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Parental Perceptions Regarding the Impact of Housing on Child Health
N O' Brien1, N Quinn1, B Joyce1
1Children's Health Ireland at Temple Street, Department of Paediatric Emergency Medicine, Dublin, Ireland.
Insights
Homeless parents reported significant negative impacts of housing instability on their children
Area of Science:
- Pediatric Health
- Social Determinants of Health
- Public Health
Background:
- Childhood poverty has lasting adverse effects.
- Housing instability is a critical social determinant of child well-being.
- Understanding parental perceptions is key to addressing these impacts.
Purpose of the Study:
- To assess parental perceptions of housing impacts on children.
- To compare experiences of homeless versus housed families.
- To identify specific areas of child health and development affected by housing.
Main Methods:
- Cross-sectional study in a pediatric emergency department (Dublin).
- Survey of 312 parents regarding housing and child well-being.
- Analysis of data comparing homeless and non-homeless groups.
Main Results:
- Homeless children had lower GP registration and vaccination rates.
- Homeless parents reported feeling unsafe and negative housing impacts on education, physical, and mental health.
- 10% of non-homeless parents feared losing their homes; 28% lacked landlord permission for safety measures.
Conclusions:
- Housing instability, particularly homelessness, severely impacts child health, development, and safety.
- Even housed families face housing insecurity and safety measure challenges.
- Addressing housing as a social determinant is crucial for pediatric health outcomes.
Abstract:
Introduction Childhood poverty has life-long adverse impacts. We aimed to assess perceptions of parents of a cohort of children attending a paediatric emergency department regarding the impact of their housing on their child and family Methods From 01/11/2020 - 08/01/2021 a cross-sectional study was performed in a paediatric emergency department in Dublin Results Of 312 parents who completed a questionnaire, 4.5% (n = 14) reported themselves to be homeless. Homeless children were less likely to be registered with general practitioners (78.6% vs. 97.5%, p = .009) or be fully vaccinated (71.4% vs. 92.4%, p = .024). Homeless parents were more likely to feel unsafe at home (35.7% vs. 3.4%, p <.001), and to report that their housing negatively impacted their child's education (58.3% vs 10.7%, p <.001), physical health (45.5% vs 11.7, p = .007), and mental health (61.5% vs 12.6%, p <.001). Ten percent of non-homeless parents were concerned about losing their home. A lack of landlord permission to install child safety measures in the home was reported by 28% of all parents. Conclusion Homeless parents were more likely to report that their living situation negatively impacted their child's play, development, education, safety, and health.
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