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US Housing insecurity and the health of very young children
Diana Becker Cutts1, Alan F Meyers, Maureen M Black
1Department of Pediatrics, Diana Becker Cutts, Hennepin County Medical Center, Minneapolis, MN 55415, USA. Diana.cutts@hcmed.org
Insights
Housing insecurity, including crowding and frequent moves, is linked to poor health outcomes in young children. Addressing housing instability is crucial for improving child health and development.
Area of Science:
- Pediatric Health
- Public Health
- Socioeconomic Determinants of Health
Background:
- Housing insecurity is a significant public health issue affecting vulnerable populations.
- Understanding the impact of housing instability on child health is critical for developing effective interventions.
Purpose of the Study:
- To investigate the association between housing insecurity and the health status of very young children.
- To identify specific indicators of housing insecurity and their correlation with child health outcomes.
Main Methods:
- A cohort of 22,069 low-income caregivers with children under 3 years was interviewed across 7 US urban medical centers (1998-2007).
- Housing insecurity was assessed using indicators such as crowding (>2 people/bedroom or >1 family/residence) and multiple moves (≥2 moves/year).
- Child health status, developmental risk, weight, and food insecurity were also evaluated.
Main Results:
- Crowding was associated with increased household and child food insecurity.
- Multiple moves were significantly linked to higher odds of household and child food insecurity.
- Multiple moves correlated with fair/poor child health, increased developmental risk, and lower weight-for-age z scores.
Conclusions:
- Housing insecurity, particularly crowding and frequent residential mobility, poses a substantial risk to the health and development of young children.
- Policies aimed at reducing housing insecurity are essential for promoting child well-being and should be prioritized in public health initiatives.
Objectives:
We investigated the association between housing insecurity and the health of very young children.
Methods:
Between 1998 and 2007, we interviewed 22,069 low-income caregivers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (> 2 people/bedroom or>1 family/residence) and multiple moves (≥ 2 moves within the previous year).
Results:
After adjusting for covariates, crowding was associated with household food insecurity compared with the securely housed (adjusted odds ratio [AOR] = 1.30; 95% confidence interval [CI] = 1.18, 1.43), as were multiple moves (AOR = 1.91; 95% CI = 1.59, 2.28). Crowding was also associated with child food insecurity (AOR = 1.47; 95% CI = 1.34, 1.63), and so were multiple moves (AOR = 2.56; 95% CI = 2.13, 3.08). Multiple moves were associated with fair or poor child health (AOR = 1.48; 95% CI =1.25, 1.76), developmental risk (AOR 1.71; 95% CI = 1.33, 2.21), and lower weight-for-age z scores (-0.082 vs -0.013; P= .02).
Conclusions:
Housing insecurity is associated with poor health, lower weight, and developmental risk among young children. Policies that decrease housing insecurity can promote the health of young children and should be a priority.
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