Housing and health inequities during COVID-19: findings from the national Household Pulse Survey

Housing and health inequities during COVID-19: findings from the national Household Pulse Survey
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DOI:
10.1136/jech-2021-216764
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发表时间:
2021-07-05
影响因子:
6.3
通讯作者:
Mehdipanah, Roshanak
Mehdipanah, Roshanak
中科院分区:
医学2区
文献类型:
--
作者:
Bushman, Gregory;Mehdipanah, Roshanak

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背景COVID-19利用了美国住房体系中的不平等。审查大流行期间住房与健康之间的关系对于减少健康不平等和改善人口健康至关重要。我们分析了2020年4月至7月期间收集的957 714份家庭脉搏调查研究的回复。使用调查加权多变量回归分析,我们评估了住房保有权与健康之间的关系,包括平均值和时间,以及这些关系如何受到COVID-19相关困难的影响,包括失业,粮食不安全和无法负担住房相关费用。我们控制了各种潜在的社会经济和人口混杂因素。结果我们发现,住房使用权显着相关的自测健康和精神困扰。与没有抵押贷款债务的房主相比,有抵押贷款债务的房主报告了更差的自评健康状况(beta=-0.13; 95%CI-0.15 to-0.12,p
Background COVID-19 has exploited the inequities within the US housing system. Examining the association between housing and health during the pandemic is imperative to reducing health inequities and improving population health. Methods We analysed 957 714 responses from the Household Pulse Survey Study, collected between April and July 2020. Using survey-weighted multivariable regression analyses, we assessed the relationships between housing tenure and health, both on average and over time, as well as how these relationships were moderated by COVID-19-related hardships including job loss, food insecurity and inability to afford housing-related costs. We controlled for a variety of potential socioeconomic and demographic confounding factors. Results We found that housing tenure was significantly associated with both self-rated health and mental distress. Compared with homeowners without mortgage debt, homeowners with mortgage debt reported worse self-rated health (beta=-0.13; 95% CI -0.15 to -0.12, p