Hanson Jamie L
Learning, Research, and Development Center, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania.
JAMA Netw Open. 2025 Feb 3;8(2):e2458984. doi: 10.1001/jamanetworkopen.2024.58984.
Eviction and housing loss are pressing public health concerns. Understanding how caregivers' stress about eviction or loss of housing is associated with specific childhood psychiatric issues across development is important.
To examine associations between stress about eviction or loss of housing and caregiver-reported child depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), and behavioral problems, while adjusting for sociodemographic factors.
DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study analyzed data from the 2022 National Survey of Children's Health, a nationally representative survey of caregivers and children in the US. Data were collected between July 2022 and January 2023.
Eviction or loss of housing.
Caregiver-reported child depression, anxiety, ADHD, and behavioral problems. Generalized linear mixed models were used to test associations with stress about eviction or loss of housing.
From a sample of 54 103 families, 36 638 were included in the analytic sample (analytic sample mean [SD] age: 9.91 [4.62] years; sex assigned at birth, 18 901 male [52%]). In this study, stress about eviction or loss of housing was associated with depression in children (adjusted odds ratio [aOR], 1.10; 95% CI, 1.02-1.18). Stress about eviction or loss of housing was significantly associated with higher odds of reported anxiety in the base model (aOR, 1.26 (95% CI, 1.22-1.31) but not in the stringently adjusted model (aOR, 1.04; 95% CI, 1.00-1.08]). Associations were sometimes moderated by age, with stronger associations for younger children. Stress about eviction or loss of housing was not associated with ADHD or behavioral problems after adjustment.
This study found that stress about eviction or loss of housing was associated with increased odds of internalizing issues, such as depression and anxiety, among children. Prospective longitudinal research is still needed to fully understand these complex associations over time. These findings underscore the importance of policies and interventions to address housing instability and its mental health consequences for children.
驱逐和住房丧失是紧迫的公共卫生问题。了解照顾者对驱逐或住房丧失的压力如何与儿童在整个发育过程中的特定精神疾病相关联非常重要。
在调整社会人口学因素的同时，研究驱逐或住房丧失压力与照顾者报告的儿童抑郁、焦虑、注意力缺陷多动障碍（ADHD）和行为问题之间的关联。
设计、设置和参与者：这项横断面研究分析了2022年全国儿童健康调查的数据，这是一项对美国照顾者和儿童具有全国代表性的调查。数据收集于2022年7月至2023年1月之间。
驱逐或住房丧失。
照顾者报告的儿童抑郁、焦虑、ADHD和行为问题。使用广义线性混合模型来检验与驱逐或住房丧失压力的关联。
在54103个家庭的样本中，36638个家庭被纳入分析样本（分析样本的平均年龄[标准差]：9.91[4.62]岁；出生时指定的性别，18901名男性[52%]）。在这项研究中，驱逐或住房丧失压力与儿童抑郁相关（调整后的优势比[aOR]，1.10；95%置信区间，1.02-1.18）。在基础模型中，驱逐或住房丧失压力与报告的焦虑几率显著相关（aOR，1.26[95%置信区间，1.22-1.31]），但在严格调整后的模型中不相关（aOR，1.04；95%置信区间，1.00-1.08）。关联有时受年龄调节，年幼儿童的关联更强。调整后，驱逐或住房丧失压力与ADHD或行为问题无关。
这项研究发现，驱逐或住房丧失压力与儿童内化问题（如抑郁和焦虑）的几率增加相关。仍需要进行前瞻性纵向研究，以充分了解这些复杂关联随时间的变化。这些发现强调了政策和干预措施对于解决住房不稳定及其对儿童心理健康影响的重要性。
