Depressive Symptomology and Hostile Affect among Latinos Using Housing Rental Assistance: the AHOME Study

Depressive Symptomology and Hostile Affect among Latinos Using Housing Rental Assistance: the AHOME Study
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DOI:
10.1007/s11524-015-9965-0
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发表时间:
2015-08-01
影响因子:
6.6
通讯作者:
Rosenbaum, Emily
Rosenbaum, Emily
中科院分区:
医学2区
文献类型:
--
作者:
Chambers, Earle C.;Fuster, Damaris;Rosenbaum, Emily

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研究表明,那些居住在获得联邦住房券补贴的家庭中的人比居住在公共住房的居民表现出更少的心理健康问题。住房条件和社区质量在这种关系中的作用尚不清楚。这项研究调查了居住在纽约布朗克斯的低收入拉丁裔成年人的租房援助、住房和邻里条件之间的关系,以及抑郁症状和敌对情绪的风险。参与经济适用房作为肥胖调节环境(AHOME)研究的拉丁裔成年人被用于分析。所有AHOME参与者都有资格获得联邦低收入住房租赁援助(n=385),并居住在纽约布朗克斯(2010-2012年)。在入户访谈中,通过问卷调查来测量住房(拥挤和结构性缺陷)和邻里(身体紊乱和社会凝聚力)。采用流行病学研究中心抑郁量表简表(CES-D 10)测量抑郁症状。敌对情绪是使用库克-梅德利敌意量表(得分为千分之四欧元)中的项目来衡量的。结果表明,与公共住房居民或没有接受联邦住房援助的居民相比,第8区住房居民的抑郁症状和敌意水平相似。然而,抑郁症状与维持缺陷[OR=1.17;CI 1.02,1.35]和社会凝聚力[OR=0.71;CI 0.55,0.93]显著相关。敌对与感知拥挤[OR=1.18;CI 1.16,2.85]、邻里躯体障碍[OR=1.94;CI 1.12,3.40]、社会凝聚力[OR=0.70;CI 0.50,0.98]显著相关。低收入住房援助对精神健康结果没有独立的影响。然而,住房和邻里环境的特征与抑郁症状和敌意有关。
Studies show that those residing in households subsidized with federal housing vouchers exhibit fewer mental health problems than residents of public housing. The role of housing conditions and neighborhood quality in this relationship is unclear. This study investigated the relationship between rental assistance, housing and neighborhood conditions, and the risk of depressive symptomology and hostile affect among low-income Latino adults living in the Bronx, NY. Latino adults participating in the Affordable Housing as an Obesity Mediating Environment (AHOME) study were used for analysis. All AHOME participants were eligible for federal low-income housing rental assistance (n = 385) and living in the Bronx, New York (2010-2012). Housing (crowding and structural deficiencies) and neighborhood (physical disorder and social cohesion) were measured by questionnaire during in-home interview. Depressive symptomology was measured using the Center for Epidemiologic Studies Depression Scale Short Form, CES-D 10 (score a parts per thousand yen10). Hostile affect was measured using items from the Cook-Medley Hostility Scale (score a parts per thousand yenaEuro parts per thousand 4). Results suggest residents of Section 8 housing have similar levels of depressive symptomology and hostility compared to residents in public housing or those receiving no federal housing assistance. However, depressive symptomology was significantly associated with maintenance deficiencies [OR = 1.17; CI 1.02, 1.35] and social cohesion [OR = 0.71; CI 0.55, 0.93]. Hostility was significantly associated with perceived crowding [OR = 1.18; CI 1.16, 2.85], neighborhood physical disorder [OR = 1.94; CI 1.12, 3.40], and social cohesion [OR = 0.70; CI 0.50, 0.98]. Low-income housing assistance did not have an independent effect on mental health outcomes. However, characteristics of the housing and neighborhood environments were associated with depressive symptomology and hostility.