Low housing quality, unmet social needs, stress and depression among low-income smokers

Poor housing conditions in adolescence and adult health outcomes: an outcome-wide longitudinal approach

BACKGROUND

While prior literature has documented the impact of housing quality on health, the long-lasting effects of poor housing conditions in adolescence on adult health remain understudied. This study employs an outcome-wide longitudinal approach to estimate the association between poor housing conditions in adolescence and a set of health outcomes in adulthood.

METHODS

Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), a large-scale, nationally representative sample of US adolescents, were used. This study analysed 15 health outcomes encompassing physical and mental/cognitive health, and health behaviours. The Bonferroni correction was applied to adjust the significance level of multiple testing of the associations.

RESULTS

After applying the Bonferroni correction, poor housing conditions in adolescence were associated with seven adult health outcomes. These conditions were particularly strongly and robustly linked to mental health issues, including depression, suicidal ideation and perceived stress. Additionally, poor housing conditions were related to physical health outcomes such as cardiovascular disease risk and self-rated health, as well as health behaviours such as smoking and unhealthy eating behaviour.

CONCLUSION

Poor housing conditions during adolescence can act as an early risk factor for adult health, particularly mental health. These findings support the adoption of a life course approach and strengthen the case for housing interventions aimed at improving health outcomes.

Depression Severity Among U.S. Adults Receiving Government Housing Assistance: A Cross-Sectional Analysis Using the NHIS Database

PURPOSE

The current study investigated the link between government housing assistance and depression among U.S. adults using data from the 2022 National Health Interview Survey.

METHOD

Depression severity was measured with the Patient Health Questionnaire-8, and logistic regression models were used to assess the association between housing assistance and depression, adjusting for sociodemographic factors.

RESULTS

Individuals receiving housing assistance were significantly more likely to experience moderate to severe depression (odds ratio [OR] = 1.77, p < 0.001). Poor health status was the strongest predictor of depression (OR = 12.11, p < 0.001), whereas older age, higher education, and marriage were linked to lower odds. Interaction analysis revealed that Hispanic individuals with some college education had higher odds of depression than non-Hispanic White individuals with less education.

CONCLUSION

Findings emphasize the need for mental health support within housing programs, particularly addressing disparities among vulnerable groups. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Natural health product knowledge as a significant factor associated with health-promoting lifestyle in a low-income urban community in Kuala Lumpur

BACKGROUND

Low income communities are vulnerable to non-communicable diseases (NCDs), which affect their economy and disability status. An effective approach to address the NCD burden is through the multidimensional concept of health-promoting lifestyle. Another preferred approach by the population worldwide for NCD treatment is natural health product (NHP). Studies on NHP and health-promoting lifestyle among this vulnerable population, specifically the low-income urban community, are limited. Therefore, this study, aimed at investigating the NHP knowledge and health-promoting lifestyle, and to determine the factors associated with health-promoting lifestyle in a low income urban community in Cheras, Kuala Lumpur. This study has focused on sociodemographic characteristics, annual health monitoring activities, and health status, which are modifiable and non-modifiable factors.

METHODS

Phase 1 of the study involves developing the Malay-version NHP knowledge questionnaire, whereas Phase 2 involves a cross-sectional study of 446 randomly selected low-income respondents to determine their level of health-promoting lifestyle and the associated factors. The respondents' sociodemographic, socioeconomic, health monitoring activity, health status, and NHP knowledge data were obtained using the newly developed Malay-version NHP questionnaire and the Health-Promoting Lifestyle Profile II (HPLP II) questionnaire. The independent variables include sociodemographic status, annual health monitoring activities, health status and NHP knowledge were analysed using simple and multiple linear regression.

RESULTS

In this study, the 10-item NHP knowledge questionnaire developed in the Malay version contains two domains [safe use (eight items) and point of reference (two items)] (total variance explained: 77.4%). The mean of NHP knowledge score was 32.34 (standard deviation [SD] 7.37). Meanwhile, the mean score of health-promoting lifestyle was 109.67 (SD 25.01). The highest and lowest scores of health-promoting lifestyles are attributed to spiritual growth and physical activity, respectively. Ethnicity is associated with a higher health-promoting lifestyle level, same goes to the occupational status - NHP knowledge interaction. "Unclassified" education status and annual blood glucose level monitoring are associated with a lower level of health-promoting lifestyle.

CONCLUSION

A new questionnaire in Malay version was developed to measure NHP knowledge. Compared to other subpopulations, the respondents' health-promoting lifestyle levels in this study were low, associated with ethnicity, education status, and health monitoring activities. The findings provided insight into the interaction between NHP knowledge and occupational status, which is associated with a higher health-promoting lifestyle level. Accordingly, the future health-promoting lifestyle intervention programmes in healthcare delivery should target these factors.

Impact of Neighborhood Social Cohesion and Rodent Sightings on Mental Health among Residents of New York City During the COVID-19 Pandemic

Common mental disorders such as depression and anxiety are prevalent globally, and rates are especially high in New York City (NYC) since the COVID-19 pandemic. Neighborhood social and physical environments have been found to influence mental health. We investigated the impact of neighborhood social cohesion and neighborhood rodent sightings (as an indicator of neighborhood cleanliness) on nonspecific serious psychological distress (NSPD) status using 2020 NYC Community Health Survey data from 8781 NYC residents. Multivariable logistic regression was used to evaluate the relationships among social cohesion, rodent sightings, and NSPD adjusted for confounders and complex sampling and weighted to the NYC population. Effect measure modification of rodent sightings on the effect of social cohesion on NSPD was evaluated on the multiplicative scale by adding the interaction term to the multivariable model and, if significant, stratifying on the effect modifier, and on the additive scale using the relative excess risk due to interaction (RERI). Social cohesion was found to decrease the odds of NSPD, and rodent sightings were found to increase the odds of NSPD. We found significant evidence of effect measure modification on the multiplicative scale. In the stratified models, there was a protective effect of social cohesion against NSPD among those not reporting rodent sightings, but no effect among those reporting rodent sightings. Our findings suggest that both neighborhood social cohesion and rodent sightings impact the mental health of New Yorkers and that rodent infestations may diminish the benefit of neighborhood social cohesion.