not only in terms of income supplementation but also through counseling, financial education, and mental health services that help individuals rebuild a sense of security and future orientation.
5.1. Conclusions
In conclusion, this study reveals that losing a family member to COVID-19 is associated not only with emotional grief but also with a prolonged decline in perceived financial stability. As the world continues to recover from the pandemic, it is critical to recognize and address the long-lasting economic and emotional burdens carried by those who experienced personal loss. Supporting their recovery will require a broader understanding of financial well-being — one that includes not just income and employment, but also how secure people feel about their future.
5.2. Limitations
There are several limitations to consider. First, our measure of financial stability is subjective and may vary based on cultural norms, personality traits, or country context. Second, while we adjust for baseline socioeconomic factors, unmeasured confounders such as pre-pandemic financial vulnerability, household composition, or ongoing caregiving responsibilities may influence the results. Third, we lack detailed information on the role the deceased played in the household’s financial structure — such as whether they were the primary income earner or a dependent — which could moderate the observed effects.
5.3. Future Research Directions
Future research should explore whether certain subgroups — such as women, single parents, or individuals in informal labor markets — experience more pronounced financial insecurity following bereavement. Additionally, investigating the relationship between perceived economic instability and mental health over time could help identify compounding effects of grief on both economic and psychological dimensions.