The Buffering Effect of State Eviction and Foreclosure Policies for Mental Health During the COVID-19 Pandemic in the United States

Overview

Journal J Health Soc Behav

Specialty Social Sciences

Date 2023 Jun 19

PMID 37334797

Authors

Courtney E Boen

Lisa A Keister

Christina M Gibson-Davis

Anneliese Luck

Affiliations

Soon will be listed here.

Abstract

The COVID-19 pandemic spurred an economic downturn that may have eroded population mental health, especially for renters and homeowners who experienced financial hardship and were at risk of housing loss. Using household-level data from the Census Bureau's Household Pulse Survey (n = 805,223; August 2020-August 2021) and state-level data on eviction/foreclosure bans, we estimated linear probability models with two-way fixed effects to (1) examine links between COVID-related financial hardship and anxiety/depression and (2) assess whether state eviction/foreclosure bans buffered the detrimental mental health impacts of financial hardship. Findings show that individuals who reported difficulty paying for household expenses and keeping up with rent or mortgage had increased anxiety and depression risks but that state eviction/foreclosure bans weakened these associations. Our findings underscore the importance of state policies in protecting mental health and suggest that heterogeneity in state responses may have contributed to mental health inequities during the pandemic.

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References

Leifheit K, Linton S, Raifman J, Schwartz G, Benfer E, Zimmerman F . Expiring Eviction Moratoriums and COVID-19 Incidence and Mortality. Am J Epidemiol. 2021; 190(12):2503-2510. PMC: 8634574. DOI: 10.1093/aje/kwab196. View

Hoke M, Boen C . The health impacts of eviction: Evidence from the national longitudinal study of adolescent to adult health. Soc Sci Med. 2021; 273:113742. PMC: 8045672. DOI: 10.1016/j.socscimed.2021.113742. View

Cagney K, Browning C, Iveniuk J, English N . The onset of depression during the great recession: foreclosure and older adult mental health. Am J Public Health. 2014; 104(3):498-505. PMC: 3953762. DOI: 10.2105/AJPH.2013.301566. View

Brand J, Levy B, Gallo W . Effects of Layoffs and Plant Closings on Depression Among Older Workers. Res Aging. 2011; 30(6):701-721. PMC: 2792935. DOI: 10.1177/0164027508322574. View

Gallo W, Bradley E, Siegel M, Kasl S . Health effects of involuntary job loss among older workers: findings from the health and retirement survey. J Gerontol B Psychol Sci Soc Sci. 2002; 55(3):S131-40. DOI: 10.1093/geronb/55.3.s131. View

Donnelly R, Farina M . How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic?. Soc Sci Med. 2020; 269:113557. PMC: 7781085. DOI: 10.1016/j.socscimed.2020.113557. View

Clarke P, Marshall V, House J, Lantz P . The Social Structuring of Mental Health over the Adult Life Course: Advancing Theory in the Sociology of Aging. Soc Forces. 2011; 89(4):1287-1313. PMC: 3210581. DOI: 10.1353/sof.2011.0036. View

Burgard S, Seefeldt K, Zelner S . Housing instability and health: findings from the Michigan Recession and Recovery Study. Soc Sci Med. 2012; 75(12):2215-24. DOI: 10.1016/j.socscimed.2012.08.020. View

Houle J, Light M . The home foreclosure crisis and rising suicide rates, 2005 to 2010. Am J Public Health. 2014; 104(6):1073-9. PMC: 4062039. DOI: 10.2105/AJPH.2013.301774. View

10.

Pool L, Needham B, Burgard S, Elliott M, Mendes de Leon C . Negative wealth shock and short-term changes in depressive symptoms and medication adherence among late middle-aged adults. J Epidemiol Community Health. 2017; 71(8):758-763. DOI: 10.1136/jech-2016-208347. View

11.

Houle J . Mental health in the foreclosure crisis. Soc Sci Med. 2014; 118:1-8. DOI: 10.1016/j.socscimed.2014.07.054. View

12.

Staples L, Dear B, Gandy M, Fogliati V, Fogliati R, Karin E . Psychometric properties and clinical utility of brief measures of depression, anxiety, and general distress: The PHQ-2, GAD-2, and K-6. Gen Hosp Psychiatry. 2018; 56:13-18. DOI: 10.1016/j.genhosppsych.2018.11.003. View

13.

Schwartz G, Feldman J, Wang S, Glied S . Eviction, Healthcare Utilization, and Disenrollment Among New York City Medicaid Patients. Am J Prev Med. 2022; 62(2):157-164. DOI: 10.1016/j.amepre.2021.07.018. View

14.

Ali A, Wehby G . State Eviction Moratoriums During The COVID-19 Pandemic Were Associated With Improved Mental Health Among People Who Rent. Health Aff (Millwood). 2022; 41(11):1583-1589. DOI: 10.1377/hlthaff.2022.00750. View

15.

Vindegaard N, Benros M . COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89:531-542. PMC: 7260522. DOI: 10.1016/j.bbi.2020.05.048. View

16.

Montez J, Farina M . Do Liberal US State Policies Maximize Life Expectancy?. Public Policy Aging Rep. 2021; 31(1):7-13. PMC: 8053253. DOI: 10.1093/ppar/praa035. View

17.

Leifheit K, Pollack C, Raifman J, Schwartz G, Koehler R, Bronico J . Variation in State-Level Eviction Moratorium Protections and Mental Health Among US Adults During the COVID-19 Pandemic. JAMA Netw Open. 2021; 4(12):e2139585. PMC: 8683968. DOI: 10.1001/jamanetworkopen.2021.39585. View

18.

Noelke C, Beckfield J . Recessions, job loss, and mortality among older US adults. Am J Public Health. 2014; 104(11):e126-34. PMC: 4202979. DOI: 10.2105/AJPH.2014.302210. View

19.

Montez J, Zajacova A, Hayward M, Woolf S, Chapman D, Beckfield J . Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s?. Demography. 2019; 56(2):621-644. PMC: 6450761. DOI: 10.1007/s13524-018-0750-z. View

20.

Nande A, Sheen J, Walters E, Klein B, Chinazzi M, Gheorghe A . The effect of eviction moratoria on the transmission of SARS-CoV-2. Nat Commun. 2021; 12(1):2274. PMC: 8050248. DOI: 10.1038/s41467-021-22521-5. View