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Health, Health Behaviors, and Health Care Utilization Among Adults with Serious Psychological Distress Who Receive Federal Housing Assistance.
J Behav Health Serv Res. 2019 10; 46(4):586-606.JB

Abstract

Using newly available U.S. Department of Housing and Urban Development (HUD) administrative data linked with National Health Interview Survey (NHIS) data, this study estimates the prevalence of serious psychological distress (SPD) among non-elderly HUD-assisted adults and examines differences in health, health behaviors, and health care utilization for this population. The linked data estimate that 13% of HUD-assisted adults experience SPD. Controlling for individual characteristics and HUD program type, assisted housing residents who had SPD experienced higher rates of self-reported fair or poor health, chronic disease, and cigarette smoking than HUD-assisted adults without SPD. Adults with SPD had more frequent use of emergency rooms and were more likely than residents without SPD to have more frequent contact with specialists, general doctors, and mental health providers, although they also reported increased levels of unmet health care needs due to affordability. Policy implications are discussed.

Authors+Show Affiliations

Institute on Disability, University of New Hampsire, Durham, NH, U.S.A.. debra.brucker@unh.edu.Office of Lead Hazard Control and Healthy Homes, U.S. Department of Housing and Urban Development, Washington, DC, U.S.A. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, U.S.A.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

30684168

Citation

Brucker, Debra L., and Veronica Helms. "Health, Health Behaviors, and Health Care Utilization Among Adults With Serious Psychological Distress Who Receive Federal Housing Assistance." The Journal of Behavioral Health Services & Research, vol. 46, no. 4, 2019, pp. 586-606.
Brucker DL, Helms V. Health, Health Behaviors, and Health Care Utilization Among Adults with Serious Psychological Distress Who Receive Federal Housing Assistance. J Behav Health Serv Res. 2019;46(4):586-606.
Brucker, D. L., & Helms, V. (2019). Health, Health Behaviors, and Health Care Utilization Among Adults with Serious Psychological Distress Who Receive Federal Housing Assistance. The Journal of Behavioral Health Services & Research, 46(4), 586-606. https://doi.org/10.1007/s11414-018-09647-z
Brucker DL, Helms V. Health, Health Behaviors, and Health Care Utilization Among Adults With Serious Psychological Distress Who Receive Federal Housing Assistance. J Behav Health Serv Res. 2019;46(4):586-606. PubMed PMID: 30684168.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health, Health Behaviors, and Health Care Utilization Among Adults with Serious Psychological Distress Who Receive Federal Housing Assistance. AU - Brucker,Debra L, AU - Helms,Veronica, PY - 2019/1/27/pubmed PY - 2020/6/25/medline PY - 2019/1/27/entrez SP - 586 EP - 606 JF - The journal of behavioral health services & research JO - J Behav Health Serv Res VL - 46 IS - 4 N2 - Using newly available U.S. Department of Housing and Urban Development (HUD) administrative data linked with National Health Interview Survey (NHIS) data, this study estimates the prevalence of serious psychological distress (SPD) among non-elderly HUD-assisted adults and examines differences in health, health behaviors, and health care utilization for this population. The linked data estimate that 13% of HUD-assisted adults experience SPD. Controlling for individual characteristics and HUD program type, assisted housing residents who had SPD experienced higher rates of self-reported fair or poor health, chronic disease, and cigarette smoking than HUD-assisted adults without SPD. Adults with SPD had more frequent use of emergency rooms and were more likely than residents without SPD to have more frequent contact with specialists, general doctors, and mental health providers, although they also reported increased levels of unmet health care needs due to affordability. Policy implications are discussed. SN - 1556-3308 UR - https://www.unboundmedicine.com/medline/citation/30684168/Health_Health_Behaviors_and_Health_Care_Utilization_Among_Adults_with_Serious_Psychological_Distress_Who_Receive_Federal_Housing_Assistance_ L2 - https://dx.doi.org/10.1007/s11414-018-09647-z DB - PRIME DP - Unbound Medicine ER -