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Examining the Relationships Between Housing Eviction and Alcohol-Related Harms Using Spatial and Participatory Qualitative Methods
Examining the Relationships Between Housing Eviction and Alcohol-Related Harms Using Spati...
Examining the Relationships Between Housing Eviction and Alcohol-Related Harms Using Spatial and Participatory Qualitative Methods

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자료유형  
 학위논문 서양
최종처리일시  
20260202104718
ISBN  
9798288886119
DDC  
614
저자명  
Dougherty, Michelle C.
서명/저자  
Examining the Relationships Between Housing Eviction and Alcohol-Related Harms Using Spatial and Participatory Qualitative Methods
발행사항  
[Sl] : University of Pittsburgh, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
222 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-01, Section: B.
주기사항  
Advisor: Mair, Christina F.
학위논문주기  
Thesis (Ph.D.)--University of Pittsburgh, 2025.
초록/해제  
요약Alcohol-related harms, including those that are fully and partially attributable to alcohol consumption, impose a substantial public health burden. The goal of this dissertation is to extend prior research on the ecological contexts of alcohol-related harms by examining the relationships between these harms and housing eviction, a prevalent and powerful driver of housing insecurity. The aims of this dissertation are to 1) examine the spatial distributions of inpatient hospitalizations for alcohol use disorder (AUD), assault, intimate partner violence (IPV) and self-harm and the associations between these conditions and eviction filing rates at the ZIP code level in Pennsylvania across two time periods, 2018-2019 and 2020-2022; 2) assess whether eviction filing rates modify the associations between alcohol outlet density - a well-established determinant of alcohol-related harms - and inpatient hospitalizations for AUD and assault at the ZIP code level in Pennsylvania 2018-2022; and 3) explore community members' perceptions of resiliencies that prevent or reduce the negative impacts of eviction and/or alcohol, including how these resiliencies address challenges related to both these issues in Allegheny County, PA. Using Bayesian hierarchical space-time misalignment models, the first analysis found a positive, well-supported association between eviction filing rates and AUD hospitalizations in both 2018-2019 and 2020-2022. There were also positive, well-supported associations between eviction filing rates and hospitalizations for assault and IPV, but only in 2020-2022. Using the same data and analytical techniques, the second analysis found that eviction filing rates strengthened the associations between alcohol outlet density and hospitalizations for AUD and assault. In the third analysis, photo elicitation interview participants documented assets that protected against challenges related to both alcohol and eviction, including social support, legal and financial assistance for housing, transportation, access to employment that pays a living wage, access to green space, opportunities to exercise, and community spaces (e.g., libraries, churches, non-drinking recreation). Overall, this dissertation provides evidence that housing evictions are associated with alcohol-related harms, particularly AUD inpatient hospitalizations. Multi-pronged approaches that address housing eviction and the alcohol environment in conjunction with other social determinants of health have the potential to reduce alcohol-related harms.
일반주제명  
Public health
일반주제명  
Statistics
일반주제명  
Epidemiology
일반주제명  
Clinical psychology
키워드  
Alcohol-related harms
키워드  
Housing evictions
키워드  
Photo elicitation
키워드  
Spatial analysis
키워드  
Intimate partner violence
기타저자  
University of Pittsburgh Behavioral and Community Health Sciences
기본자료저록  
Dissertations Abstracts International. 87-01B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aDougherty,  Michelle  C.▼0(orcid)0000-0001-8945-8226
■24510▼aExamining  the  Relationships  Between  Housing  Eviction  and  Alcohol-Related  Harms  Using  Spatial  and  Participatory  Qualitative  Methods
■260    ▼a[Sl]▼bUniversity  of  Pittsburgh▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a222  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-01,  Section:  B.
■500    ▼aAdvisor:  Mair,  Christina  F.
■5021  ▼aThesis  (Ph.D.)--University  of  Pittsburgh,  2025.
■520    ▼aAlcohol-related  harms,  including  those  that  are  fully  and  partially  attributable  to  alcohol  consumption,  impose  a  substantial  public  health  burden.  The  goal  of  this  dissertation  is  to  extend  prior  research  on  the  ecological  contexts  of  alcohol-related  harms  by  examining  the  relationships  between  these  harms  and  housing  eviction,  a  prevalent  and  powerful  driver  of  housing  insecurity.  The  aims  of  this  dissertation  are  to  1)  examine  the  spatial  distributions  of  inpatient  hospitalizations  for  alcohol  use  disorder  (AUD),  assault,  intimate  partner  violence  (IPV)  and  self-harm  and  the  associations  between  these  conditions  and  eviction  filing  rates  at  the  ZIP  code  level  in  Pennsylvania  across  two  time  periods,  2018-2019  and  2020-2022;  2)  assess  whether  eviction  filing  rates  modify  the  associations  between  alcohol  outlet  density  -  a  well-established  determinant  of  alcohol-related  harms  -  and  inpatient  hospitalizations  for  AUD  and  assault  at  the  ZIP  code  level  in  Pennsylvania  2018-2022;  and  3)  explore  community  members'  perceptions  of  resiliencies  that  prevent  or  reduce  the  negative  impacts  of  eviction  and/or  alcohol,  including  how  these  resiliencies  address  challenges  related  to  both  these  issues  in  Allegheny  County,  PA.  Using  Bayesian  hierarchical  space-time  misalignment  models,  the  first  analysis  found  a  positive,  well-supported  association  between  eviction  filing  rates  and  AUD  hospitalizations  in  both  2018-2019  and  2020-2022.  There  were  also  positive,  well-supported  associations  between  eviction  filing  rates  and  hospitalizations  for  assault  and  IPV,  but  only  in  2020-2022.  Using  the  same  data  and  analytical  techniques,  the  second  analysis  found  that  eviction  filing  rates  strengthened  the  associations  between  alcohol  outlet  density  and  hospitalizations  for  AUD  and  assault.  In  the  third  analysis,  photo  elicitation  interview  participants  documented  assets  that  protected  against  challenges  related  to  both  alcohol  and  eviction,  including  social  support,  legal  and  financial  assistance  for  housing,  transportation,  access  to  employment  that  pays  a  living  wage,  access  to  green  space,  opportunities  to  exercise,  and  community  spaces  (e.g.,  libraries,  churches,  non-drinking  recreation).  Overall,  this  dissertation  provides  evidence  that  housing  evictions  are  associated  with  alcohol-related  harms,  particularly  AUD  inpatient  hospitalizations.  Multi-pronged  approaches  that  address  housing  eviction  and  the  alcohol  environment  in  conjunction  with  other  social  determinants  of  health  have  the  potential  to  reduce  alcohol-related  harms.
■590    ▼aSchool  code:  0178.
■650  4▼aPublic  health
■650  4▼aStatistics
■650  4▼aEpidemiology
■650  4▼aClinical  psychology
■653    ▼aAlcohol-related  harms
■653    ▼aHousing  evictions
■653    ▼aPhoto  elicitation
■653    ▼aSpatial  analysis
■653    ▼aIntimate  partner  violence
■690    ▼a0573
■690    ▼a0622
■690    ▼a0766
■690    ▼a0463
■71020▼aUniversity  of  Pittsburgh▼bBehavioral  and  Community  Health  Sciences.
■7730  ▼tDissertations  Abstracts  International▼g87-01B.
■790    ▼a0178
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358551▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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