Neighborhood eviction trajectories and odds of moderate and serious psychological distress during pregnancy among African American women.

Autor:	Sealy-Jefferson S; Division of Epidemiology, College of Public Health, Ohio State University, Columbus, OH 43210, United States., Jackson B; Department of Psychology, Smith College, Northampton, MA 01063, United States., Francis B; FXB Center for Health and Human Rights, Harvard University, Boston, MA 02115, United States.; Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.
Jazyk:	angličtina
Zdroj:	American journal of epidemiology [Am J Epidemiol] 2024 Jul 08; Vol. 193 (7), pp. 968-975.
DOI:	10.1093/aje/kwae025
Abstrakt:	African American mothers are unjustly burdened by both residential evictions and psychological distress. We quantified associations between trajectories of neighborhood evictions over time and the odds of moderate and serious psychological distress (MPD and SPD, respectively) during pregnancy among African American women. We linked publicly available data on neighborhood eviction filing and judgment rates to preconception and during-pregnancy addresses from the Life-course Influences on Fetal Environments (LIFE) Study (2009-2011; n = 808). Multinomial logistic regression-estimated odds of MPD and SPD during pregnancy that were associated with eviction filing and judgment rate trajectories incorporating preconception and during-pregnancy addresses (each categorized as low, medium, or high, with two 9-category trajectory measures). Psychological distress was measured with the Kessler Psychological Distress Scale (K6) (K6 scores 5-12 = MPD, and K6 scores ≥13 = SPD). MPD was reported in 60% of the sample and SPD in 8%. In adjusted models, higher neighborhood eviction filing and judgment rates, as compared with low/low rates, during the preconception and pregnancy periods were associated with 2- to 4-fold higher odds of both MPD and SPD during pregnancy among African American women. In future studies, researchers should identify mechanisms of these findings to inform timely community-based interventions and effective policy solutions to ensure the basic human right to housing for all. This article is part of a Special Collection on Mental Health. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.)
Databáze:	MEDLINE
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