Housing Insecurity, Psychological Distress, and Self-rated Health Among US Adults During COVID-19 | Psychiatry and Behavioral Health | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Association Between Housing Insecurity, Psychological Distress, and Self-rated Health Among US Adults During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Sign in to take quiz and track your certificates

Buy This Activity

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: July 30, 2021.

Published: September 30, 2021. doi:10.1001/jamanetworkopen.2021.27772

Correction: This article was corrected on November 4, 2021, to fix the colors of the bars in Panel B of the Figure.

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Linton SL et al. JAMA Network Open.

Corresponding Author: Sabriya L. Linton, PhD, MPH, Assistant Professor, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 882, Baltimore, MD 21205 (slinton1@jhu.edu).

Author Contributions: Drs Linton and Leifheit had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Linton, Barry.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Linton, Leifheit, Barry.

Obtained funding: Linton, McGinty, Pollack.

Administrative, technical, or material support: Linton, Leifheit, McGinty, Pollack.

Supervision: Linton, McGinty, Pollack.

Conflict of Interest Disclosures: Dr Pollack reported owning stock in Gilead Pharmaceuticals and being an unpaid member of Enterprise Community Partners’ Health Advisory Council. Dr Pollack reported receiving personal fees as a consultant to the Open Communities Alliance and working on a temporary assignment with the United States Department of Housing and Urban Development. Dr McGinty reported receiving grants from Johns Hopkins University Alliance for a Healthier World 2020 COVID-19 Launchpad during the conduct of the study and receiving grants from the National Institute on Drug Abuse, National Institute of Mental Health, the United States Centers for Disease Control and Prevention (CDC), and Arnold Ventures outside the submitted work. Dr Leifheit reported giving expert testimony to legislative bodies regarding the public health impacts of eviction. Drs Pollack, Leifheit, and Linton reported signing on as amici to amici curiae briefs supporting the CDC’s national moratorium on eviction. No other disclosures were reported.

Funding/Support: Funding for survey data collection came from Johns Hopkins University, Johns Hopkins Bloomberg School of Public Health, the Alliance for a Healthier World, and the Robert Wood Johnson Foundation. Dr Leifheit was supported by grant T32HS000046 from the Agency for Healthcare Research and Quality.

Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Disclaimer: The findings and conclusions in this article are those of the authors and do not necessarily represent those of the US Department of Housing and Urban Development or other government agencies.

References
1.
Pollack  C , Leifheit  K , Linton  S. When storms collide: evictions, COVID-19, and health equity health affairs blog website. Published August 4, 2020. Accessed March 8, 2021. https://www.healthaffairs.org/do/10.1377/hblog20200730.190964/full/
2.
McKay  K , Neumann  Z , Gilman  Z. 20 million renters are at risk of eviction; policymakers must act now to mitigate widespread hardship. Aspen Institute. Accessed August 30, 2021. https://www.aspeninstitute.org/blog-posts/20-million-renters-are-at-risk-of-eviction/
3.
Taylor  L . Housing and health: an overview of the literature. Health Affairs Policy Brief. June 7, 2018. Accessed August 30, 2021. healthaffairs.org/do/10.1377/hpb20180313.396577/full/
4.
NORC at the University of Chicago. Technical overview of the AmeriSpeak panel NORC's probability-based household panel. Accessed March 8, 2020. https://amerispeak.norc.org/Documents/Research/AmeriSpeak%20Technical%20Overview%202019%2002%2018.pdf
5.
Prochaska  JJ , Sung  H-Y , Max  W , Shi  Y , Ong  M .  Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization.   Int J Methods Psychiatr Res. 2012;21(2):88-97. doi:10.1002/mpr.1349PubMedGoogle ScholarCrossref
6.
McGinty  EE , Presskreischer  R , Anderson  KE , Han  H , Barry  CL .  Psychological distress and COVID-19-related stressors reported in a longitudinal cohort of US adults in April and July 2020.   JAMA. 2020;324(24):2555-2557. doi:10.1001/jama.2020.21231PubMedGoogle ScholarCrossref
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close