美国儿童从出生到青春期住房不安全的累积负担。

IF 4.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Audrey Renson, Matthew Z Fowle, Sarah Pachman, Giselle Routhier
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引用次数: 0

摘要

住房不安全是影响各种健康结果的一个关键社会决定因素,受到严重的种族不平等的影响,而且儿童时期可能是一个敏感时期。住房不安全感可以以多种方式表现出来,并随着时间的推移而变化,但以前的研究主要集中在单一维度或单一时间点上。这项研究调查了美国大城市从出生到青春期的多种形式的住房不安全的累积暴露,总体上和按种族划分。使用来自未来家庭和儿童福利研究(FFCWS)的数据,我们估计了几种形式的住房不安全的累积发生率和平均累积计数,并使用下界和混合建模方法解释了缺失的数据(主要是由于波浪之间的间隔)。45%(下限)和71%(模型)的儿童在15岁之前至少经历过一次住房不安全事件。有任何事件的儿童的平均事件次数在2.63(下限)和6.11(模型)之间。非西班牙裔黑人和西班牙裔母亲的孩子,与非西班牙裔白人母亲相比,更有可能经历最初的事件,但一旦经历,事件的数量相似。我们发现儿童时期住房不安全是一个巨大的周期性负担。首次事件发生率的巨大种族差异,而不是重复事件,表明预防性干预将最有效地减轻住房不安全方面的种族不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Cumulative Burden of Housing Insecurity among Children in the USA from Birth to Adolescence.

Housing insecurity is a key social determinant of a wide range of health outcomes, subject to large racial inequities, and with a likely sensitive period in childhood. Housing insecurity can manifest in multiple ways and change over time, but previous studies have primarily focused on single dimensions or a single time point. This study examines cumulative exposure to multiple forms of housing insecurity from birth to adolescence, overall, and by race in large US cities. Using data from the Future of Families and Child Wellbeing Study (FFCWS), we estimated cumulative incidence and mean cumulative count of several forms of housing insecurity, accounting for missing data (due primarily to gaps between waves) using lower bounds and a mixed modeling approach. Between 45% (lower bound) and 71% (modeled) of children experienced at least one housing insecurity event by age 15. The average number of events among children who had any event was between 2.63 (lower bound) and 6.11 (modeled). Children of non-Hispanic Black and Hispanic mothers, compared to non-Hispanic White mothers, were more likely to experience an initial event, but once experienced, had similar numbers of events. We find a massive and cyclical burden of housing insecurity during childhood. Large racial differences in incidence of first events, but not repeated events, suggest that preventive interventions would most effectively mitigate racial inequities in housing insecurity.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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