RNSurveyJournal of child health care : for professionals working with children in the hospital and community2021

Home quality and child health: Analysis of the Survey of Income and Program Participation.

Samantha J Boch, Deena J Chisolm, Jennifer W Kaminski and 1 others

PMID 33502907

WHAT IT FOUND

Poorer housing quality was linked to worse parent-reported child health and more medical visits.

Links to hospital stays did not hold after adjustment.

Key findings

01In fully adjusted models, each additional poor housing problem was associated with 16% greater odds of poorer parent-reported child health status.

02Each additional poor housing problem was associated with 11% greater odds of high medical utilization, defined as three or more medical visits per year.

03Housing problems were associated with 26% greater odds of hospitalization before adjustment, but this association did not remain significant after demographic and socioeconomic adjustment.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was cross-sectional, so it cannot show that poor housing caused poorer health or more medical visits. Health status and housing problems were parent-reported, and parents received no interviewer guidance on how to interpret the health status categories. Only 334 children, or less than 3% of the analytic sample, were in the poor or fair health category, limiting power for some comparisons. Hospitalizations were uncommon, with 2.9% of parents reporting at least one hospital admission, so the hospitalization findings were limited by low power and are reported in supplementary material. The housing quality measure counted four reported problems; the authors note that broader measures could include water quality, air quality, or heating issues. About 150 children were excluded for missing income-to-poverty information, and the excluded children differed from the analytic sample on health outcomes, although their small number was expected to reduce impact on estimates.

Declared interests

The supplied article is tagged as Research Support, U.S. Gov't, P.H.S.

The easy way to misread this

Do not conclude that improving housing will improve child health or reduce medical visits. This was a cross-sectional survey, so it shows associations at one time, not cause and effect.

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