Residential Instability Research Articles

How Does Household Residential Instability Influence Child Health Outcomes? A Quantile Analysis.

At the core of housing and welfare research is a premise that stable residential environments are important to children’s health and development. The relationship between housing stability and health outcomes for children is, however, complex; stable housing situations are sometimes associated with poorer health outcomes, and some children may be more or less resilient to residential instability. The Longitudinal Study of Australian Children (LSAC) dataset enables us to longitudinally follow the housing and health of more than 10,000 children and their families. We employ a quantile analysis technique, a currently underutilized tool for testing associations across the distribution of an outcome, to test whether exposure to housing instability has a differential impact on children’s health dependent on their initial health status. Our findings suggest that the health outcomes of residential instability are highly dependent on children’s initial health status.

Perceptions of Mental Health and Wellbeing Following Residential Displacement and Damage from the 2018 St. John River Flood.

Climate change has spurred an increase in the prevalence and severity of natural disasters. Damage from natural disasters can lead to residential instability, which negatively impacts mental health and wellbeing. However, research on the mental health of residents who are displaced after natural disasters is relatively novel and needs more study. This study investigates experiences of mental health in residents in New Brunswick, Canada, who experienced residential damage and/or displacement during the 2018 spring flood. Lived experiences were studied through focus groups with 20 residents and perceptions of community mental health and wellbeing were captured during key informant interviews with 10 local community leaders. Data collection and analysis employed grounded theory. Findings indicate that those who had residential displacement or damage due to the flooding experienced negative mental health impacts, both during and following the flood. While natural disasters have devastating impacts on mental health, the data also indicate that the communities were positively impacted by a collective and collaborative response to the flood. This paper argues for the utility of communal coping as a concept to describe the experiences of communities following residential damage and/or displacement following natural disasters.

“Jumping at the opportunity”: The role of situational and opportunity factors in juvenile delinquency in Southern Europe

Juvenile delinquency is influenced by opportunities and situations: the existing evidence has pointed out that variables such as leisure places or poor social cohesion are associated to offenses committed by youths. Considering the opportunity perspective, the current study aims to better understand the influence that situational and contextual factors have on juvenile (12–18 years old) delinquency in a southern European region. Police data from the municipalities of the Basque Country (located at the north of Spain) was analysed using a negative binomial regression, showing that opportunity related variables, such as non-risky leisure and population size, have significant positive effects on juvenile delinquency, whereas risky leisure opportunities, single-parent families or residential instability are not related to juvenile delinquency, suggesting that some predictors well established in the literature could not work as expected in certain cultural and geographic contexts.

Homeownership after separation: A longitudinal analysis of Finnish register data

Divorce and separation have become common life-course events in many European countries. Previous studies show that separated individuals are likely to move from homeownership to renting and to experience a period of residential instability. However, littl

On the relationship between social disorganization and police coercive action(s) in the New York City Police Department

ABSTRACT This study applies indicators of social disorganization theory (i.e., concentrated disadvantage, residential instability, and concentrated immigration) to predict officers’ use of coercive action during street stops of citizens suspected of criminal activity. It also investigates whether concentrated disadvantage moderates suspects’ likelihood of receiving greater levels of police coercive actions when stopped for reasons listed in the New York City Police Department’s Unified Form 250 (UF-250). Results from multilevel analyses of stop incidents nested within neighborhoods confirm that certain indicators of social disorganization are associated with officer use of coercive action. Further, suspects stopped in areas marked by concentrated disadvantage are less likely to receive higher levels of police coercive action. The implications of these findings and directions for future research are presented.

Santé mentale des mères et des enfants de familles sans logement en Île-de-France. Résultats de l’enquête ENFAMS

