BACKGROUND Families with versus without children are at greater eviction risk. Eviction is a perinatal, pediatric, and adult health concern. Most studies evaluate only formal evictions. METHODS Using cross-sectional surveys of 26 441 caregiver or young child (<48 months) dyads from 2011 to 2019 in emergency departments (EDs) and primary care clinics, we investigated relationships of 5 year history of formal (court-involved) and informal (not court-involved) evictions with caregiver and child health, history of hospitalizations, hospital admission from the ED on the day of the interview, and housing-related and other material hardships. RESULTS 3.9% of 26 441 caregivers reported 5 year eviction history (eviction), of which 57.0% were formal evictions. After controlling for covariates, we found associations were minimally different between formal versus informal evictions and were, therefore, combined. Compared to no evictions, evictions were associated with 1.43 (95% CI: 1.17-1.73), 1.55 (95% confidence interval [CI]: 1.32-1.82), and 1.24 (95% CI: 1.01-1.53) times greater odds of child fair or poor health, developmental risk, and hospital admission from the ED, respectively, as well as adverse caregiver and hardship outcomes. Adjusting separately for household income and for housing-related hardships in sensitivity analyses did not significantly alter results, although odds ratios were attenuated. Hospital admission from the ED was no longer significant. CONCLUSIONS Demonstrated associations between eviction and health and hardships support broad initiatives, such as housing-specific policies, income-focused benefits, and social determinants of health screening and community connections in health care settings. Such multifaceted efforts may decrease formal and informal eviction incidence and mitigate potential harmful associations for very young children and their families.

中文翻译：

---

驱逐和家庭健康以及有非常年幼儿童的家庭的困难。

背景 有孩子和没有孩子的家庭面临更大的驱逐风险。驱逐是围产期、儿科和成人的健康问题。大多数研究只评估正式的驱逐。方法 我们对 2011 年至 2019 年急诊科 (ED) 和初级保健诊所的 26441 名护理人员或幼儿（<48 个月）二人组进行横断面调查，调查了 5 年正式（涉及法庭）和非正式的关系（不涉及法院）驱逐与照顾者和儿童健康、住院史、面谈当天从 ED 入院，以及与住房相关的和其他物质困难。结果 26 441 名护理人员中有 3.9% 报告了 5 年的驱逐历史（驱逐），其中 57.0% 为正式驱逐。控制协变量后，我们发现正式驱逐与非正式驱逐之间的关联差异很小，因此是结合在一起的。与没有驱逐相比，驱逐的几率为​​ 1.43（95% CI：1.17-1.73）、1.55（95% 置信区间 [CI]：1.32-1.82）和 1.24（95% CI：1.01-1.53​​）倍儿童公平或健康状况不佳、发育风险和从 ED 入院，以及不利的照顾者和困难结果。在敏感性分析中分别调整家庭收入和与住房相关的困难并没有显着改变结果，尽管优势比有所减弱。从 ED 入院不再显着。结论 驱逐与健康和困难之间的明显关联支持广泛的举措，例如针对住房的政策、以收入为重点的福利 健康检查的社会决定因素和医疗保健环境中的社区联系。这种多方面的努力可能会减少正式和非正式的驱逐发生率，并减轻对幼儿及其家庭的潜在有害关联。