Impact of residential displacement on healthcare access and mental health among original residents of gentrifying neighborhoods in New York City.
Impact of residential displacement on healthcare access and mental health among original residents of gentrifying neighborhoods in New York City.
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DOI：
10.1371/journal.pone.0190139
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Gould LH
中科院分区：
文献类型：
--
作者：
Lim S;Chan PY;Walters S;Culp G;Huynh M;Gould LH
随着纽约市以及其他城市地区的中产阶级化继续发展，社会经济地位较低的居民可能面临更高的住宅流离失所风险。然而，对流离失所对健康的影响很少进行量化评估。本文旨在评估纽约市中产阶级化社区原居民的流离失所与医疗保健获取和心理健康之间的关联。我们使用了两个数据源：1）2005-2014年美国社区调查，以确定纽约市的绅士化社区，2）2006-2014年全州规划和研究合作系统。我们的队列包括2006年中产阶级社区的12，882名居民，他们在2006-2014年至少每两年有一次急诊科就诊或住院记录。比较了流离失所和留下来的居民之间的急诊就诊率和基线后的住院率。2006-2014年期间，23%的人流离失所。与那些留下来的人相比，流离失所的居民更有可能进行急诊和住院治疗，主要是由于心理健康（率比= 1.8，95%置信区间= 1.5，2.2），在控制了基线人口统计学，健康状况，医疗保健利用，住宅移动和居住区在2006年。这些研究结果表明，流离失所对获得医疗保健和心理健康产生了负面影响，特别是在生活在城市地区的成年人中，并且有频繁的急诊或住院史。
As gentrification continues in New York City as well as other urban areas, residents of lower socioeconomic status maybe at higher risk for residential displacement. Yet, there have been few quantitative assessments of the health impacts of displacement. The objective of this paper is to assess the association between displacement and healthcare access and mental health among the original residents of gentrifying neighborhoods in New York City. We used 2 data sources: 1) 2005–2014 American Community Surveys to identify gentrifying neighborhoods in New York City, and 2) 2006–2014 Statewide Planning and Research Cooperative System. Our cohort included 12,882 residents of gentrifying neighborhoods in 2006 who had records of emergency department visits or hospitalization at least once every 2 years in 2006–2014. Rates of emergency department visits and hospitalizations post-baseline were compared between residents who were displaced and those who remained. During 2006–2014, 23% were displaced. Compared with those who remained, displaced residents were more likely to make emergency department visits and experience hospitalizations, mainly due to mental health (Rate Ratio = 1.8, 95% confidence interval = 1.5, 2.2), after controlling for baseline demographics, health status, healthcare utilization, residential movement, and the neighborhood of residence in 2006. These findings suggest negative impacts of displacement on healthcare access and mental health, particularly among adults living in urban areas and with a history of frequent emergency department visits or hospitalizations.
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作者：
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DOI：
10.1007/s11524-016-0087-0
发表时间：
2016-12-01
影响因子：
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作者：
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通讯作者：
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