IntroductionThe number of homeless families in the Greater Paris region has increased over time and given their vulnerability, it is necessary to better know their characteristics, especially in terms of mental health. Our objective was to study the prevalence of mental health difficulties among homeless women and their children and associated factors. MethodsThis study was based on the ENFAMS survey, conducted during the winter of 2012–2013 among 801 homeless families in the Greater Paris region, by trained interviewers and psychologists. Mothers’ depression was assessed by the Composite International Diagnostic Interview (CIDI) and their Post Traumatique Stress Disorders was assessed by the Mini International Neuropsychiatric Interview (MINI). Depression and PTSD of the mothers were studied in weighted Poisson regression models with robust error variance. The emotional and behavioural difficulties of children were assessed by the Strengths and Difficulties Questionnaire (SDQ) and studied by linear regression. ResultsHomeless women have a high prevalence of depression (28.8 %) and Post Traumatic Stress Disorder (PTSD) (18.9 %); their children have high levels of emotional and behavioral difficulties (20.8 %). Factors associated with maternal depression include fluency in French, suicidal risk, PTSD, and unmet medical needs. The risk of PTSD in mothers was associated with departure from the country of origin for a violent cause, depression and residential instability. Children's emotional and behavioral difficulties were associated with parents’ birth region, residential mobility, children's health and overweight, children's sleep patterns, mother's suicidal risk, the fact that children do not like their housing or are victim of school bullying. ConclusionThe standard health care system and primary care professionals must take advantage of the opportunity offered by each contact with homeless families to detect mental health disorders, which have a high prevalence in both mothers and their children, and refer them to existing structures to facilitate their access to health care.

Estimating Children's Household Instability Between Birth and Age 18 Using Longitudinal Household Roster Data.

Previous descriptions of the composition and stability of children's households have focused on the presence of parents and the stability of mothers' marital and cohabiting relationships. We use data available in the 2008 Survey of Income and Program Participation to expand the description of children's household composition and stability. We find that one in five children lives with nonnuclear household members. These other household members are a source of substantial household instability. In addition, during the period of observation (2008-2013), children experienced considerable residential instability. Thus, children's experience of household instability is much more common and frequent than previously documented. Moreover, levels of both residential and compositional instability are higher for children with less-educated mothers and for racial/ethnic minorities.

Multiscale spatiotemporal patterns of crime: a Bayesian cross-classified multilevel modelling approach

Characteristics of the urban environment influence where and when crime events occur; however, past studies often analyse cross-sectional data for one spatial scale and do not account for the processes and place-based policies that influence crime across multiple scales. This research applies a Bayesian cross-classified multilevel modelling approach to examine the spatiotemporal patterning of violent crime at the small-area, neighbourhood, electoral ward, and police patrol zone scales. Violent crime is measured at the small-area scale (lower-level units) and small areas are nested in neighbourhoods, electoral wards, and patrol zones (higher-level units). The cross-classified multilevel model accommodates multiple higher-level units that are non-hierarchical and have overlapping geographical boundaries. Results show that violent crime is positively associated with population size, residential instability, the central business district, and commercial, government-institutional, and recreational land uses within small areas and negatively associated with civic engagement within electoral wards. Combined, the three higher-level units explain approximately fifteen per cent of the total spatiotemporal variation of violent crime. Neighbourhoods are the most important source of variation among the higher-level units. This study advances understanding of the multiscale processes influencing spatiotemporal crime patterns and provides area-specific information within the geographical frameworks used by policymakers in urban planning, local government, and law enforcement.

Societal determinants of violent death: The extent to which social, economic, and structural characteristics explain differences in violence across Australia, Canada, and the United States.

In this ecological study, we attempt to quantify the extent to which differences in homicide and suicide death rates between three countries, and among states/provinces within those countries, may be explained by differences in their social, economic, and structural characteristics. We examine the relationship between state/province level measures of societal risk factors and state/province level rates of violent death (homicide and suicide) across Australia, Canada, and the United States. Census and mortality data from each of these three countries were used. Rates of societal level characteristics were assessed and included residential instability, self-employment, income inequality, gender economic inequity, economic stress, alcohol outlet density, and employment opportunities). Residential instability, self-employment, and income inequality were associated with rates of both homicide and suicide and gender economic inequity was associated with rates of suicide only. This study opens lines of inquiry around what contributes to the overall burden of violence-related injuries in societies and provides preliminary findings on potential societal characteristics that are associated with differences in injury and violence rates across populations.

Barring progress: The influence of paternal incarceration on families’ neighborhood attainment

A growing body of literature has recognized that incarceration has implications beyond the offender, with detrimental effects reverberating onto families. In this study, we use the Fragile Families and Child Wellbeing Study (N = 3288) to investigate the relationships between paternal incarceration and the neighborhood outcomes of the children of incarcerated fathers and their mothers. Specifically, we examine whether children whose fathers are currently and/or have recently been incarcerated experience more residential instability, live in more socioeconomically disadvantaged neighborhoods, and/or live in less socially cohesive neighborhoods. We find that paternal incarceration is associated with moving more frequently, greater socioeconomic neighborhood disadvantage, and lower social cohesion for the children of incarcerated fathers and their mothers, though some of these relationships depend on the timing of paternal incarceration. Our findings have important implications for understanding the societal costs of incarceration, the nature of neighborhood attainment and inequality for families facing paternal incarceration, and the processes through which some families are sorted into their neighborhood contexts.

