Heath Outcomes Post-Eviction Moratoria (HOPE-M)

驱逐后暂停健康结果 (HOPE-M)

基本信息

批准号：
10835588
负责人：
Daphne C. Hernandez
金额：
$ 236.01万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-20 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10835588
关键词：
Adult Affect Anxiety Black race COVID-19 Characteristics County Data Decision Making Discrimination Distress Economics Ethnic Origin Exposure to Feeling suicidal Female Focus Groups Food Food Assistance Programs Gender Genetic Complementation Test Goals Health Hearing Hispanic Home Household Housing Hunger Income Individual Inequity Interview Legal Link Mediating Mental Depression Mental Health Methods Modeling National Institute of Mental Health Natural Disasters Neighborhoods Outcome Participant Patient Self-Report Policies Policy Maker Process Process Assessment Psyche structure Race Records Research Respondent Risk Sampling Self Assessment Shelter facility Source Strategic Planning Surveys System Texas Time Transportation austin coronavirus disease cost court design experience food insecurity health disparity improved innovation insight male mental health policy pandemic disease peer psychosocial psychosocial stressors sex therapy design

项目摘要

PROJECT SUMMARY/ABSTRACT Experiencing the threat of eviction is associated with mental distress, and Black, Hispanic, and female renters are most affected by evictions. Eviction moratoria were short-term housing interventions designed to limit the spread of COVID-19 and maintain housing stability. Travis County (Austin, TX) residents experienced a strong local moratorium (i.e. blocked all stages of eviction process) through December 2021. In contrast, Harris County (Houston, TX) residents never experienced a local moratorium, and were dependent on the state moratorium, which ended in May 2020. Since moratoria have ended, evictions and the cost of basic needs have dramatically increased. In a post-moratoria period, the question remains whether prior exposure to a strong local moratorium policy reduces post-moratorium mental distress in the presence of ongoing economic disruptions. The Heath Outcomes Post-Eviction Moratoria (HOPE-M) Study, proposes to use a mixed methods sequential explanatory design to examine how prior exposure to a strong local moratorium influences the direct and indirect paths linking the threat of eviction with post-moratorium mental health over time. To create the sample 2 sources of data will be used. The first source of data will be used to identify individuals who had eviction filing post state/local moratorium (Harris: June 2020–December 2023; Travis: January 2022–December 2023). This data was collected through the Eviction Tracking System. The second source of data will facilitate identification of individuals at risk for eviction but not filed using data generated by Dr. Thomas' (co-I) Housing Precarity Risk Model (HPRM). Renters living in neighborhoods with high eviction risk after the state/local moratorium ended will be selected on matching criteria based on respondent's household characteristics that align with the top predictive variables in the HPRM (e.g., race) as well as dominate characteristics found in prior eviction research (e.g., sex). Participants [Harris County (n= 1,000) Travis County (n=1,000)] will be surveyed at baseline, 6 months, 12 months. Analyses will include longitudinal mixed effect models and focus groups and photo elicitation interviews will be used to triangulate the findings. Aim 1. Assess the moderating impact of prior local eviction policy exposure on the link between experiencing the threat of eviction and post-moratorium mental health over time and how this varies by race/ethnicity and sex. Aim 2. Examine the mental health disparities in aim 1 as a function of the mediating effects of economic hardship and psychosocial stressors. Aim 3. Explore the decision- making processes and self-assessment associated with making economic decisions to avoid eviction and how this contributes to psychosocial distress. With every state having shortage of affordable and available rental homes, this study is significant to policymakers and legal aid organizations who have the ability to inform housing policies. The use of ETS's court-ordered eviction records (over self-reports) and the use of the HPRM to include adults with similar characteristics and at-risk for eviction is an innovative approach to improving sample selection. This approach complements NIMH's Strategic Plan, Goals 2 and 3 and is supported by numerous stakeholders.

项目概要/摘要经历驱逐威胁与精神困扰有关，黑人、西班牙裔和女性租房者受驱逐影响最大的是旨在限制驱逐的短期住房干预措施。特拉维斯县（德克萨斯州奥斯汀）居民经历了强劲的 COVID-19 传播和住房稳定。当地暂停（即阻止驱逐过程的所有阶段）至 2021 年 12 月。相比之下，哈里斯县（德克萨斯州休斯顿）居民从未经历过当地的暂停，并且依赖于州暂停，该计划于 2020 年 5 月结束。自暂停令结束以来，驱逐和基本需求的成本急剧下降在暂停后时期，问题仍然是先前是否受到当地强有力的暂停的影响。政策帖子减少了在经济持续混乱的情况下暂停的精神困扰。结果驱逐后暂停（HOPE-M）研究，建议使用混合方法顺序解释设计以检查先前暴露于强大的当地暂停措施如何影响连接的直接和间接路径随着时间的推移，驱逐的威胁与暂停后的心理健康状况将产生样本 2 的数据来源。第一个数据源将用于识别在州/地方提交驱逐申请的个人。暂停（哈里斯：2020 年 6 月至 2023 年 12 月；特拉维斯：2022 年 1 月至 2023 年 12 月）。通过驱逐跟踪系统收集的第二个数据源将有助于识别面临被驱逐风险但未使用 Thomas 博士（co-I）住房不稳定风险生成的数据进行归档的个人模型 (HPRM)。在州/地方暂停令结束后，居住在被驱逐风险较高的社区的租户。将根据受访者的家庭特征与顶部一致的匹配标准进行选择 HPRM 中的预测变量（例如种族）以及先前驱逐研究中发现的主要特征（例如，性别）。参与者 [哈里斯县 (n= 1,000) 特拉维斯县 (n=1,000)] 将在基线 6 进行调查。分析将包括纵向混合效应模型、焦点小组和照片启发。访谈将用于对调查结果进行三角测量。目标 1. 评估先前当地驱逐的缓和影响。政策暴露了经历驱逐威胁与暂停后心理健康之间的联系目标 2. 检查目标 1 中的心理健康差异。目标 3. 探索经济困难和社会心理压力的中介作用。制定与避免驱逐的经济决策相关的流程和自我评估以及如何这会造成社会心理困扰，每个州都缺乏负担得起的可用租金。这项研究对于有能力为住房提供信息的政策制定者和法律援助组织具有重要意义使用 ETS 的法院命令驱逐记录（通过自我报告）以及使用 HPRM 来包括具有相似特征且有被驱逐风险的成年人是改进样本选择的创新方法。这种方法补充了 NIMH 的战略计划、目标 2 和 3，并得到了众多利益相关者的支持。