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Health status of people undergoing foreclosure in the Philadelphia region

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  • Pollack, C.E.
  • Lynch, J.

Abstract

Objectives. We assessed the health status of people undergoing mortgage foreclosure in the Philadelphia region to determine if there was a relationship between foreclosure and health. Methods. Participants were recruited in partnership with a mortgage counseling agency. Participants' health status and health care use were compared with a community sample from the 2008 Southeastern Pennsylvania Household Health Survey. We used publicly filed foreclosure records to assess response bias. Results. Of the 250 people recruited, 36.7% met screening criteria for major depression. The foreclosure sample was significantly more likely than the community sample to not have insurance coverage (adjusted odds ratio [AOR]=2.28; 95% confidence interval [CI]=1.49, 3.48) and to not have filled a prescription because of cost in the preceding year (AOR=3.44; 95% CI=2.45, 4.83). Approximately 9% of the participants reported that their own or a family member's medical condition was the primary reason they were undergoing foreclosure. More than a quarter of those in foreclosure (27.7%) stated that they owed money to medical creditors. Conclusions. Foreclosure affects already-vulnerable populations. Public health practitioners may be able to leverage current efforts to connect homeowners with mortgage counseling agencies to improve health care access.

Suggested Citation

  • Pollack, C.E. & Lynch, J., 2009. "Health status of people undergoing foreclosure in the Philadelphia region," American Journal of Public Health, American Public Health Association, vol. 99(10), pages 1833-1839.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.161380_4
    DOI: 10.2105/AJPH.2009.161380
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    Cited by:

    1. Emily S. Taylor Poppe, 2016. "Homeowner Representation in the Foreclosure Crisis," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 13(4), pages 809-836, December.
    2. Janet Currie & Erdal Tekin, 2015. "Is There a Link between Foreclosure and Health?," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 63-94, February.
    3. Swensen, Isaac D. & Urban, Carly, 2023. "Literature Review on the Effect of Physical and Mental Health on Financial Well-Being," IZA Policy Papers 198, Institute of Labor Economics (IZA).
    4. Vásquez-Vera, Hugo & Palència, Laia & Magna, Ingrid & Mena, Carlos & Neira, Jaime & Borrell, Carme, 2017. "The threat of home eviction and its effects on health through the equity lens: A systematic review," Social Science & Medicine, Elsevier, vol. 175(C), pages 199-208.
    5. Sehun Oh & Ian Zapcic & Michael G. Vaughn & Christopher P. Salas-Wright & Yeonwoo Kim, 2021. "Housing Instability and Depression among US Mothers Following a Nonmarital Birth," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    6. Edwin S. Wong & Vanessa M. Oddo & Jessica C. Jones-Smith, 2020. "Are Housing Prices Associated with Food Consumption?," IJERPH, MDPI, vol. 17(11), pages 1-11, May.
    7. Alm, James & Hawley, Zackary & Lee, Jin Man & Miller, Joshua J., 2016. "Property tax delinquency and its spillover effects on nearby properties," Regional Science and Urban Economics, Elsevier, vol. 58(C), pages 71-77.
    8. Sweet, Elizabeth & Nandi, Arijit & Adam, Emma K. & McDade, Thomas W., 2013. "The high price of debt: Household financial debt and its impact on mental and physical health," Social Science & Medicine, Elsevier, vol. 91(C), pages 94-100.
    9. Leigh Ann Leung & Catherine Lau, 2017. "Effect of mortgage indebtedness on health of U.S. homeowners," Review of Economics of the Household, Springer, vol. 15(1), pages 239-264, March.
    10. Roshanak Mehdipanah & Margaret Dewar & Alexa Eisenberg, 2021. "Threats to and Opportunities for Low-Income Homeownership, Housing Stability, and Health: Protocol for the Detroit 2017 Make-It-Home Evaluation Study," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    11. Houle, Jason N. & Light, Michael T., 2017. "The harder they fall? Sex and race/ethnic specific suicide rates in the U.S. foreclosure crisis," Social Science & Medicine, Elsevier, vol. 180(C), pages 114-124.
    12. Alexander C Tsai, 2015. "Home Foreclosure, Health, and Mental Health: A Systematic Review of Individual, Aggregate, and Contextual Associations," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-21, April.
    13. Gold, Sarah & Wagner, Brandon, 2022. "Acute care utilization and housing hardships in American children," Children and Youth Services Review, Elsevier, vol. 136(C).
    14. Janelle Downing & Andrew Karter & Hector Rodriguez & William H Dow & Nancy Adler & Dean Schillinger & Margaret Warton & Barbara Laraia, 2016. "No Spillover Effect of the Foreclosure Crisis on Weight Change: The Diabetes Study of Northern California (DISTANCE)," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-11, March.
    15. Whitney Witt & Kristin Litzelman & Carmen Mandic & Lauren Wisk & John Hampton & Paul Creswell & Carissa Gottlieb & Ronald Gangnon, 2011. "Healthcare-Related Financial Burden Among Families in the U.S.: The Role of Childhood Activity Limitations and Income," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 308-326, June.
    16. Derek T. Tharp & Martin Seay & Cherie Stueve & Somer Anderson, 2020. "Financial Satisfaction and Homeownership," Journal of Family and Economic Issues, Springer, vol. 41(2), pages 255-280, June.
    17. Diana Hernández & Douglas Phillips & Eva Laura Siegel, 2016. "Exploring the Housing and Household Energy Pathways to Stress: A Mixed Methods Study," IJERPH, MDPI, vol. 13(9), pages 1-13, September.
    18. Burgard, Sarah A. & Seefeldt, Kristin S. & Zelner, Sarah, 2012. "Housing instability and health: Findings from the Michigan recession and recovery study," Social Science & Medicine, Elsevier, vol. 75(12), pages 2215-2224.
    19. Darrell J. Gaskin & Eric T. Roberts & Kitty S. Chan & Rachael McCleary & Christine Buttorff & Benjo A. Delarmente, 2019. "No Man is an Island: The Impact of Neighborhood Disadvantage on Mortality," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    20. Downing, Janelle, 2016. "The health effects of the foreclosure crisis and unaffordable housing: A systematic review and explanation of evidence," Social Science & Medicine, Elsevier, vol. 162(C), pages 88-96.
    21. Matthew Hall & Kyle Crowder & Amy Spring, 2015. "Variations in Housing Foreclosures by Race and Place, 2005–2012," The ANNALS of the American Academy of Political and Social Science, , vol. 660(1), pages 217-237, July.
    22. Mariola Bernal-Solano & Julia Bolívar-Muñoz & Inmaculada Mateo-Rodríguez & Humbelina Robles-Ortega & Maria del Carmen Fernández-Santaella & José Luís Mata-Martín & Jaime Vila-Castellar & Antonio Dapon, 2019. "Associations between Home Foreclosure and Health Outcomes in a Spanish City," IJERPH, MDPI, vol. 16(6), pages 1-15, March.
    23. Keene, Danya E. & Lynch, Julia F. & Baker, Amy Castro, 2014. "Fragile health and fragile wealth: Mortgage strain among African American homeowners," Social Science & Medicine, Elsevier, vol. 118(C), pages 119-126.

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