Housing Instability Is as Strong a Predictor of Poor Health Outcomes as Level of Danger in an Abusive Relationship

Chiquita M. Rollins · Nancy E. Glass · Nancy Perrin · Kris A. Billhardt · Amber S. Clough · Ginger C. Hanson +1 more

152 citations0/0 files storedJournal of Interpersonal Violence

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Intimate Partner and Family Violence Homelessness and Social Issues Elder Abuse and Neglect

Abstract

Advocates, clinicians, policy makers, and survivors frequently cite intimate partner violence (IPV) as an immediate cause of or precursor to housing problems. Research has indicated an association between homelessness and IPV, yet few studies examine IPV and housing instability. Housing instability differs from homelessness, in that someone experiencing housing instability may currently have a place to live but faces difficulties with maintaining the residence. We present baseline findings from a longitudinal cohort study of 278 female IPV survivors with housing as a primary concern. Our analysis indicates the greater the number of housing instability risk factors (e.g., eviction notice, problems with landlord, moving multiple times), the more likely the abused woman reported symptoms consistent with PTSD (p < .001), depression (p < .001), reduced quality of life (p < .001), increased work/school absence (OR = 1.28, p < .004), and increased hospital/emergency department use (OR = 1.22, p < .001). These outcomes persist even when controlling for the level of danger in the abusive relationship and for survivors' drug and alcohol use. Importantly, both housing instability and danger level had stronger associations with negative health outcomes than other factors such as age, alcohol, and drug use; both make unique contributions to negative health outcomes and could contribute in different ways. Housing instability is an important and understudied social determinant of health for IPV survivors. These findings begin to address the literature gap on the relationship between housing instability, IPV, and survivors' health, employment, and utilization of medical care services.

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References

2003Risk Factors for Femicide in Abusive Relationships: Results From a Multisite Case Control Study 2001Handbook of Psychiatric Measures 2000Handbook of Psychiatric Measures 2001How to score and interpret single-item health status measures: a manual for users of the SF-8™ Health Survey.2008The Danger Assessment 1999Intimate partner violence surveillance : uniform definitions and recommended data elements. Version 1.0 2005Coercion in Intimate Partner Violence: Toward a New Conceptualization 2003Leaving An Abusive Partner

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