Résumé :
|
[BDSP. Notice produite par INIST-CNRS sCqAR0x7. Diffusion soumise à autorisation]. Objectives. We investigated the association between housing insecurity and the health of very young children. Methods. Between 1998 and 2007, we interviewed 22069 low-income care-givers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (>2 people/bedroom or>1 family/residence) and multiple moves (>=2 moves within the previous year). Results. After adjusting for covariates, crowding was associated with household food insecurity compared with the securely housed (adjusted odds ratio [AOR]=1.30 ; 95% confidence interval [CI]=1.18,1.43), as were multiple moves (AOR=1.91 ; 95% CI=1.59,2.28). Crowding was also associated with child food insecurity (AOR=1.47 ; 95% CI=1.34,1.63), and so were multiple moves (AOR=2.56 ; 95% CI=2.13,3.08). Multiple moves were associated with fair or poor child health (AOR=1.48 ; 95% CI=1.25,1.76), developmental risk (AOR 1.71 ; 95% CI=1.33,2.21), and lower weight-for-age z scores (-0.082 vs - 0.013 ; P=02). Conclusions. Housing insecurity is associated with poor health, lower weight, and developmental risk among young children. Policies that decrease housing insecurity can promote the health of young children and should be a priority.
|