Evidence map›Paper›PMID 30177513›Full record

ArticlePediatrics2018

Timing and Duration of Pre- and Postnatal Homelessness and the Health of Young Children.

Megan Sandel, Richard Sheward, Stephanie Ettinger de Cuba, Sharon Coleman, Timothy Heeren, Maureen M Black, Patrick H Casey, Mariana Chilton, John Cook, Diana Becker Cutts and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Born into homelessness: A retrospective observational study.Public health in practice (Oxford, England) · 2024
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Associations between Duration of Homelessness and Cardiovascular Risk Factors: A Pilot Study.International journal of environmental research and public health · 2022
    Article
  11. Postnatal exposure to PMEnvironmental epidemiology (Philadelphia, Pa.) · 2022
    Article
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Effects of Maternal Homelessness, Supplemental Nutrition Programs, and Prenatal PMInternational journal of environmental research and public health · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Megan SandelDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts; megan.sandel@bmc.org.
Richard ShewardDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Stephanie Ettinger de CubaSchool of Medicine, Boston University, Boston, Massachusetts.
Sharon ColemanData Coordinating Center.
Timothy HeerenDepartment of Biostatistics, School of Public Health, and.
Maureen M BlackDepartment of Pediatrics, School of Medicine, University of Maryland, Baltimore, Maryland.
Patrick H CaseyDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Mariana ChiltonDepartment of Health Management and Policy, Dornfife School of Public Health, Drexel University, Philadelphia, Pennsylvania; and.
John CookDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Diana Becker CuttsDepartment of Pediatrics, Hennepin County Medical Center, Minneapolis, Minnesota.
Ruth Rose-JacobsDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Deborah A FrankDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Boston Medical Center · USBoston University · USDrexel University · USHennepin County Medical Center · USThe Coordinating Center · USUniversity of Arkansas for Medical Sciences · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

: media-1vid110.1542/5804912861001PEDS-VA_2017-4254

methodsWe interviewed 20 571 low-income caregivers of children <4 years old in urban pediatric clinics and/or emergency departments in 5 US cities. Categories of homelessness timing were prenatal, postnatal, both, or never; postnatal duration was >6 months or <6 months.

resultsAfter controlling for birth outcomes and other potential confounders, compared with never-homeless children, children who were homeless both pre- and postnatally were at the highest risk of the following: postneonatal hospitalizations (adjusted odds ratio [aOR] 1.41; confidence interval [CI] 1.18-1.69), fair or poor child health (aOR 1.97; CI 1.58-2.47), and developmental delays (aOR 1.48; CI 1.16-1.89). There was no significant association with risk of underweight (aOR 0.95; CI 0.76-1.18) or overweight status (aOR 1.07; CI 0.84-1.37). Children <1 year old with >6 months of homelessness versus those who were never homeless had high risks of fair or poor health (aOR 3.13; CI 2.05-4.79); children 1 to 4 years old who were homeless for >6 months were at risk for fair or poor health (aOR 1.89; CI 1.38-2.58).

conclusionsAfter controlling for birth outcomes, the stress of prenatal and postnatal homelessness was found to be associated with an increased risk of adverse pediatric health outcomes relative to those who were never homeless. Interventions to stabilize young families as quickly as possible in adequate and affordable housing may result in improved pediatric health outcomes.

Indexed as

Child HealthChild, PreschoolFemaleHomeless YouthHumansIll-Housed PersonsMalePregnancyPrenatal Exposure Delayed EffectsRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID30177513
OpenAlexW2888916765

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.