Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Adverse birth outcomes put children at increased risk of poor future health. They also put families under sudden socioeconomic and psychological strain, which has poorly understood consequences. We tested whether infants experiencing an adverse birth outcome-low birthweight or prematurity, as well as lengthy hospital stays-were more likely to be evicted in early childhood, through age 5 years. We analyzed 5,655 observations contributed by 2,115 participants in the Fragile Families and Child Wellbeing Study-a national, randomly sampled cohort of infants born in large US cities between 1998 and 2000-living in rental housing at baseline. We fitted proportional hazards models using piecewise logistic regression, controlling for an array of confounders and applying inverse probability of selection weights. Having been born low birthweight or preterm was associated with a 1.74-fold increase in children's hazard of eviction (95% confidence interval: 1.02, 2.95), and lengthy neonatal hospital stays were independently associated with a relative hazard of 2.50 (95% confidence interval: 1.15, 5.44) compared with uncomplicated births. Given recent findings that unstable housing during pregnancy is associated with adverse birth outcomes, our results suggest eviction and health may be cyclical and co-constitutive. Children experiencing adverse birth outcomes are vulnerable to eviction and require additional supports.
Health Selection Into Eviction: Adverse Birth Outcomes and Children's Risk of Eviction Through Age 5 Years
Creators
Gabriel L. Schwartz - University of California San Francisco Medical Center
Kathryn M. Leifheit - University of California, Los Angeles
Lisa F. Berkman - Yale University
Jarvis T. Chen - Harvard University
Mariana C. Arcaya - Massachusetts Institute of Technology
Publication Details
American journal of epidemiology, v 190(7), pp 1260-1269
Publisher
Oxford Univ Press
Number of pages
10
Grant note
2T32HS000046 / Agency for Healthcare Research and Quality Post-Doctoral Fellowship
R01HD36916; R01HD39135; R01HD40421; R25HD074544 / Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) at the National Institutes for Health
F31HD096767 / NICHD; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative
Web of Science ID
WOS:000734318100011
Scopus ID
2-s2.0-85111789554
Other Identifier
991021970698904721
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