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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 Spatial and Participatory Qualitative Methods
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202104718
- ISBN
- 9798288886119
- DDC
- 614
- 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
- Spatial analysis
- 기타저자
- University of Pittsburgh Behavioral and Community Health Sciences
- 기본자료저록
- Dissertations Abstracts International. 87-01B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798288886119
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■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■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.


