Skip to main content

Advertisement

Log in

Housing Instability and Alcohol Problems during the 2007–2009 US Recession: the Moderating Role of Perceived Family Support

  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

The 2007–2009 US economic recession was marked by unprecedented rates of housing instability and relatively little is known about how this instability impacted alcohol problems. While previous studies have linked homelessness to increased rates of alcohol use and abuse, housing instability during a recession impacts a much larger segment of the population and usually does not result in homelessness. Using a nationally representative sample of US adults, this study examines the association between housing instability during the recession and alcohol outcomes. Additionally, we assess whether this association is moderated by perceived family support. In multivariate negative binomial regressions, both trouble paying the rent/mortgage (vs. stable housing) and lost (vs. stable) housing were associated with experiencing more negative drinking consequences and alcohol dependence symptoms. However, these associations were moderated by perceived family support. In contrast to those with low perceived family support, participants with high perceived family support reported relatively few alcohol problems, irrespective of housing instability. Furthermore, while job loss was strongly associated with alcohol problems in univariate models, no significant associations between job loss and alcohol outcomes were observed in multivariate models that included indicators of housing instability. Findings point to the importance of the informal safety net and suggest that alcohol screening and abuse prevention efforts should be intensified during periods of recession, particularly among those who experience housing instability.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Painter G. What Happens to Household Formation in a Recession: Research Institute for Housing America, Mortgage Bankers Association; 2010.

  2. The 2010 Annual Homeless Assessment Report to Congress: U.S. Department of Housing and Urban Development, Office of Community Planning and Development; 2010.

  3. Horowski M, Burgard S. Housing instability and health: findings from the Michigan Recession and Recovery Study. Vol 29: National Poverty Center; 2012.

  4. Freeman DG. A note on 'Economic conditions and alcohol problems'. J Health Econ. 1999; 18(5): 661–670.

    Article  CAS  PubMed  Google Scholar 

  5. Gerdtham UG, Ruhm CJ. Deaths rise in good economic times: evidence from the OECD. Econ Hum Biol. 2006; 4(3): 298–316.

    Article  PubMed  Google Scholar 

  6. Ruhm CJ. Economic conditions and alcohol problems. J Health Econ. 1995; 14(5): 583–603.

    Article  CAS  PubMed  Google Scholar 

  7. Ruhm CJ, Black WE. Does drinking really decrease in bad times? J Health Econ. 2002; 21(4): 659–678.

    Article  PubMed  Google Scholar 

  8. Dee TS. Alcohol abuse and economic conditions: evidence from repeated cross-sections of individual-level data. Health Econ. 2001; 10(3): 257–270.

    Article  CAS  PubMed  Google Scholar 

  9. Ettner SL. Measuring the human cost of a weak economy: does unemployment lead to alcohol abuse? Soc Sci Med. 1997; 44(2): 251–260.

    Article  CAS  PubMed  Google Scholar 

  10. North CS, Eyrich-Garg KM, Pollio DE, Thirthalli J. A prospective study of substance use and housing stability in a homeless population. Soc Psychiatry Psychiatr Epidemiol. 2010; 45(11): 1055–1062.

    Article  PubMed  Google Scholar 

  11. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001; 285(2): 200–206.

    Article  CAS  PubMed  Google Scholar 

  12. O'Toole TP, Conde-Martel A, Gibbon JL, Hanusa BH, Freyder PJ, Fine MJ. Substance-abusing urban homeless in the late 1990s: how do they differ from non-substance-abusing homeless persons? J Urban Health. 2004; 81(4): 606–617.

    Article  PubMed  Google Scholar 

  13. Magura S, Nwakeze PC, Rosenblum A, Joseph H. Substance misuse and related infectious diseases in a soup kitchen population. Subst Use Misuse. 2000; 35(4): 551–583.

    Article  CAS  PubMed  Google Scholar 

  14. D'Amore J, Hung O, Chiang W, Goldfrank L. The epidemiology of the homeless population and its impact on an urban emergency department. Acad Emerg Med. 2001; 8(11): 1051–1055.

