Heath Outcomes Post-Eviction Moratoria (HOPE-M)

驱逐后暂停健康结果 (HOPE-M)

• 批准号: 10835588
• 负责人: Daphne C. Hernandez
• 金额: $ 236.01万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10835588
• 关键词: Adult; Affect; Anxiety; Black race; COVID-19; Characteristics; County; Data; Decision Making; Discrimination; Distress; Economics; Ethnic Origin; Exposure to; Feeling suicidal; Female; Focus Groups; Food; Food Assistance Programs; Gender; Genetic Complementation Test; Goals; Health; Hearing; Hispanic; Home; Household; Housing; Hunger; Income; Individual; Inequity; Interview; Legal; Link; Mediating; Mental Depression; Mental Health; Methods; Modeling; National Institute of Mental Health; Natural Disasters; Neighborhoods; Outcome; Participant; Patient Self-Report; Policies; Policy Maker; Process; Process Assessment; Psyche structure; Race; Records; Research; Respondent; Risk; Sampling; Self Assessment; Shelter facility; Source; Strategic Planning; Surveys; System; Texas; Time; Transportation; austin; coronavirus disease; cost; court; design; experience; food insecurity; health disparity; improved; innovation; insight; male; mental health policy; pandemic disease; peer; psychosocial; psychosocial stressors; sex; therapy design

PROJECT SUMMARY/ABSTRACT Experiencing the threat of eviction is associated with mental distress, and Black, Hispanic, and female renters are most affected by evictions. Eviction moratoria were short-term housing interventions designed to limit the spread of COVID-19 and maintain housing stability. Travis County (Austin, TX) residents experienced a strong local moratorium (i.e. blocked all stages of eviction process) through December 2021. In contrast, Harris County (Houston, TX) residents never experienced a local moratorium, and were dependent on the state moratorium, which ended in May 2020. Since moratoria have ended, evictions and the cost of basic needs have dramatically increased. In a post-moratoria period, the question remains whether prior exposure to a strong local moratorium policy reduces post-moratorium mental distress in the presence of ongoing economic disruptions. The Heath Outcomes Post-Eviction Moratoria (HOPE-M) Study, proposes to use a mixed methods sequential explanatory design to examine how prior exposure to a strong local moratorium influences the direct and indirect paths linking the threat of eviction with post-moratorium mental health over time. To create the sample 2 sources of data will be used. The first source of data will be used to identify individuals who had eviction filing post state/local moratorium (Harris: June 2020–December 2023; Travis: January 2022–December 2023). This data was collected through the Eviction Tracking System. The second source of data will facilitate identification of individuals at risk for eviction but not filed using data generated by Dr. Thomas' (co-I) Housing Precarity Risk Model (HPRM). Renters living in neighborhoods with high eviction risk after the state/local moratorium ended will be selected on matching criteria based on respondent's household characteristics that align with the top predictive variables in the HPRM (e.g., race) as well as dominate characteristics found in prior eviction research (e.g., sex). Participants [Harris County (n= 1,000) Travis County (n=1,000)] will be surveyed at baseline, 6 months, 12 months. Analyses will include longitudinal mixed effect models and focus groups and photo elicitation interviews will be used to triangulate the findings. Aim 1. Assess the moderating impact of prior local eviction policy exposure on the link between experiencing the threat of eviction and post-moratorium mental health over time and how this varies by race/ethnicity and sex. Aim 2. Examine the mental health disparities in aim 1 as a function of the mediating effects of economic hardship and psychosocial stressors. Aim 3. Explore the decision- making processes and self-assessment associated with making economic decisions to avoid eviction and how this contributes to psychosocial distress. With every state having shortage of affordable and available rental homes, this study is significant to policymakers and legal aid organizations who have the ability to inform housing policies. The use of ETS's court-ordered eviction records (over self-reports) and the use of the HPRM to include adults with similar characteristics and at-risk for eviction is an innovative approach to improving sample selection. This approach complements NIMH's Strategic Plan, Goals 2 and 3 and is supported by numerous stakeholders.

项目摘要/摘要 体验驱逐的威胁与精神痛苦以及黑人，西班牙裔和女性租房者有关 受到驱逐的影响最大。驱逐暂停是旨在限制的短期住房干预措施 共同传播-19并保持住房稳定性。特拉维斯县（德克萨斯州奥斯汀）居民经历了强大的经历 直到2021年12月 （德克萨斯州休斯顿）居民从未经历过当地的暂停，并且依赖于州的暂停， 这是在2020年5月结束的。由于Moratoria结束了，因此驱逐和基本需求的成本急剧 增加。在现年时期，问题仍然存在于事先暴露于强烈的当地暂停 政策在存在持续的经济中断的情况下减少了生命后的精神困扰。荒地 结果后暂停后（Hope-M）研究，建议使用混合方法顺序剥夺的提议 设计以检查事先暴露于强大的局部暂停群体如何影响直接和间接路径连接的路径 随着时间的流逝，驱逐后的驱逐威胁。为了创建示例，2个数据源将 被使用。第一个数据来源将用于识别已提交工程档案的个人 暂停（哈里斯（Harris）：2020年6月至2023年12月；特拉维斯（Travis）：2022年1月至2023年12月）。这个数据是 通过驱逐跟踪系统收集。第二个数据来源将有助于识别 有驱逐风险但没有使用托马斯博士（Co-I）住房危险风险的数据提出的个人 模型（HPRM）。居住在州/地方暂停之后，居住在高驱逐风险的社区中 将根据响应的家庭特征与顶部保持一致的家庭特征，以匹配标准选择 HPRM（例如种族）中的预测变量以及先前驱逐研究中发现的统治特征 （例如，性）。参与者[哈里斯县（n = 1,000）特拉维斯县（n = 1,000）]将在基线上进行调查，6 月，12个月。分析将包括纵向混合效应模型和焦点组和照片启发 访谈将用于三角调查结果。目标1。评估先前当地驱逐的调节影响 在经验驱逐威胁与矿物后心理健康之间的联系之间的政策暴露 时间以及这与种族/种族和性别的变化。 AIM 2。检查AIM 1中的心理健康差异为一个 经济困难和社会心理压力源的中介作用的功能。目标3。探索决定 - 与做出经济决策相关的过程和自我评估，以避免驱逐以及如何 这有助于社会心理困扰。每个州都缺乏负担得起的可用租金 家庭，这项研究对有能力告知住房的政策制定者和法律援助组织至关重要 政策。使用ETS的法院命令驱逐记录（通过自我报告）和HPRM的使用 具有相似特征和高危驱逐的成年人是改善样本选择的创新方法。 这种方法完成了NIMH的战略计划，即目标2和3，并得到众多利益相关者的支持。