Housing instability and health: Findings from the Michigan recession and recovery study
Housing instability and health: Findings from the Michigan recession and recovery study
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DOI：
10.1016/j.socscimed.2012.08.020
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发表时间：
2012-12-01
影响因子：
5.4
通讯作者：
Zelner, Sarah
中科院分区：
文献类型：
--
作者：
Burgard, Sarah A.;Seefeldt, Kristin S.;Zelner, Sarah
2000年代末的经济衰退增加了人们对住房不稳定后果的兴趣。以前的研究表明，经历住房不稳定的人健康状况较差，但现有的研究通常侧重于选定的人群（例如，房主或租房者），或者只研究一种住房不稳定（例如，无家可归）。根据密歇根经济衰退和复苏研究的最新数据，我们发现大约三分之一的受访者最近经历了某种类型的住房不稳定。密歇根经济衰退和复苏研究是2009年底至2010年初在美国密歇根州东南部进行的一项以人口为基础的工作年龄成年人样本。许多（但不是全部）类型的不稳定都与健康有关。即使在对社会人口特征和早期健康状况进行调整后，在过去三年中因成本原因搬家的个人比没有住房不稳定的人更有可能报告最近的焦虑发作，而在过去一年中无家可归的人更有可能报告自我评价健康状况一般/较差，并符合严重或轻微抑郁症的标准。拖欠租金的租房者更有可能符合抑郁的标准，而拖欠抵押贷款或丧失抵押品赎回权的抵押贷款持有人更有可能报告自己的健康状况一般/较差或最近焦虑发作。在曾经拥有房屋的受访者中，那些最近完成了止赎的人更有可能报告或多或少的抑郁或焦虑发作。然而，频繁的搬家与较差的健康状况无关，在调整了将人们分类为不同住房不稳定经历的特征后，加倍和驱逐与较差的健康状况无关。我们的研究结果表明，考虑多种类型的住房不稳定，并使用适当的风险群体和比较类别的重要性。(C) 2012 Elsevier Ltd.版权所有。
The recession of the late 2000s has increased interest in the consequences of housing instability. Previous research has shown poorer health among those experiencing housing instability, but extant studies generally have focused on selected populations (e.g., homeowners or renters) or studied only one type of housing instability (e.g. homelessness). Using new data from the Michigan Recession and Recovery Study, a population-based sample of working-aged adults from Southeastern Michigan, U.S.A., in late 2009 -early 2010, we found that about one-third of respondents recently experienced some type of housing instability. Many, but not all, types of instability were associated with health. Even after adjustment for sociodemographic characteristics and earlier health, individuals who had moved for cost reasons in the past three years were more likely than those with no housing instability to report a recent anxiety attack, while those who experienced homelessness in the past year had a higher likelihood of reporting fair/poor self-rated health and of meeting criteria for major or minor depression. Renters behind on rental payments were more likely to meet criteria for depression, while mortgage-holders behind on their mortgage or in foreclosure had a higher likelihood of reporting fair/poor self-rated health or a recent anxiety attack. Among respondents who had ever owned a home, those who completed a foreclosure recently were more likely to report major or minor depression or an anxiety attack. However, frequent moves were not associated with poorer health, and doubling up and eviction were not associated with poorer health after adjustment for characteristics that sort people into different housing instability experiences. Our findings suggest the importance of considering multiple types of housing instability and using appropriate risk groups and comparison categories. (C) 2012 Elsevier Ltd. All rights reserved.