Health Consequences of Foreclosure Crisis: Effects on ER Visits & Hospitalization
止赎危机的健康后果:对急诊室就诊的影响
基本信息
- 批准号:8227229
- 负责人:
- 金额:$ 22.12万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-09-01 至 2016-08-31
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAdmission activityAdverse eventAffectAgeAmbulatory CareAreaArizonaAttentionCaringCharacteristicsChildChild health careCodeCommunitiesCosts and BenefitsCountyDataData SetDatabasesDemographic AnalysesDiagnosis-Related GroupsDiseaseDistressEligibility DeterminationEpidemicEthnic OriginEventFemaleFloridaForeclosureFrequenciesGoalsGovernmentHealthHealth behaviorHome environmentHormonesHospitalizationHospitalsHousingHydrocortisoneIncomeIndividualInvestigationLegalLifeLife ExperienceLinkLiteratureLow Income PopulationLow incomeMarketingMeasuresMediatingMedicaidMedicalMedical RecordsMedicareMental DepressionMental disordersMinorityModelingMonitorNeighborhoodsNew JerseyOutcomePatientsPharmaceutical PreparationsPoliciesPolicy MakerPopulationPreventivePriceProcessProxyPublic HealthRaceResearchRoleSalesSamplingSmokeStagingStressStressful EventTimeUnemploymentUninsuredUnited StatesVariantVisitage groupbasedesigndrinkinghealth care service utilizationhigh riskmalemeetingspsychologicresidenceresponsestress related disorder
项目摘要
DESCRIPTION (provided by applicant): The proposed project will provide a comprehensive analysis of the link between the current foreclosure crisis, Emergency Room (ER) visits, and hospitalizations for specific stress-related conditions. Foreclosure represents a stressful event that is often the culmination of a period of financial stress. Despite mounting evidence pointing to a link between stressful life events and adverse health outcomes, the potential health implications of the foreclosure crisis have received little attention. The current foreclosure epidemic presents a unique opportunity to study the impact of foreclosures on health care utilization because the recent massive rise in foreclosures is arguably due to the recession rather than to personal characteristics of those affected. The project will bring together data on all of the foreclosures, ER visits, and hospitalizations from 2005 to 2009 in three states that are among the 10 that have been most affected by the crisis (Arizona, Florida, and New Jersey). Data on various stages of foreclosure will come from RealtyTrac. Administrative data on ER visits and hospitalizations will come from Health Care Utilization Project. These two data sets will be merged to create a single data base of foreclosures, ER visits and hospitalizations at the zip code level with a monthly frequency. This large and high frequency data set offers great variation in foreclosure rates across time and neighborhoods, which will be utilized to determine whether ER visits for stress related disorders rise faster than visits for other disorders in areas where foreclosures have been rising. Our analysis will distinguish between those visits/admissions that are most likely to be due to stress-related and those which are less likely to be related to the immediate stress of foreclosure. Furthermore, we will conduct separate analyses for males and females as well as different age groups. In particular, children may be differentially affected by foreclosure and our analysis will be the first to examine the effects of foreclosure on children. We will investigate the potential role of financial distress in mediating the relationship between foreclosure and utilization by examining ambulatory care sensitive conditions, and by comparing those just below and just above the age 65 cutoff for Medicare eligibility. Finally, we will estimate separate models for minority and low income individuals in an attempt to determine the extent to which they are at double jeopardy from foreclosure: Both at higher risk of losing their homes, and at higher risk of negative health consequences from these losses.
PUBLIC HEALTH RELEVANCE: The project aims to assess the extent to which the current foreclosure crisis represents a threat to public health. The findings have the potential to inform policy makers of a currently underappreciated consequence of the current crisis. Our findings may provide a further basis for assessing the benefits of government efforts to reduce foreclosures and stabilize the housing market. The results will also add to the literature regarding the effects of stress on health.
