Housing mobility, hypertension self-management, and healthcare utilization among Bronx Latinos

项目摘要/摘要 搬家是一件重大的人生大事，与社会经济各个层面的健康状况有关 状态。在某些情况下，搬到理想社区的更好的住房单元可能会带来更多的机会 为优质的医疗保健服务。然而，在低收入居民中，流动的负面健康后果 更有可能是。低收入居民在过去12个月中搬家的可能性几乎是后者的3倍 而不是高收入居民。经常搬家可能会破坏已建立的社交网络和其他支持性关系 与朋友和家人、医疗保健提供者和服务于医疗保健的社区组织 低收入居民的需求。搬家的居民更有可能使用急诊室和 因健康状况需要住院治疗。而在医疗保健领域，地址变更很容易衡量 数据库，它只提供有限的信息，因为没有捕捉到搬迁的原因。为了瞄准 对于那些最需要服务的人，需要详细的信息，说明人们搬家的原因和相关的 对健康的影响。拉美裔居民通常是新到美国的人，因此他们是流动人口 特别容易受到住房不稳定影响的人口。已知拉美裔人患癌症的可能性是男性的2到3倍 然而，与非拉丁裔白人相比，被驱逐的人中，没有一项先前的研究检查过与 这个人口中不稳定的住房。目前的提案是对西班牙裔社区健康的辅助研究 研究/研究拉丁裔(HCHS/SOL)，将利用关于健康状况和医疗保健的广泛数据 通过父研究的努力来衡量利用率。2008-2011年，HCHS/SOL招募了一个概率 美国四个地区的非制度化拉丁裔成年人样本。此R03提案将利用 来自HCHS/Sol Bronx外勤中心的现有数据，包括#年居住地的纵向跟踪 长达十年。这项研究的具体目的是：1)描述社会-人口关系， 2)与患有高血压的拉丁裔成年人的流动性有关的社会经济和健康相关因素； 研究住房流动性和卫生保健利用与血压控制之间的关系 在HCHS/SOL随访期间的自我管理。这项工作将把重要的住房相关数据添加到 HCHS/SOL队列可以帮助我们理解住房作为一种社会和经济因素的影响 健康的决定因素。此外，有必要进行研究，以显示住房对健康的影响 不稳定。政府公共卫生部门和医院系统对不稳定的住房感兴趣 居民们不断地给社会服务带来压力，给医疗保健系统带来不成比例的负担。

Project Summary/ Abstract Moving residence is a major life event and associated with health outcomes at all levels of socio-economic status. In some instances, moving to a better housing unit in a desirable neighborhood may bring more access to quality health care. Among low-income residents, however, the negative health consequences of mobility are more likely. Low-income residents are nearly 3 times more likely to move residence in the last 12 months than high-income residents. Moving frequently can break established social networks and other supportive ties with friends and family, healthcare providers, and community-based organizations that serve the health care needs of low-income residents. Residents that move are more likely to use emergency departments and require hospitalization for health conditions. While change of address is easy to measure in healthcare databases, it provides only limited information as the reasons for the move are not captured. In order to target those most in need of services, detailed information is needed about the reasons people move and the related health consequences. Latino residents are often new arrivals to the US, and as such they are a mobile population particularly susceptible to housing instability. Latinos are known to be 2 to 3 times more likely to be evicted than non-Latino whites, however, no prior study has examined the health outcomes associated with unstable housing in this population. The current proposal is an ancillary study to Hispanic Community Health Study/ Study of Latinos (HCHS/SOL) that will leverage the extensive data on health status and health care utilization measured through the efforts of the parent study. In 2008-2011, HCHS/SOL recruited a probability sample of non-institutionalized Latino adults in four US regions. This R03 proposal will take advantage of existing data from the HCHS/SOL Bronx Field Center, including longitudinal tracking of place of residence over up to a decade. The specific aims of the study are: 1) To describe the relationship of socio-demographic, socio-economic, and health-related factors with mobility among Latino adults with hypertension; and 2) to examine the relationship between housing mobility and health care utilization and blood pressure control and self- management during HCHS/SOL follow-up. This work will add important housing related data to the HCHS/SOL cohort that can inform our understanding of the effects of housing as a social and economic determinant of health. Furthermore, there is need for research that can show the health implications of housing instability. Government public health departments and hospital systems have an interest in unstably housed residents as they continually strain social services and disproportionately burden health care systems.