Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania.
Am J Epidemiol. 2018 Sep 1;187(9):1863-1870. doi: 10.1093/aje/kwy075.
The US Great Recession resulted in an alarming number of home foreclosures that weakened the social and physical environment of thousands of neighborhoods. Few studies have evaluated whether these neighborhood changes were related to changes in individual behaviors. We examined the relationship between changes in neighborhood-level home foreclosure within a quarter-mile (0.4-km) buffer of the residence and changes in cigarette smoking and alcohol use among 3,807 adults enrolled in the Multi-Ethnic Study of Atherosclerosis during 2005-2012, using econometric individual-level fixed-effects models. Increases in neighborhood-level foreclosure were associated with small decreases in the number of cigarettes smoked per day (mean difference = -0.08, 95% confidence interval: -0.11, -0.04) and small increases in the number of alcoholic beverages consumed per week (mean difference = 0.11, 95% confidence interval: 0.05, 0.17). Neighborhood-level foreclosure may not uniformly influence high-risk behaviors. The impact of home foreclosure on adult drinking should be further explored, given its potentially negative implications for health.
美国大衰退导致了数量惊人的房屋止赎，削弱了数千个社区的社会和物质环境。很少有研究评估这些社区变化是否与个人行为的变化有关。我们使用计量经济学个体固定效应模型，研究了 2005 年至 2012 年期间参加动脉粥样硬化多民族研究的 3807 名成年人居住在住所周围四分之一英里（0.4 公里）缓冲区的邻里层面房屋止赎变化与吸烟和饮酒变化之间的关系。邻里层面止赎的增加与每天吸烟量的少量减少（平均差异=-0.08，95%置信区间：-0.11，-0.04）和每周饮酒量的少量增加（平均差异=0.11，95%置信区间：0.05，0.17）有关。邻里层面的止赎可能不会均匀地影响高风险行为。鉴于房屋止赎对健康可能产生负面影响，应进一步探讨其对成年人饮酒的影响。
