Childhood Residential Mobility and Multiple Health Risks During Adolescence and Adulthood

Dong, Maxia; Anda, Robert F.; Felitti, Vincent J.; Williamson, David F.; Dube, Shanta R.; Brown, David W.; Giles, Wayne H.

doi:10.1001/archpedi.159.12.1104

Cited by 195 publications

(128 citation statements)

References 45 publications

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“…20 For example, authors of a previous observational study found a twofold increased risk of depressed mood and a 2.5-fold increased risk of suicide attempts among adults who reported high residential mobility (>7 moves) during childhood, which was attenuated after statistically controlling for ACE scores. 21 The increased odds of suicidality among homeless youth in our study is similar in magnitude to that in population-based samples of adults who experienced multiple ACEs (but not necessarily also homelessness). 22,23 Our study did not assess ACE scores because of limitations of the school-based measures used.…”

Section: Discussionsupporting

confidence: 75%

Emotional Health Among Youth Experiencing Family Homelessness

Barnes¹,

Gilbertson²,

Chatterjee³

2018

Pediatrics

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Section: Discussionsupporting

confidence: 75%

Emotional Health Among Youth Experiencing Family Homelessness

Barnes¹,

Gilbertson²,

Chatterjee³

2018

Pediatrics

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“…Pediatrics 2014;134:e1611-e1618 Adverse social conditions experienced in childhood contribute to an elevated burden of disease in affected children, spanning acute and chronic diseases such as injury, diabetes, asthma, infectious disease, and cardiovascular disease. [1][2][3][4] Exposures such as poverty and other financial stress, [5][6][7] food insecurity, [8][9][10][11][12][13][14] and poor housing quality and housing instability [15][16][17][18][19] have been linked with greater stress, socioemotional behavior problems, cognitive and academic deficits, and poor health status. The probability of poor health increases as the number of adverse exposures increases, 20,21 and risks extend to disease onset and premature mortality in adulthood.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Gottlieb¹,

Hessler²,

et al. 2014

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BACKGROUND: There is growing interest in clinical screening for pediatric social determinants of health, but little evidence on formats that maximize disclosure rates on a wide range of potentially sensitive topics. We designed a study to examine disclosure rates and hypothesized that there would be no difference in disclosure rates on face-to-face versus electronic screening formats for items other than highly sensitive items. METHODS: We conducted a randomized trial of electronic versus face-to-face social screening formats in a pediatric emergency department. Consenting English-speaking and Spanish-speaking adult caregivers familiar with the presenting child’s household were randomized to social screening via tablet computer (with option for audio assist) versus a face-to-face interview conducted by a fully bilingual/bicultural researcher. RESULTS: Almost all caregivers (96.8%) reported at least 1 social need, but rates of reporting on the more sensitive issues (household violence and substance abuse) were significantly higher in electronic format, and disclosure was marginally higher in electronic format for financial insecurity and neighborhood and school safety. There was a significant difference in the proportion of social needs items with higher endorsement in the computer-based group (70%) than the face-to-face group (30%). CONCLUSIONS: Pediatric clinical sites interested in incorporating caregiver-reported socioeconomic, environmental, and behavioral needs screening should consider electronic screening when feasible, particularly when assessing sensitive topics such as child safety and household member substance use.

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“…11 In a longitudinal study, Gilman and colleagues found that moving three or more times before the age of 7 years was significantly associated with depression diagnosis by age 14. 12 Although prior research suggests that relocation and moving is associated with poor mental health problems including anxiety and schizophrenia, much of this research is based on population studies and has focused on moving as an infrequent stressful life event.…”

Section: Introductionmentioning

confidence: 99%

Residential Transience and Depression: Does the Relationship Exist for Men and Women?

2008

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Residential transience may contribute to adverse mental health. However, to date, this relationship has not been well-investigated among urban, impoverished populations. In a sample of drug users and their social network members (n=1,024), we assessed the relationship between transience (frequently moving in the past 6 months) and depressive symptoms, measured by the CES-D, among men and women. Even after adjusting for homelessness, high levels of depressive symptoms were 2.29 [95%CI= 1.29-4.07] times more likely among transient men compared to nontransient men and 3.30 [95% CI=1.10-9.90] times more common among transient women compared to nontransient women. Stable housing and mental health services need to be available, easily accessible, and designed so that they remain amenable to utilization under transient circumstances.

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Childhood Residential Mobility and Multiple Health Risks During Adolescence and Adulthood

Cited by 195 publications

References 45 publications

Emotional Health Among Youth Experiencing Family Homelessness

Emotional Health Among Youth Experiencing Family Homelessness

A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study

Residential Transience and Depression: Does the Relationship Exist for Men and Women?

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