Journal article
Timing and Duration of Pre- and Postnatal Homelessness and the Health of Young Children
Pediatrics (Evanston), v 142(4), pe20174254
01 Oct 2018
PMID: 30177513
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVES: Prenatal homelessness is associated with elevated risks of adverse neonatal outcomes. How the timing and duration of homelessness during pregnancy and/or a child's early life relate to postnatal child health is unclear.
METHODS: We interviewed 20 571 low-income caregivers of children <4 years old in urban pediatric clinics and/or emergency departments in 5 US cities. Categories of homelessness timing were prenatal, postnatal, both, or never; postnatal duration was >6 months or <6 months.
RESULTS: After controlling for birth outcomes and other potential confounders, compared with never-homeless children, children who were homeless both pre-and postnatally were at the highest risk of the following: postneonatal hospitalizations (adjusted odds ratio [aOR] 1.41; confidence interval [CI] 1.18-1.69), fair or poor child health (aOR 1.97; CI 1.58-2.47), and developmental delays (aOR 1.48; CI 1.16-1.89). There was no significant association with risk of underweight (aOR 0.95; CI 0.76-1.18) or overweight status (aOR 1.07; CI 0.84-1.37). Children <1 year old with >6 months of homelessness versus those who were never homeless had high risks of fair or poor health (aOR 3.13; CI 2.05-4.79); children 1 to 4 years old who were homeless for >6 months were at risk for fair or poor health (aOR 1.89; CI 1.38-2.58).
CONCLUSIONS: After controlling for birth outcomes, the stress of prenatal and postnatal homelessness was found to be associated with an increased risk of adverse pediatric health outcomes relative to those who were never homeless. Interventions to stabilize young families as quickly as possible in adequate and affordable housing may result in improved pediatric health outcomes.
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Details
- Title
- Timing and Duration of Pre- and Postnatal Homelessness and the Health of Young Children
- Creators
- Megan Sandel - Boston Medical CenterRichard Sheward - Boston Medical CenterStephanie Ettinger de Cuba - Boston UniversitySharon Coleman - The Coordinating CenterTimothy Heeren - Department of Biostatistics, School of Public Health, andMaureen M. Black - University of Maryland, BaltimorePatrick H. Casey - University of Arkansas for Medical SciencesMariana Chilton - Drexel UniversityJohn Cook - Boston Med Ctr, Dept Pediat, Boston, MA USADiana Becker Cutts - Hennepin County Medical CenterRuth Rose-Jacobs - Boston Medical CenterDeborah A. Frank - Boston Medical Center
- Publication Details
- Pediatrics (Evanston), v 142(4), pe20174254
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 8
- Grant note
- 14-105899-000-usp / John D. and Catherine T. MacArthur Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000449034300009
- Scopus ID
- 2-s2.0-85054100736
- Other Identifier
- 991019169420704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics