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The long-term effects of housing insecurity in young adulthood on subsequent material hardship, physiological and mental health

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  • Roberts, Mary K.
  • Bhat, Aarti C.
  • Fenelon, Andrew

Abstract

Economic and material hardship, including housing insecurity – limited or uncertain availability or access to safe, quality, and affordable housing – is strongly linked to negative physical and mental health outcomes among adolescents and adults. However, data limitations and the inherent selectivity of housing insecurity have hindered comprehensive analysis of its long-term effects on physiological and mental health. This study uses data from The National Longitudinal Study of Adolescent to Adult Health (Add Health) to construct a sample of participants who experienced housing insecurity between the ages of 18–26 (Wave III) to a suitable control group using propensity score matching. We assess the effects of housing insecurity on (1) material hardship at Wave IV (ages 24–32), (2) allostatic load (AL) and depression symptoms at Waves IV and V (ages 33–43), and (3) the change in allostatic load and depression symptoms from Wave IV to V. Further, we evaluate whether effects differ by sex. Experiencing housing insecurity is associated with a significantly higher likelihood of experiencing material hardship at Wave IV and significantly worse depressive symptoms at both Waves IV and V. The treatment effects are more pronounced among women, with housing insecurity being linked to a significant increase in allostatic load from Wave IV to Wave V exclusively for women. Our results provide crucial support that housing insecurity is not just an outcome of economic hardship but a cause of it in the future, with downstream effects on health and well-being, particularly for women.

Suggested Citation

  • Roberts, Mary K. & Bhat, Aarti C. & Fenelon, Andrew, 2025. "The long-term effects of housing insecurity in young adulthood on subsequent material hardship, physiological and mental health," Social Science & Medicine, Elsevier, vol. 367(C).
    • Handle: RePEc:eee:socmed:v:367:y:2025:i:c:s0277953625000905
    DOI: 10.1016/j.socscimed.2025.117761
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    1. Dallas Rogers & Emma Power, 2020. "Housing policy and the COVID-19 pandemic: the importance of housing research during this health emergency," International Journal of Housing Policy, Taylor & Francis Journals, vol. 20(2), pages 177-183, April.
    2. Else Foverskov & Gitte Lindved Petersen & Jolene Lee Masters Pedersen & Naja Hulvej Rod & Erik Lykke Mortensen & Helle Bruunsgaard & Rikke Lund, 2020. "Economic hardship over twenty-two consecutive years of adult life and markers of early ageing: physical capability, cognitive function and inflammation," European Journal of Ageing, Springer, vol. 17(1), pages 55-67, March.
    3. Graetz, Nick & Gershenson, Carl & Porter, Sonya R. & Sandler, Danielle H. & Lemmerman, Emily & Desmond, Matthew, 2024. "The impacts of rent burden and eviction on mortality in the United States, 2000–2019," Social Science & Medicine, Elsevier, vol. 340(C).
    4. Dale Dannefer, 2003. "Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing Age and Social Science Theory," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(6), pages 327-337.
    5. Giselle Routhier, 2019. "Beyond Worst Case Needs: Measuring the Breadth and Severity of Housing Insecurity Among Urban Renters," Housing Policy Debate, Taylor & Francis Journals, vol. 29(2), pages 235-249, March.
    6. Henry O. Pollakowski & Daniel H. Weinberg & Fredrik Andersson & John C. Haltiwanger & Giordano Palloni & Mark J. Kutzbach, 2022. "Childhood Housing and Adult Outcomes: A Between-Siblings Analysis of Housing Vouchers and Public Housing," American Economic Journal: Economic Policy, American Economic Association, vol. 14(3), pages 235-272, August.
    7. Wendy Zhang & Nadia O’Brien & Jamie I Forrest & Kate A Salters & Thomas L Patterson & Julio S G Montaner & Robert S Hogg & Viviane D Lima, 2012. "Validating a Shortened Depression Scale (10 Item CES-D) among HIV-Positive People in British Columbia, Canada," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-5, July.
    8. Hoke, Morgan K. & Boen, Courtney E., 2021. "The health impacts of eviction: Evidence from the national longitudinal study of adolescent to adult health," Social Science & Medicine, Elsevier, vol. 273(C).
    9. Denary, Whitney & Fenelon, Andrew & Schlesinger, Penelope & Purtle, Jonathan & Blankenship, Kim M. & Keene, Danya E., 2021. "Does rental assistance improve mental health? Insights from a longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 282(C).
    10. Jahanvash Karim & Robert Weisz & Zainab Bibi & Shafiq Ur Rehman, 2015. "Validation of the Eight-Item Center for Epidemiologic Studies Depression Scale (CES-D) Among Older Adults," Post-Print hal-01796436, HAL.
    11. 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.
    12. repec:aph:ajpbhl:10.2105/ajph.2016.303649_3 is not listed on IDEAS
    13. Mason, Kate E. & Alexiou, Alexandros & Li, Ang & Taylor-Robinson, David, 2024. "The impact of housing insecurity on mental health, sleep and hypertension: Analysis of the UK Household Longitudinal Study and linked data, 2009–2019," Social Science & Medicine, Elsevier, vol. 351(C).
    14. Fowler, K.A. & Gladden, R.M. & Vagi, K.J. & Barnes, J. & Frazier, L., 2015. "Increase in suicides associated with home eviction and foreclosure during the US housing crisis: Findings from 16 national violent death reporting system states, 2005-2010," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 311-316.
    15. Darran Stonehouse & Guinever Threlkeld & Jacqui Theobald, 2021. "Homeless pathways and the struggle for ontological security," Housing Studies, Taylor & Francis Journals, vol. 36(7), pages 1047-1066, August.
    16. Ketevan Glonti & Vladimir S Gordeev & Yevgeniy Goryakin & Aaron Reeves & David Stuckler & Martin McKee & Bayard Roberts, 2015. "A Systematic Review on Health Resilience to Economic Crises," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-22, April.
    17. Emma Baker & Andrew Beer & Laurence Lester & David Pevalin & Christine Whitehead & Rebecca Bentley, 2017. "Is Housing a Health Insult?," IJERPH, MDPI, vol. 14(6), pages 1-18, May.
    18. Baker, Emma & Beer, Andrew & Lester, Laurence & Pevalin, David & Whitehead, Christine M E & Bentley, Rebecca, 2017. "Is housing a health insult?," LSE Research Online Documents on Economics 79372, London School of Economics and Political Science, LSE Library.
    19. Seungbeom Kang, 2023. "Severe and persistent housing instability: examining low-income households’ residential mobility trajectories in the United States," Housing Studies, Taylor & Francis Journals, vol. 38(9), pages 1615-1641, October.
    20. Fenelon, A. & Mayne, P. & Simon, A.E. & Rossen, L.M. & Helms, V. & Lloyd, P. & Sperling, J. & Steffen, B.L., 2017. "Housing assistance programs and adult health in the United States," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 571-578.
    21. Gregory Sharp & Ellen Whitehead & Matthew Hall, 2020. "Tapped Out? Racial Disparities in Extrahousehold Kin Resources and the Loss of Homeownership," Demography, Springer;Population Association of America (PAA), vol. 57(5), pages 1903-1928, October.
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