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Physical and mental health, cognitive development, and health care use by housing status of low-income young children in 20 American cities: A prospective cohort study

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  • Park, J.M.
  • Fertig, A.R.
  • Allison, P.D.

Abstract

Objectives; We assessed the independent effect of homeless and doubled-up episodes on physical and mental health, cognitive development, and health care use among children. Methods: We used data from 4 waves of the Fragile Families and Child Wellbeing Study, involving a sample of 2631 low-income children in 20 large US cities who have been followed since birth. Multivariate analyses involved logistic regression using the hybrid method to include both fixed and random effects. Results: Of the sample, 9.8% experienced homelessness and an additional 23.6% had a doubled-up episode. Housing status had little significant adverse effect on child physical or mental health, cognitive development, or health care use. Conclusions: Family and environmental stressors common to many children in poverty, rather than just homeless and doubled-up episodes, were associated with young children's poor health and cognitive development and high health care use. Practitioners need to identify and respond to parental and family needs for support services in addition to housing assistance to effectively improve the health and development of young children who experience residential instability, particularly those in homeless families.

Suggested Citation

  • Park, J.M. & Fertig, A.R. & Allison, P.D., 2011. "Physical and mental health, cognitive development, and health care use by housing status of low-income young children in 20 American cities: A prospective cohort study," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 255-261.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300098_8
    DOI: 10.2105/AJPH.2010.300098
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    Cited by:

    1. Deborah A. Cobb-Clark & Anna Zhu, 2017. "Childhood homelessness and adult employment: the role of education, incarceration, and welfare receipt," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(3), pages 893-924, July.
    2. O'Donnell, James & Kingsley, Meg, 2020. "The relationship between housing and children’s socio-emotional and behavioral development in Australia," Children and Youth Services Review, Elsevier, vol. 117(C).
    3. Johnson, Guy & Ribar, David C. & Zhu, Anna, 2017. "Women's Homelessness: International Evidence on Causes, Consequences, Coping and Policies," IZA Discussion Papers 10614, Institute of Labor Economics (IZA).
    4. Amy Clair, 2019. "Housing: an Under-Explored Influence on Children’s Well-Being and Becoming," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(2), pages 609-626, April.
    5. Jain, Sonia & Reno, Rebecca & Cohen, Alison K. & Bassey, Henrissa & Master, Mansi, 2019. "Building a culturally-responsive, family-driven early childhood system of care: Understanding the needs and strengths of ethnically diverse families of children with social-emotional and behavioral co," Children and Youth Services Review, Elsevier, vol. 100(C), pages 31-38.
    6. Prakash, Kushneel & Smyth, Russell, 2019. "‘The quintessential Chinese dream’? Homeownership and the subjective wellbeing of China's next generation," China Economic Review, Elsevier, vol. 58(C).
    7. Hope Harvey, 2020. "Cumulative Effects of Doubling Up in Childhood on Young Adult Outcomes," Demography, Springer;Population Association of America (PAA), vol. 57(2), pages 501-528, April.

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