Unstable Housing and Caregiver and Child Health in Renter Families
Unstable Housing and Caregiver and Child Health in Renter Families
复制标题
DOI：
10.1542/peds.2017-2199
复制
发表时间：
2018-02-01
期刊：
影响因子：
8
通讯作者：
Cutts, Diana
中科院分区：
文献类型：
--
作者：
Sandel, Megan;Sheward, Richard;Cutts, Diana
目的：评估3种形式的住房不稳定性如何与照顾者和儿童健康低收入租房households.METHODS：0至48个月的儿童的照顾者进行了采访，从2009年5月至2015年12月在5个城市医疗中心。照顾者报告了以下内容：照顾者健康，母亲抑郁症状，儿童健康，终生住院，发育风险和3种住房情况，这些情况被归类为过去12个月内拖欠租金，多次搬家（过去12个月内>= 2次）和儿童无家可归的终身史。协会与照顾者和儿童健康的结果进行了检查，通过多变量logistic regression.RESULTS：在22 324个家庭，34%有至少1个以下不利的住房情况：27%已落后于租金，8%已多次搬家，12%有无家可归的历史。这些之间的重叠是有限的; 86%的人只经历了1个不利的住房情况。与稳定的住房相比，每种情况都与不良健康和物质困难的调整后几率增加有关。欠租的家庭增加了照顾者健康状况良好和/或较差的调整后几率（校正比值比[aOR]：1.91; 95%置信区间[CI]：1.77-2.05），母亲抑郁症状（aOR：2.71; 95%CI：2.51-2.93）、儿童终生住院（aOR：1.19; 95%CI：1.10-1.27）、儿童健康状况一般和/或较差（aOR：1.41; 95%CI：1.28-1.56）和家庭物质困难。家庭与多个移动和无家可归的历史有类似的不利照顾者，儿童，健康和困难outcome.CONCLUSIONS：三种形式的住房不稳定与不利照顾者和儿童健康低收入租房家庭。美国儿科学会建议在医疗保健中进行社会筛查;提供者可以考虑评估高风险实践中的租金落后，多次搬家和无家可归。
OBJECTIVES: To evaluate how 3 forms of housing instability relate to caregiver and child health among low-income renter households.METHODS: Caregivers of children 0 to 48 months of age were interviewed in 5 urban medical centers from May 2009 to December 2015. Caregivers reported on the following: caregiver health, maternal depressive symptoms, child's health, lifetime hospitalizations, developmental risk, and 3 housing circumstances, which were categorized as being behind on rent in the past 12 months, multiple moves (>= 2 in past 12 months), and child's lifetime history of homelessness. Associations with caregiver and child health outcomes were examined through multivariable logistic regression.RESULTS: Of 22 324 families, 34% had at least 1 of the following adverse housing circumstances: 27% had been behind on rent, 8% had made multiple moves, and 12% had a history of being homeless. Overlap between these was limited; 86% experienced only 1 adverse housing circumstance. Each circumstance was individually associated with increased adjusted odds of adverse health and material hardship compared with stable housing. Households behind on rent had increased adjusted odds of fair and/or poor caregiver health (adjusted odds ratio [aOR]: 1.91; 95% confidence interval [CI]: 1.77-2.05), maternal depressive symptoms (aOR: 2.71; 95% CI: 2.51-2.93), child lifetime hospitalizations (aOR: 1.19; 95% CI: 1.10-1.27), fair and/or poor child health (aOR: 1.41; 95% CI: 1.28-1.56), and household material hardships. Families with multiple moves and history of homelessness had similar adverse caregiver, child, health, and hardship outcomes.CONCLUSIONS: Three forms of housing instability were associated with adverse caregiver and child health among low-income renter households. The American Academy of Pediatrics recommends social screening within health care; providers could consider assessing for behind on rent, multiple moves, and homelessness in high-risk practices.