    Article  PubMed  Google Scholar 

  15. Fazel S, Khosla V, Doll H, Geddes J. The prevalence of mental disorders among the homeless in western countries: systematic review and meta-regression analysis. PLoS Med. 2008; 5(12): e225.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Baumohl J, ed. Homelessness in America. Westport: Oryx Press; 1996. Burt MR, ed. Chapter 2: Homelessness: definitions and counts.

  17. Scully J, Tosi H, Banning K. Life event checklists: revisiting the social readjustment rating scale after 30 years. Educ Physhol Measures. 2000; 60: 864.

    Article  Google Scholar 

  18. Burgard SA, Seefeldt KS, Zelner S. Housing instability and health: findings from the Michigan recession and recovery study. Soc Sci Med. Sep 1 2012.

  19. Zemore SE, Mulia N, Jones-Webb RJ, Liu H, Schmidt L. The 2008–2009 recession and alcohol outcomes: differential exposure and vulnerability for black and Latino populations. J Stud Alcohol Drugs. 2013; 74(1): 9–20.

    PubMed  Google Scholar 

  20. Mulia N, Zemore SE, Liu HG, Catalano R. [under review] Economic loss and alcohol problems in the 2008–9 U.S. recession: findings from the U.S. National Alcohol Survey. Emeryville, CA: Alcohol Research Group.

  21. Lemos Vde A, Antunes HK, Baptista MN, Tufik S, De Mello MT, de Souza Formigoni ML. Low family support perception: a 'social marker' of substance dependence? Rev Bras Psiquiatr. 2012; 34(1): 52–59.

    PubMed  Google Scholar 

  22. Chou KL, Liang K, Sareen J. The association between social isolation and DSM-IV mood, anxiety, and substance use disorders: wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2011; 72(11): 1468–1476.

    Article  PubMed  Google Scholar 

  23. Copeland WE, Angold A, Shanahan L, Dreyfuss J, Dlamini I, Costello EJ. Predicting persistent alcohol problems: a prospective analysis from the Great Smoky Mountain Study. Psychol Med. 2012; 42(9): 1925–1935.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  24. Blume AW, Resor MR, Villanueva MR, Braddy LD. Alcohol use and comorbid anxiety, traumatic stress, and hopelessness among Hispanics. Addict Behav. 2009; 34(9): 709–713.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Parker K. The Boomerang Generation: feeling ok about living with mom and dad [Accessed: 2012-07-12. Archived by WebCite® at http://www.webcitation.org/696kkIsvp]. Washington, DC: Pew Research Center; March 15 2012.

  26. US Bureau of Labor Statistics. The Recession of 2007–2009 [Accessed: 2012-04-25. Archived by WebCite® at http://www.webcitation.org/67C0xpOq3]. Washington, DC February 2012.

  27. Kish L. Survey Sampling. New York: Wiley; 1965.

    Google Scholar 

  28. The American Association for Public Opinion Research. Standard definitions: final dispositions of case codes and outcome rates for surveys. Ann Arbor, MI: The American Association for Public Opinion Research; 12/17/01 2000.

  29. Curtin R, Presser S, Singer E. Changes in telephone survey nonresponse over the past quarter century. Public Opin Q. 2005; 69(1): 87–98.

    Article  Google Scholar 

  30. Greenfield TK. Ways of measuring drinking patterns and the difference they make: experience with graduated frequencies. J Subst Abuse. 2000; 12(1–2): 33–49.

    Article  CAS  PubMed  Google Scholar 

  31. Greenfield TK, Midanik LT, Rogers JD. Effects of telephone versus face-to-face interview modes on reports of alcohol consumption. Addiction. 2000; 95(2): 277–284.

    Article  CAS  PubMed  Google Scholar 

  32. Midanik LT, Greenfield TK. Telephone versus in-person interviews for alcohol use: results of the 2000 National Alcohol Survey. Drug Alcohol Depend. 2003; 72(3): 209–214.

    Article  PubMed  Google Scholar 

  33. Midanik LT, Greenfield TK, Rogers JD. Reports of alcohol-related harm: telephone versus face-to-face interviews. J Stud Alcohol. 2001; 62(1): 74–78.

    CAS  PubMed  Google Scholar 

  34. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1): 30–41.

