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US housing insecurity and the health of very young children

Author

Listed:
  • Cutts, D.B.
  • Meyers, A.F.
  • Black, M.M.
  • Casey, P.H.
  • Chilton, M.
  • Cook, J.T.
  • Geppert, J.
  • De Cuba, S.E.
  • Heeren, T.
  • Coleman, S.
  • Rose-Jacobs, R.
  • Frank, D.A.

Abstract

Objectives: We investigated the association between housing insecurity and the health of very young children. Methods: Between 1998 and 2007, we interviewed 22069 low-income caregivers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding ( 1 family/residence) and multiple moves (≤2 moves within the previous year). Results: After adjusting for covariates, crowding was associated with household food insecurity compared with the securely housed (adjusted odds ratio [AOR]=1.30; 95% confidence interval [CI]=1.18, 1.43), as were multiple moves (AOR=1.91; 95% CI=1.59, 2.28). Crowding was also associated with child food insecurity (AOR=1.47; 95% CI=1.34, 1.63), and so were multiple moves (AOR=2.56; 95% CI=2.13, 3.08). Multiple moves were associated with fair or poor child health (AOR=1.48; 95% CI=1.25, 1.76), developmental risk (AOR 1.71; 95% CI=1.33, 2.21), and lower weight-for-age z scores (-0.082 vs -0.013; P=.02). Conclusions: Housing insecurity is associated with poor health, lower weight, and developmental risk among young children. Policies that decrease housing insecurity can promote the health of young children and should be a priority.

Suggested Citation

  • Cutts, D.B. & Meyers, A.F. & Black, M.M. & Casey, P.H. & Chilton, M. & Cook, J.T. & Geppert, J. & De Cuba, S.E. & Heeren, T. & Coleman, S. & Rose-Jacobs, R. & Frank, D.A., 2011. "US housing insecurity and the health of very young children," American Journal of Public Health, American Public Health Association, vol. 101(8), pages 1508-1514.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300139_9
    DOI: 10.2105/AJPH.2011.300139
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    Cited by:

    1. Oh, Jihyun, 2023. "Prevalence and factors associated with multidimensional child deprivation: Findings from the Future of Families and Child Well-Being Study," Children and Youth Services Review, Elsevier, vol. 148(C).
    2. Meschede, Tatjana & Chaganti, Sara, 2015. "Home for now: A mixed-methods evaluation of a short-term housing support program for homeless families," Evaluation and Program Planning, Elsevier, vol. 52(C), pages 85-95.
    3. Stefanie Mollborn & Elizabeth Lawrence & Elisabeth Dowling Root, 2018. "Residential Mobility Across Early Childhood and Children’s Kindergarten Readiness," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 485-510, April.
    4. Che Wan Jasimah Bt Wan Mohamed Radzi & Huang Hui & Nur Anisah Binti Mohamed @ A. Rahman & Hashem Salarzadeh Jenatabadi, 2017. "Family Food Security and Children’s Environment: A Comprehensive Analysis with Structural Equation Modeling," Sustainability, MDPI, vol. 9(7), pages 1-19, July.
    5. Anna S. Rosofsky & M. Patricia Fabian & Stephanie Ettinger de Cuba & Megan Sandel & Sharon Coleman & Jonathan I. Levy & Brent A. Coull & Jaime E. Hart & Antonella Zanobetti, 2020. "Prenatal Ambient Particulate Matter Exposure and Longitudinal Weight Growth Trajectories in Early Childhood," IJERPH, MDPI, vol. 17(4), pages 1-15, February.
    6. O'Donnell, James & Kingsley, Meg, 2020. "The relationship between housing and children’s socio-emotional and behavioral development in Australia," Children and Youth Services Review, Elsevier, vol. 117(C).
    7. M. Lelinneth B. Novilla & Michael C. Goates & Tyler Leffler & Nathan Kenneth B. Novilla & Chung-Yuan Wu & Alexa Dall & Cole Hansen, 2023. "Integrating Social Care into Healthcare: A Review on Applying the Social Determinants of Health in Clinical Settings," IJERPH, MDPI, vol. 20(19), pages 1-27, October.
    8. Emily Brown Weida & Pam Phojanakong & Falguni Patel & Mariana Chilton, 2020. "Financial health as a measurable social determinant of health," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-14, May.
    9. Willison, Charley, 2017. "Shelter from the Storm: Roles, responsibilities, and challenges in United States housing policy governance," Health Policy, Elsevier, vol. 121(11), pages 1113-1123.
    10. Craig Gundersen & David R. Just & Robert B. Nielsen & Martin C. Seay & Melissa J. Wilmarth, 2017. "Does Prior Government Assistance Reduce Food or Housing Assistance among Low-Income and Food Insecure Households?," Journal of Consumer Affairs, Wiley Blackwell, vol. 51(3), pages 598-630, November.
    11. Emma Baker & Ngoc Thien Anh Pham & Lyrian Daniel & Rebecca Bentley, 2019. "How Does Household Residential Instability Influence Child Health Outcomes? A Quantile Analysis," IJERPH, MDPI, vol. 16(21), pages 1-11, October.
    12. Gold, Sarah & Wagner, Brandon, 2022. "Acute care utilization and housing hardships in American children," Children and Youth Services Review, Elsevier, vol. 136(C).
    13. Emma Baker & Rebecca Bentley & Kate Mason, 2013. "The Mental Health Effects of Housing Tenure: Causal or Compositional?," Urban Studies, Urban Studies Journal Limited, vol. 50(2), pages 426-442, February.
    14. Sriroop Chaudhuri & Mimi Roy & Louis M. McDonald & Yves Emendack, 2021. "Coping Behaviours and the concept of Time Poverty: a review of perceived social and health outcomes of food insecurity on women and children," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(4), pages 1049-1068, August.
    15. Swope, Carolyn B. & Hernández, Diana, 2019. "Housing as a determinant of health equity: A conceptual model," Social Science & Medicine, Elsevier, vol. 243(C).
    16. Fiese, Barbara H. & Gundersen, Craig & Koester, Brenda & Jones, Blake, 2016. "Family chaos and lack of mealtime planning is associated with food insecurity in low income households," Economics & Human Biology, Elsevier, vol. 21(C), pages 147-155.
    17. Morgan A. Finkel & Sonya V. Troller-Renfree & Kimberly G. Noble, 2020. "Higher Utilization of Social Services Is Associated with Higher Language Scores in Children from Deeply Impoverished Urban Families," IJERPH, MDPI, vol. 17(22), pages 1-9, November.
    18. Chung-Chu Liu & Jason C. H. Chen & Che-Cheong Poon, 2019. "Perception Types Of Home Buyers By Q Methodology: A Comparative Study Of Hong Kong, Taiwan, And The Usa," The Singapore Economic Review (SER), World Scientific Publishing Co. Pte. Ltd., vol. 64(01), pages 235-257, March.
    19. Lewis, Melinda & Cramer, Reid & Elliott, William & Sprague, Aleta, 2014. "Policies to promote economic stability, asset building, and child development," Children and Youth Services Review, Elsevier, vol. 36(C), pages 15-21.
    20. Swann, Christopher A., 2017. "Household history, SNAP participation, and food insecurity," Food Policy, Elsevier, vol. 73(C), pages 1-9.

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