Housing Instability and Alcohol Problems during the 2007-2009 US Recession: the Moderating Role of Perceived Family Support
Housing Instability and Alcohol Problems during the 2007-2009 US Recession: the Moderating Role of Perceived Family Support
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DOI：
10.1007/s11524-013-9813-z
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发表时间：
2014-02-01
影响因子：
6.6
通讯作者：
Mulia, Nina
中科院分区：
文献类型：
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作者：
Murphy, Ryan D.;Zemore, Sarah E.;Mulia, Nina
2007-2009年美国经济衰退的特点是住房市场出现了前所未有的不稳定，人们对这种不稳定对酒精问题的影响知之甚少。虽然之前的研究已经将无家可归与酗酒和滥用酒率的增加联系在一起，但经济衰退期间住房不稳定影响的人口比例要大得多，通常不会导致无家可归。这项研究使用了具有全国代表性的美国成年人样本，考察了经济衰退期间住房不稳定与饮酒结果之间的联系。此外，我们评估这种联系是否受到感知到的家庭支持的影响。在多变量负二项回归中，付不起房租/抵押贷款(对稳定的住房)和失去(对稳定的)住房都与经历更多的负面饮酒后果和酒精依赖症状有关。然而，这些联系被感知到的家庭支持所缓和。与那些感知家庭支持较低的参与者相比，感知家庭支持较高的参与者报告的酒精问题相对较少，无论住房是否不稳定。此外，虽然在单变量模型中，失业与酒精问题密切相关，但在包括住房不稳定指标的多变量模型中，没有观察到失业和酒精结果之间的显著关联。调查结果指出了非正式安全网的重要性，并建议在经济衰退期间加强酒精筛查和预防滥用的努力，特别是在那些经历住房不稳定的人。
The 2007-2009 US economic recession was marked by unprecedented rates of housing instability and relatively little is known about how this instability impacted alcohol problems. While previous studies have linked homelessness to increased rates of alcohol use and abuse, housing instability during a recession impacts a much larger segment of the population and usually does not result in homelessness. Using a nationally representative sample of US adults, this study examines the association between housing instability during the recession and alcohol outcomes. Additionally, we assess whether this association is moderated by perceived family support. In multivariate negative binomial regressions, both trouble paying the rent/mortgage (vs. stable housing) and lost (vs. stable) housing were associated with experiencing more negative drinking consequences and alcohol dependence symptoms. However, these associations were moderated by perceived family support. In contrast to those with low perceived family support, participants with high perceived family support reported relatively few alcohol problems, irrespective of housing instability. Furthermore, while job loss was strongly associated with alcohol problems in univariate models, no significant associations between job loss and alcohol outcomes were observed in multivariate models that included indicators of housing instability. Findings point to the importance of the informal safety net and suggest that alcohol screening and abuse prevention efforts should be intensified during periods of recession, particularly among those who experience housing instability.