Child welfare characteristics in a sample of youth involved in commercial sex: An exploratory study

BackgroundHomeless, runaway, and youth exiting foster care are vulnerable to sexual exploitation, but little research has parsed the societal, community, and individual factors that contribute to their risk. Objectives(1) To estimate child welfare characteristics in a sample of homeless young people who engaged in commercial sex (CS); and (2) To compare young people who were sex trafficked (ST) to those who engaged in some other form of CS. Participants and settingThis study includes 98 homeless young people in Philadelphia, PA, Phoenix, AZ, and Washington, DC, who were interviewed for a larger study of ST and endorsed engagement in CS. MethodsWe used a non-probability, purposive, maximum variation sampling procedure. Interviews were recorded and responses were simultaneously noted on a standardized interview form. Data were analyzed through means, frequencies, and bivariate tests of association. ResultsAverage age of the full sample of 98 homeless young people was 20.9 years; 48% were female and 50% were Black/African American. Forty-six percent of the full sample was sex trafficked. The full sample and the victims of ST differed significantly in three child welfare characteristics, with the ST group more likely to have been maltreated as children, more likely to have had family involvement with the child welfare system (CWS), and more likely to report higher rates of living someplace other than with their biological parents as children. ConclusionsST victims differ from those who engaged in other forms of CS in histories of maltreatment, involvement with the CWS, and exposure to residential instability while growing up.

Cumulative childhood adversity, adolescent psychiatric disorder and violent offending in young adulthood.

Childhood adversity (CA) is a risk indicator for psychiatric morbidity. Although CA has been linked to violent offending, limited research has considered adolescent psychiatric disorder as a mediating factor. The current study examined whether adolescent psychiatric disorder mediates the association between CA and violent offending. We used a cohort of 476 103 individuals born in 1984-1988 in Sweden. Register-based CAs included parental death, substance abuse and psychiatric disorder, parental criminal offending, parental separation, public assistance, child welfare intervention and residential instability. Adolescent psychiatric disorder was defined as being treated with a psychiatric diagnosis prior to age 20. Estimates of risk of violent offending after age 20 were calculated as incidence rate ratios (IRRs) with 95% confidence intervals (CIs). Mediation was tested with the bootstrap method. Exposure to CA was positively associated with violent offending, especially when accumulated. Individuals exposed to 4+ CAs who were also treated for psychiatric disorder had a 12-fold elevated risk for violent offending (adjusted IRR 12.2, 95% CI 10.6-14.0). Corresponding IRR among 4+ CA youth with no psychiatric disorder was 5.1 (95% CI 4.5-5.6). Psychiatric disorder mediated the association between CA and violent offending. CA is associated with elevated risk for violent offending in early adulthood, and the association is partly mediated by adolescent psychiatric disorder. Individuals exposed to cumulative CA who also develop adolescent psychopathology should be regarded as a high-risk group for violent offending, by professionals in social and health services that come into contact with this group.

Increased Rate of Long-term Mortality Among Burn Survivors: A Population-based Matched Cohort Study.

To estimate long-term mortality following major burn injury compared with matched controls. The effect of sustaining a major burn injury on long-term life expectancy is poorly understood. Using health administrative data, all adults who survived to discharge after major burn injury between 2003 and 2013 were matched to between 1 and 5 uninjured controls on age, sex, and the extent of both physical and psychological comorbidity. To account for socioeconomic factors such as residential instability and material deprivation, we also matched on marginalization index. The primary outcome was 5-year all-cause mortality, and all patients were followed until death or March 31, 2014. Cumulative mortality estimates were estimated using the Kaplan-Meier method. Cox proportional hazards modeling was used to estimate the association of burn injury with mortality. In total, 1965 burn survivors of mean age 44 (standard deviation 17) years with median total body surface area burn of 15% [interquartile range (IQR) 5-15] were matched to 8671 controls and followed for a median 5 (IQR 2.5-8) years. Five-year mortality was significantly greater among burn survivors (11 vs 4%, P < 0.001). The hazard ratio was greatest during the first year (4.15, 95% CI 3.17-5.42), and declined each year thereafter, reaching 1.65 (95% CI 1.02-2.67) in the fifth year after discharge. Burn survivors had increased mortality related to trauma (mortality rate ratio, MRR 9.8, 95% CI 5-19) and mental illness (MRR 9.1, 95% CI 4-23). Burn survivors have a significantly higher rate of long-term mortality than matched controls, particularly related to trauma and mental illness. Burn follow-up should be focused on injury prevention, mental healthcare, and detection and treatment of new disease.

