Overcrowded housing reduces COVID-19 mitigation measures and lowers emotional health among San Diego refugees from September to November of 2020.
Overcrowded housing reduces COVID-19 mitigation measures and lowers emotional health among San Diego refugees from September to November of 2020.
复制标题
DOI：
10.1371/journal.pone.0286993
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
难民社区容易受到住房不安全的影响，这在历史上被边缘化的人口中造成了许多健康差距。COVID-19大流行只会加剧美国持续的经济适用房危机，同时继续凸显不同人群之间的健康状况差异。我们在2019冠状病毒病疫情最严重的时候对圣地亚哥县的难民和寻求庇护者进行了访谈调查，以了解2019冠状病毒病在美国最大的难民社区之一的社会影响和驱动因素。一个以社区为基础的难民倡导和研究组织的工作人员从2020年9月至11月管理了这些调查。544名受访者参与了这项调查，该调查反映了圣地亚哥难民社区的多样性，包括东非（38%），中东（35%），阿富汗（17%）和东南亚（11%）参与者。近三分之二的受访者（65%）表示居住在过度拥挤的条件下（每个房间超过1人），30%的人居住在严重拥挤的条件下（每个房间超过1.5人）。每个房间每增加一个人，自我报告的不良情绪健康就会增加。相反，家庭规模与报告情绪健康状况不佳的可能性较低有关。拥挤的住房与获得COVID-19诊断检测的概率较低显著相关，每个房间每增加一个报告的人，从未获得COVID-19检测的概率就增加约11%。获得负担得起的住房具有最大的效应量，并且与每个房间的人数较少有关。过度拥挤的住房是一种结构性负担，减少了COVID-19风险缓解行为。改善获得负担得起的住房单位或领取住房券的机会，可以减少脆弱难民社区过度拥挤的住房。
Refugee communities are vulnerable to housing insecurity, which drives numerous health disparity outcomes in a historically marginalized population. The COVID-19 pandemic has only worsened the ongoing affordable housing crisis in the United States while continuing to highlight disparities in health outcomes across populations. We conducted interviewer-administered surveys with refugee and asylum seekers in San Diego County at the height of the COVID-19 pandemic to understand the social effects and drivers of COVID-19 in one of the largest refugee communities in the United States. Staff from a community-based refugee advocacy and research organization administered the surveys from September—November 2020. 544 respondents participated in the survey, which captured the diversity of the San Diego refugee community including East African (38%), Middle Eastern (35%), Afghan (17%), and Southeast Asian (11%) participants. Nearly two-thirds of respondents (65%) reported living in overcrowded conditions (> 1 individual per room) and 30% in severely crowded conditions (> 1.5 individuals per room). For each additional person per room, self-reported poor emotional health increased. Conversely, family size was associated with a lower likelihood of reporting poor emotional health. Crowded housing was significantly associated with a lower probability of accessing a COVID-19 diagnostic test, with every additional reported person per room there was approximately an 11% increase in the probability of having never accessed a COVID-19 testing. Access to affordable housing had the largest effect size and was associated with fewer people per room. Overcrowding housing is a structural burden that reduces COVID-19 risk mitigation behaviors. Improved access to affordable housing units or receiving vouchers could reduce overcrowded housing in vulnerable refugee communities.
登录
查看更多内容
影响因子：
5.2
作者：
Ghosh AK;Venkatraman S;Soroka O;Reshetnyak E;Rajan M;An A;Chae JK;Gonzalez C;Prince J;DiMaggio C;Ibrahim S;Safford MM;Hupert N
通讯作者：
Hupert N
影响因子：
3.8
作者：
Clark, Eva;Fredricks, Karla;Weatherhead, Jill
通讯作者：
Weatherhead, Jill
影响因子：
3.7
作者：
Fielding-Miller RK;Sundaram ME;Brouwer K
通讯作者：
Brouwer K
影响因子：
6.3
作者：
Daras K;Alexiou A;Rose TC;Buchan I;Taylor-Robinson D;Barr B
通讯作者：
Barr B
影响因子：
6.7
作者：
Fiedler, Rob;Schumman, Nadine;Hyndman, Jennifer
通讯作者：
Hyndman, Jennifer