Academic pediatrics · 2026
Sociodemographic Shifts in Childhood Housing Instability in the United States, 2022-2024.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gabbay Jonathan M, Stewart Amanda M, Wu Ann Chen, Levano Samantha R, Fiori Kevin P
Аннотация
OBJECTIVE: To evaluate recent national trends in childhood housing instability, overall and across sociodemographic subgroups.
METHODS: We conducted a serial cross-sectional analysis of children aged 0-17 years using the 2022-2024 National Survey of Children's Health (NSCH). Our primary outcome was housing instability, a NSCH-defined composite of caregiver-reported inability to pay rent or mortgage on time in the past 12 months, lifetime experience of homelessness or living in a shelter, and frequent residential mobility in the past 12 months. We conducted survey-weighted regression models with an interaction term between sociodemographic subgroups and survey year to estimate within-group trends, adjusting for age and sex and accounting for the complex sampling design.
RESULTS: Approximately 12 million U.S. children (17%) experienced housing instability annually. Overall housing instability prevalence did not significantly change from 2022 to 2024. However, housing instability increased among children in households at 200%-399% of the family poverty level (adjusted risk ratio [aRR]: 1.11 per year; 95% CI: 1.05, 1.17), those with private insurance (aRR: 1.06; 95% CI: 1.00, 1.11), and those whose highest-educated caregiver held a college degree or higher (aRR: 1.07; 95% CI: 1.02, 1.12). Absolute prevalence remained highest among children identifying as American Indian or Alaska Native, Black or African American, Hispanic, Native Hawaiian or Pacific Islander, those publicly insured, and those in low-income households.
CONCLUSIONS: Childhood housing instability is expanding in higher-income populations that are not traditionally targeted by federal assistance programs, while remaining concentrated among historically marginalized groups. Increased response strategies are needed from cross-sector collaboration among pediatricians, policymakers, and health systems.
METHODS: We conducted a serial cross-sectional analysis of children aged 0-17 years using the 2022-2024 National Survey of Children's Health (NSCH). Our primary outcome was housing instability, a NSCH-defined composite of caregiver-reported inability to pay rent or mortgage on time in the past 12 months, lifetime experience of homelessness or living in a shelter, and frequent residential mobility in the past 12 months. We conducted survey-weighted regression models with an interaction term between sociodemographic subgroups and survey year to estimate within-group trends, adjusting for age and sex and accounting for the complex sampling design.
RESULTS: Approximately 12 million U.S. children (17%) experienced housing instability annually. Overall housing instability prevalence did not significantly change from 2022 to 2024. However, housing instability increased among children in households at 200%-399% of the family poverty level (adjusted risk ratio [aRR]: 1.11 per year; 95% CI: 1.05, 1.17), those with private insurance (aRR: 1.06; 95% CI: 1.00, 1.11), and those whose highest-educated caregiver held a college degree or higher (aRR: 1.07; 95% CI: 1.02, 1.12). Absolute prevalence remained highest among children identifying as American Indian or Alaska Native, Black or African American, Hispanic, Native Hawaiian or Pacific Islander, those publicly insured, and those in low-income households.
CONCLUSIONS: Childhood housing instability is expanding in higher-income populations that are not traditionally targeted by federal assistance programs, while remaining concentrated among historically marginalized groups. Increased response strategies are needed from cross-sector collaboration among pediatricians, policymakers, and health systems.