Socioeconomic status (SES) and 30-day hospital readmissions for chronic obstructive pulmonary (COPD) disease: A population-based cohort study

BackgroundPatients with chronic obstructive pulmonary disease (COPD) are more likely to be readmitted than patients with other chronic medical conditions, yet knowledge regarding such readmissions is limited. We aimed to determine factors associated with readmission within 30 days of a COPD hospitalization or death with an emphasis on examining aspects of socioeconomic status and specific comorbidities.MethodsA population-based cohort study was conducted using health administrative data from Ontario, Canada. All hospitalizations for COPD between 2004 and 2014 were considered. The primary exposures were socioeconomic status as measured by residential instability (an ecologic variable), and comorbidities such as cardiovascular disease and cancer. Other domains of socioeconomic status were considered as secondary exposures. Logistic regression with generalized estimating equations was used to examine the effect of exposures, adjusting for other patient factors, on 30-day readmission or death.ResultsThere were 126,013 patients contributing to 252,756 index COPD hospitalizations from 168 Ontario hospitals. Of these hospitalizations, 19.4% resulted in a readmission and 2.8% resulted in death within 30 days. After adjusting for other factors, readmissions or death were modestly more likely among people with the highest residential instability compared to the lowest (OR 1.05, 95% CI 1.01–1.09). Comorbidities such as cardiovascular disease and cancer, as well as other aspects of low socioeconomic status also increased readmission or death risk.InterpretationSocioeconomic status, measured in various ways, and many comorbidities predict 30-day readmission or death in patients hospitalized for COPD. Strategies that address these factors may help reduce readmissions and death.

Modeling Urban Neighborhood Violence: The Systemic Model and Variable Effects of Social Structure

The systemic model of crime illustrates how neighborhood social structure influences social networks needed for the regulation of crime. This study examines whether those structural influences are stable or variable across a distribution of neighborhoods on violent crime. Study data are derived from the National Neighborhood Crime Study, yielding crime and structural data on a total of 6,927 census tracts within 69 U.S. cities. Quantile regression is used to model structural and spatially lagged violence effects on neighborhood violence. Results demonstrate that the influence of structural disadvantage decreases as neighborhood violence increases. Concomitantly, nearby violence, residential instability, and vacant housing effects become more salient as local violence increases. Local racial composition conditions these effects as well. Study findings suggest that local public safety interventions should be developed relative to a neighborhood’s ecological location on violent crime.

The Neighborhood Context of Perceived and Reported Anti-White Hate Crimes

Hate crimes have received substantial scholarly attention, largely focusing on victims from marginal groups. Large numbers of White Americans also report being the victim of racial hate crime, though very little research has sought to examine the etiology or meaning of anti-White hate crimes. The present work explores the neighborhood context of hate crimes against non-Hispanic Whites in a majority-White city—comparing police reports with self-reported victimizations. Police reports of anti-White hate crimes are most common in areas that have high rates of nonhate crimes and residential instability. Perceptions of bias incidents, by contrast, appear largely driven by the racial composition. Hate crimes against members of dominant groups appear fundamentally distinct from hate crimes against members of subordinate groups and require separate theoretical models of their substantive meaning and etiology. In general, White residents appear to interpret the motivations for victimizations through a racial lens—attributing anti-White motivations most often when they live near larger numbers of Black neighbors—and reporting them most frequently in disorganized and higher crime places. Implications for theory and research on hate crimes, racial threat, anti-White racism, and the effect of the racial composition on perceptions of crime are discussed.

Intergenerational continuity/discontinuity of child maltreatment among low-income mother-child dyads: The roles of childhood maltreatment characteristics, maternal psychological functioning, and family ecology.