描述(由申请人提供):拟议的项目将提供当前止赎危机,急诊室(ER)访问和特定压力相关条件住院之间的联系的全面分析。止赎代表了一个紧张的事件,往往是一个时期的财政压力的高潮。尽管越来越多的证据表明压力性生活事件和不良健康结果之间存在联系,但止赎危机对健康的潜在影响却很少受到关注。目前止赎的流行提供了一个独特的机会来研究止赎对医疗保健利用的影响,因为最近止赎的大规模上升可以说是由于经济衰退,而不是受影响的人的个人特征。该项目将收集2005年至2009年受危机影响最严重的10个州(亚利桑那州、佛罗里达州和新泽西州)的所有止赎、急诊和住院数据。止赎的各个阶段的数据将来自RealtyTrac。关于急诊室访视和住院的管理数据将来自卫生保健利用项目。这两个数据集将被合并,以创建一个单一的数据库,取消抵押品赎回权,急诊室访问和住院在邮政编码一级的每月频率。这个大的和高频率的数据集提供了很大的变化,在止赎率在不同的时间和社区,这将被用来确定是否急诊室访问压力相关的疾病上升速度比访问其他疾病的地区止赎一直在上升。我们的分析将区分那些访问/入院,最有可能是由于压力相关的和那些不太可能是有关的直接压力的取消抵押品赎回权。此外,我们将对男性和女性以及不同年龄组进行单独分析。特别是,儿童可能会受到不同程度的影响,止赎和我们的分析将是第一次检查止赎对儿童的影响。我们将调查的潜在作用,在调解止赎和利用之间的关系,通过检查门诊护理敏感的条件,并通过比较那些刚刚低于和刚刚超过65岁的医疗保险资格的截止时间的财务困境。最后,我们将估计少数族裔和低收入个人的单独模型,以确定他们在多大程度上处于丧失抵押品赎回权的双重危险中:既有失去房屋的更高风险,也有这些损失带来的负面健康后果的更高风险。
公共卫生相关性:该项目旨在评估当前止赎危机对公共卫生构成威胁的程度。研究结果有可能使决策者了解当前危机的一个目前未得到充分认识的后果。我们的研究结果可能为评估政府减少止赎和稳定房地产市场的努力的好处提供进一步的基础。研究结果也将增加有关压力对健康影响的文献。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Janet M. Currie其他文献
Janet M. Currie的其他文献
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{{ truncateString('Janet M. Currie', 18)}}的其他基金
Investigating the Link Between Child Maltreatment and Crime
调查虐待儿童与犯罪之间的联系
- 批准号:
7257758 - 财政年份:2007
- 资助金额:
$ 22.12万 - 项目类别:
Investigating the Link Between Child Maltreatment and Crime
调查虐待儿童与犯罪之间的联系
- 批准号:
7393651 - 财政年份:2007
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The Health Effects of Hazardous Waste Sites: Evidence from Superfund Clean-Ups
危险废物场对健康的影响:超级基金清理的证据
- 批准号:
7439010 - 财政年份:2007
- 资助金额:
$ 22.12万 - 项目类别:
Princeton Center for Translational Research on Aging
普林斯顿老龄化转化研究中心
- 批准号:
8793471 - 财政年份:2004
- 资助金额:
$ 22.12万 - 项目类别:
Princeton Center for Translational Research on Aging
普林斯顿老龄化转化研究中心
- 批准号:
8930023 - 财政年份:2004
- 资助金额:
$ 22.12万 - 项目类别:
Princeton Center for Translational Research on Aging
普林斯顿老龄化转化研究中心
- 批准号:
9281617 - 财政年份:2004
- 资助金额:
$ 22.12万 - 项目类别:
NON PRICE BARRIERS, MEDICAID COVERAGE, AND INFANT HEALTH
无价格障碍、医疗补助覆盖范围和婴儿健康
- 批准号:
6521274 - 财政年份:2000
- 资助金额:
$ 22.12万 - 项目类别:
NON PRICE BARRIERS, MEDICAID COVERAGE, AND INFANT HEALTH
无价格障碍、医疗补助覆盖范围和婴儿健康
- 批准号:
6032106 - 财政年份:2000
- 资助金额:
$ 22.12万 - 项目类别:
NON PRICE BARRIERS, MEDICAID COVERAGE, AND INFANT HEALTH
无价格障碍、医疗补助覆盖范围和婴儿健康
- 批准号:
6388191 - 财政年份:2000
- 资助金额:
$ 22.12万 - 项目类别: