Subsidized Housing and Children's Nutritional Status

Meyers, Alan; Cutts, Diana; Frank, Deborah A.; Levenson, Suzette; Skalicky, Anne; Heeren, Timothy; Cook, John T.; Berkowitz, Carol D.; Black, Maureen M.; Casey, Patrick H.; Zaldivar, Nieves

doi:10.1001/archpedi.159.6.551

Cited by 91 publications

(67 citation statements)

References 18 publications

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“…Pediatrics 2014;134:e1611-e1618 Adverse social conditions experienced in childhood contribute to an elevated burden of disease in affected children, spanning acute and chronic diseases such as injury, diabetes, asthma, infectious disease, and cardiovascular disease. [1][2][3][4] Exposures such as poverty and other financial stress, [5][6][7] food insecurity, [8][9][10][11][12][13][14] and poor housing quality and housing instability [15][16][17][18][19] have been linked with greater stress, socioemotional behavior problems, cognitive and academic deficits, and poor health status. The probability of poor health increases as the number of adverse exposures increases, 20,21 and risks extend to disease onset and premature mortality in adulthood.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Gottlieb¹,

Hessler²,

et al. 2014

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BACKGROUND: There is growing interest in clinical screening for pediatric social determinants of health, but little evidence on formats that maximize disclosure rates on a wide range of potentially sensitive topics. We designed a study to examine disclosure rates and hypothesized that there would be no difference in disclosure rates on face-to-face versus electronic screening formats for items other than highly sensitive items. METHODS: We conducted a randomized trial of electronic versus face-to-face social screening formats in a pediatric emergency department. Consenting English-speaking and Spanish-speaking adult caregivers familiar with the presenting child’s household were randomized to social screening via tablet computer (with option for audio assist) versus a face-to-face interview conducted by a fully bilingual/bicultural researcher. RESULTS: Almost all caregivers (96.8%) reported at least 1 social need, but rates of reporting on the more sensitive issues (household violence and substance abuse) were significantly higher in electronic format, and disclosure was marginally higher in electronic format for financial insecurity and neighborhood and school safety. There was a significant difference in the proportion of social needs items with higher endorsement in the computer-based group (70%) than the face-to-face group (30%). CONCLUSIONS: Pediatric clinical sites interested in incorporating caregiver-reported socioeconomic, environmental, and behavioral needs screening should consider electronic screening when feasible, particularly when assessing sensitive topics such as child safety and household member substance use.

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Section: Discussionmentioning

confidence: 99%

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Gottlieb¹,

Hessler²,

et al. 2014

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“…5,6 Poverty affects children both directly, when material needs are not met, and indirectly, through amplifying family stress. Children's health suffers when basic needs such as food, [7][8][9][10][11][12] housing, 13,14 and utilities 15,16 are not met. Adverse impacts include low weight for age, developmental concerns and behavioral problems, higher risk of hospitalization, and overall poor health as rated by parents.…”

Section: What This Study Addsmentioning

confidence: 99%

Medical-Legal Strategies to Improve Infant Health Care: A Randomized Trial

Sege

Preer

Morton³

et al. 2015

Pediatrics

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“…This indicates that food insecurity increases the risk of housing instability through a combination of material hardship and a lack of instrumental support. A stronger social safety net through public assistance programs, which are effective in reducing food insecurity (Borjas 2004;Gundersen and Ziliak 2014;Meyers et al 2005;Ziliak 2015), would reduce material hardship and strengthen social networks and support, resulting in a lower risk of housing instability.…”

Section: Introductionmentioning

confidence: 99%

Food insecurity and housing instability in vulnerable families

King

2016

Rev Econ Household

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Reducing the prevalence of household food insecurity has been a long-standing objective of the federal government. Previous research has found many negative consequences of food insecurity for families and households but has not examined its relationship with housing instability. Using longitudinal data from the Fragile Families and Child Wellbeing Study, difference-in-difference models show that food insecurity is associated with housing instability. The association remains statistically significant after accounting for potential selection and unobserved heterogeneity using propensity score matching and excluding households that experienced prior housing instability from the sample. Examining potential mediating factors, I find that material hardship explains about half of this association. These findings suggest that maintaining a strong social safety net would reduce the risk that families experience material hardship and housing instability, which may also reduce the risk of homelessness.

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Subsidized Housing and Children's Nutritional Status

Cited by 91 publications

References 18 publications

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Medical-Legal Strategies to Improve Infant Health Care: A Randomized Trial

Food insecurity and housing instability in vulnerable families

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