Despite evidence of some intergenerational continuity of maltreatment, a notable proportion of parents maltreated in childhood do not perpetuate the cycle of maltreatment. The aim of this study was to identify factors that would distinguish mother-child dyads where intergenerational continuity was present from dyads characterized by intergenerational discontinuity. The sample included 193 children and their mothers, drawn from two populations: 74 maltreated children recruited through Child Protection Services and 119 nonmaltreated children recruited among low-income families. Factors investigated included maternal childhood maltreatment, psychological functioning, and family ecology. Compared to maltreated mothers who broke the cycle of maltreatment, those who perpetuated the cycle were more likely to have experienced childhood physical neglect and multitype maltreatment, and to experience sociodemographic risk, intimate partner violence, and lack of family support. Compared to nonmaltreated mothers who maintained a nonmaltreating child-rearing environment: (a) maltreated mothers who broke the cycle were more likely to experience residential instability and lack of family support, and (b) nonmaltreated mothers whose child was maltreated were more likely to experience sociodemographic risk and lack of family support. Maternal psychological functioning did not discriminate maltreatment groups. Lending empirical support to a diathesis-stress model of poor parenting, these findings suggest that family-ecology related stress, but not maternal psychological difficulties, may create additional burden that will precipitate the risk of maltreatment intergenerational continuity.

Eviction From Renter-occupied Households and Rates of Sexually Transmitted Infections: A County-level Ecological Analysis.

Housing instability is linked to numerous health outcomes, but the specific impact of eviction from renter-occupied households, an event that has immediate implications for residential stability for low-income individuals, on sexually transmitted infections (STI) rates has not been adequately studied. We examined county-level associations between eviction rates in 2014 and rates of chlamydia and gonorrhea in the following year using publicly available data sources (Eviction Lab National Database and AtlasPlus, respectively). Descriptive statistics compared medians and nonparametric distributions with Krusal-Wallis tests. Linear regression was used to compare tertile categories of eviction rates and STI rates while controlling for potential confounders. Median rates of chlamydia in counties with low, medium, and high rates of eviction were 229, 270, and 358 cases per 100,000 population, respectively (P < 0.001). The corresponding median rates of gonorrhea were 25, 37, and 75 cases per 100,000 population (P < 0.001). These associations remained statistically significant after controlling for all covariates in adjusted models. The beta coefficients and 95% confidence intervals (95% CI) for chlamydia and gonorrhea comparing high to low county-level eviction rates were 63.8 (95% CI, 45.1-82.5) and 20.4 (95% CI, 13.5-27.4), respectively. Similar associations were observed across levels of poverty and in both metropolitan and nonmetropolitan counties. County-level eviction rates are associated with chlamydia and gonorrhea rates in a significant and robust way independent of other known predictors of STI. These results suggest that evictions result in residential instability in a way that may increase STI risk.

Impact of marginalization on tobacco use in individuals diagnosed with head and neck Cancer

BackgroundConsiderable evidence now indicates that individuals living in underprivileged neighbourhoods have higher rates of mortality and morbidity independent of individual-level characteristics. This study explored the impact of geographical marginalization on smoking cessation in a population of individuals with a diagnosis of head and neck cancer. The aims of this study were twofold: (1) assess the prevalence of smoking cessation in those with a previous diagnosis of head and neck cancer, (2) analyze the determinants of smoking alongside area-based measures of socioeconomic status.MethodsThis was a cross-sectional study. We administered a self-reported nicotine dependence package to participants between the ages of 20–90 with a previous mucosal head and neck cancer diagnosis and with a history of tobacco use. Using the Canadian Marginalization (CAN-Marg) Index tool based on 2006 Canada Census data we compared the degree of marginalization to the smoking status. For those individuals who were currently smoking, nicotine dependence and readiness to quit were assessed. A summative score of marginalization was compared to smoking status of individuals.ResultsThe results from this study indicate that the summative level of marginalization developed from the combined factors of residential instability, material deprivation, ethnic concentration and dependency may be important factors in smoking cessation.ConclusionsThis analysis of determinants of smoking alongside area-based measures of socioeconomic status may implicate the need for targeted population-based smoking cessation interventions.

The Impact of Homeless Prevention on Residential Instability: Evidence From the Homelessness Prevention and Rapid Re-Housing Program

ABSTRACTMillions of individuals and families in the United States do not have access to stable housing. Recent policies in the United States and the rest of the developed world emphasize programs intended to prevent homelessness through temporary financial assistance. This article explores the impact of the largest homelessness prevention program in U.S. history, the Homelessness Prevention and Rapid Re-housing Program (HPRP), on residential instability, using a national sample of families with children enrolled in school. The identification strategy exploits variations on the location of HPRP providers. Using data on the ratio of K–12 students experiencing homelessness in school districts, we find that HPRP is associated with reductions in the percentage of homeless students for districts closer to an HPRP provider. However, the impacts of HPRP fade out when program benefits end, bringing into question whether homeless prevention can help families achieve self-sufficiency in the long run.