A Case–Control Study of Home Foreclosure, Health Conditions, and Health Care Utilization
A Case–Control Study of Home Foreclosure, Health Conditions, and Health Care Utilization
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房屋止赎、健康状况和医疗保健利用的病例对照研究
DOI：
10.1007/s11524-011-9564-7
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
J. Lynch
中科院分区：
文献类型：
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作者：
C. Pollack;S. Kurd;A. Livshits;M. Weiner;J. Lynch
Though rates of foreclosure are at a historic high, relatively little is known about the link between foreclosure and health. We performed a case–control study to examine health conditions and health care utilization in the time period prior to foreclosure.将 2005 年至 2008 年收到房屋止赎通知的房主与费城的大学医院系统进行匹配（按姓名和地址），并与从医院系统接受护理且与病例居住在同一邮政编码的对照组进行比较。 Outcome measures included prevalent health conditions and visit history in the 2 years prior to foreclosure.我们发现，丧失抵押品赎回权的人在年龄、性别和保险状况方面与对照者相似，但明显更有可能是非裔美国人。 Rates of hypertension and renal disease were significantly higher among cases after adjustment for sociodemographic characteristics.在丧失抵押品赎回权之前的两年里，病例更有可能去急诊室、门诊就诊和缺席预约。 Cases were less likely to have a primary care physicians (PCP) visit in the 6 months immediately prior to the receipt of a foreclosure notice. The results suggest changes in health care utilization in the time period prior to foreclosure.旨在减少房屋丧失抵押品赎回权发生率并在此过程中为人们提供支持的政策应考虑其与健康状况不佳和医疗保健利用变化的关系。
Though rates of foreclosure are at a historic high, relatively little is known about the link between foreclosure and health. We performed a case–control study to examine health conditions and health care utilization in the time period prior to foreclosure. Homeowners who received a home foreclosure notice from 2005 to 2008 were matched (by name and address) to a university hospital system in Philadelphia and compared with controls who received care from the hospital system and who lived in the same zip code as cases. Outcome measures included prevalent health conditions and visit history in the 2 years prior to foreclosure. We found that people undergoing foreclosure were similar to controls with regard to age, gender, and insurance status but significantly more likely to be African American. Rates of hypertension and renal disease were significantly higher among cases after adjustment for sociodemographic characteristics. In the 2 years prior to foreclosure, cases were more likely to visit the emergency department, have an outpatient visit, and have a no-show appointment. Cases were less likely to have a primary care physicians (PCP) visit in the 6 months immediately prior to the receipt of a foreclosure notice. The results suggest changes in health care utilization in the time period prior to foreclosure. Policies designed to decrease the incidence of home foreclosure and support people during the process should consider its association with poor health and changes in health care utilization.