US Housing Insecurity and the Health of Very Young Children
US Housing Insecurity and the Health of Very Young Children
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DOI：
10.2105/ajph.2011.300139
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发表时间：
2011-08-01
影响因子：
12.7
通讯作者：
Frank, Deborah A.
中科院分区：
文献类型：
--
作者：
Cutts, Diana Becker;Meyers, Alan F.;Frank, Deborah A.
目标.我们调查了住房不安全与幼儿健康之间的关系。在1998年至2007年期间，我们采访了22069名低收入的照顾者，他们的孩子年龄小于3岁，在美国7个城市医疗中心就诊。我们评估了每个儿童家庭的粮食不安全、儿童健康状况、发育风险、体重和住房不安全。我们的住房不安全指标是拥挤（>2人/卧室或> 1个家庭/住所）和多次搬家（前一年内2次搬家）。调整协变量后，与安全居住相比，拥挤与家庭粮食不安全相关（调整后的比值比[AOR]=1.30; 95%置信区间[Cl]=1.18，1.43），多次搬家也是如此（AOR=1.91; 95% CI =1.59，2.28）。拥挤也与儿童食物不安全有关（AOR=1.47; 95% CI =1.34，1.63），多次搬家也是如此（AOR=2.56; 95% CI =2.13，3.08）。多次搬家与儿童健康状况一般或较差（AOR=1.48; 95% CI =1.25，1.76）、发育风险（AOR 1.71; 95% CI =1.33，2.21）和年龄别体重z评分较低（-0.082 vs -0.013; P= 0.02）相关。住房不安全与幼儿健康状况差、体重较轻和发育风险有关。减少住房不安全的政策可以促进幼儿的健康，应该是一个优先事项。(Am J公共卫生。2011;101：1508-1514. doi：10.2105/AJPH.2011.300139）
Objectives. We investigated the association between housing insecurity and the health of very young children.Methods. Between 1998 and 2007, we interviewed 22069 low-income care-givers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (>2 people/bedroom or > 1 family/residence) and multiple moves (2 moves within the previous year).Results. After adjusting for covariates, crowding was associated with household food insecurity compared with the securely housed (adjusted odds ratio [AOR]=1.30; 95% confidence interval [Cl]=1.18, 1.43), as were multiple moves (AOR=1.91; 95% Cl=1.59, 2.28). Crowding was also associated with child food insecurity (AOR=1.47; 95% Cl=1.34, 1.63), and so were multiple moves (AOR=2.56; 95% Cl=2.13, 3.08). Multiple moves were associated with fair or poor child health (AOR=1.48; 95% Cl=1.25, 1.76), developmental risk (AOR 1.71; 95% Cl=1.33, 2.21), and lower weight-for-age z scores (-0.082 vs -0.013; P=.02).Conclusions. Housing insecurity is associated with poor health, lower weight, and developmental risk among young children. Policies that decrease housing insecurity can promote the health of young children and should be a priority. (Am J Public Health. 2011;101:1508-1514. doi:10.2105/AJPH.2011.300139)