    Article  Google Scholar 

  35. Cahalan D. Problem drinkers: a national survey. San Francisco: Jossey-Bass, Inc.; 1970.

    Google Scholar 

  36. Midanik L, Greenfield TK. Trends in social consequences and dependence symptoms in the United States: the National Alcohol Surveys, 1984–1995. Am J Public Health. 2000; 90(1): 53–56.

    Article  CAS  PubMed  Google Scholar 

  37. American Psychiatric Association. DSM-IV: diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.

    Google Scholar 

  38. Caetano R, Tam TW. Prevalence and correlates of DSM-IV and ICD-10 alcohol dependence: 1990 U.S. National Alcohol Survey. Alcohol Alcohol. 1995; 30(2): 177–186.

    CAS  PubMed  Google Scholar 

  39. Catalano R, Dooley D, Wilson G, Hough R. Job loss and alcohol abuse: a test using data from the Epidemiologic Catchment Area project. J Health Soc Behav. 1993; 34(3): 215–225.

    Article  CAS  PubMed  Google Scholar 

  40. Dooley D, Prause J. Underemployment and alcohol misuse in the National Longitudinal Survey of Youth. J Stud Alcohol. 1998; 59(6): 669–680.

    CAS  PubMed  Google Scholar 

  41. Stata Statistical Software: Release 10.0 [computer program]. Version. College Station, TX: Stata Corporation; 2007.

  42. Catalano R, Goldman-Mellor S, Saxton K, et al. The health effects of economic decline. Annu Rev Public Health. 2011; 32: 431–450.

    Article  PubMed  Google Scholar 

  43. Davalos ME, French MT. This recession is wearing me out! Health-related quality of life and economic downturns. J Mental Health Policy Econ. 2011; 14(2): 61–72.

    Google Scholar 

  44. Cohen LH, McGowan J, Fooskas S, Rose S. Positive life events and social support and the relationship between life stress and psychological disorder. Am J Community Psychol. 1984; 12(5): 567–587.

    Article  CAS  PubMed  Google Scholar 

  45. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985; 98(2): 310–357.

    Article  CAS  PubMed  Google Scholar 

  46. Peirce RS, Frone MR, Russell M, Cooper ML. Financial stress, social support, and alcohol involvement: a longitudinal test of the buffering hypothesis in a general population survey. Health Psychol. 1996; 15(1): 38–47.

    Article  CAS  PubMed  Google Scholar 

  47. Foxcroft DR, Tsertsvadze A. Universal family-based prevention programs for alcohol misuse in young people. Cochrane Database Syst Rev. 2011; 9, CD009308.

    PubMed  Google Scholar 

  48. Chun TH, Linakis JG. Interventions for adolescent alcohol use. Curr Opin Pediatr. 2012; 24(2): 238–242.

    Article  PubMed  Google Scholar 

  49. Mulia N, Schmidt LA, Ye Y, Greenfield TK. Preventing disparities in alcohol screening and brief intervention: the need to move beyond primary care. Alcohol Clin Exp Res. 2011; 35(9): 1557–1560.

    PubMed Central  PubMed  Google Scholar 

  50. Girard V, Sarradon-Eck A, Payan N, 5, et al. The analysis of a mobile mental health outreach team activity: from psychiatric emergencies on the street to practice of hospitalization at home for homeless people. Presse Med. 2012; 41(5): e226–e237.

    Article  PubMed  Google Scholar 

  51. Pollack CE, Lynch J. Health status of people undergoing foreclosure in the Philadelphia region. Am J Public Health. 2009; 99(10): 1833–1839.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was funded by the National Institute on Alcohol Abuse and Alcoholism (P50AA005595, R01AA020474, and T32AA007240). The content is solely the responsibility of the authors and does not necessarily represent the official view of the National Institute on Alcohol Abuse and Alcoholism or the National Institutes of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ryan D. Murphy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Murphy, R.D., Zemore, S.E. & Mulia, N. Housing Instability and Alcohol Problems during the 2007–2009 US Recession: the Moderating Role of Perceived Family Support. J Urban Health 91, 17–32 (2014). https://doi.org/10.1007/s11524-013-9813-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11524-013-9813-z

Keywords

Navigation