Home Energy Cost and Housing Cost Burden of Urban Monthly Renter Households in Korea and the United States

Abstract Background and Objectives In the United States, a growing number of older adults struggle to find affordable housing that can adapt to their changing needs. Research suggests that access to affordable housing is a significant barrier to reducing unnecessary nursing home admissions. This is the first empirical study we know of to examine whether housing cost burden (HCB) is associated with moves to nursing homes among older adults. Research Design and Methods Data include low- and moderate-income community-dwelling older adults (N = 3,403) from the nationally representative 2015 National Health and Aging Trends Study. HCB (≥30% of income spent on mortgage/rent) and housing tenure (owner/renter) are combined to create a 4-category housing typology. Multinomial logistic regression models test (a) if renters with HCB are most likely (compared with other housing types) to move to a nursing home over 3 years (2015–2018) and (b) if housing type interacts with health and functioning to predict moves to a nursing home. Results Across all models, renters with HCB had the greatest likelihood of moving to a nursing home. Moreover, self-rated health, physical capacity, and mental health were weaker predictors of nursing home moves for renters with HCB. Discussion and Implications Results suggest that older renters with HCB are most likely to experience unnecessary nursing home placement. The growing population of older renters experiencing HCB may not only signal a housing crisis, but may also challenge national efforts to shift long-term care away from nursing homes and toward community-based alternatives.

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Analysis of Influential Factors in the Housing Cost Burden of Single-Youth Renter Households

Journal of Financial Consumers ◽

10.30592/kafc_jfc.09.03.02 ◽

2019 ◽

Vol 9 (3) ◽

pp. 33-54

Author(s):

Sangun Lee ◽

Minjoo Gwak

Keyword(s):

Influential Factors ◽

Housing Cost ◽

Cost Burden ◽

Housing Cost Burden

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Monetizing the Burden of Childhood Asthma Due to Traffic Related Air Pollution in the Contiguous United States in 2010

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157864 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7864

Author(s):

Minaal Farrukh ◽

Haneen Khreis

Keyword(s):

United States ◽

Air Pollution ◽

Economic Impact ◽

Childhood Asthma ◽

Ambient Air ◽

The United States ◽

The State ◽

Cost Calculation ◽

Cost Burden ◽

Incident Cases

Background: Traffic-related air pollution (TRAP) refers to the wide range of air pollutants emitted by traffic that are dispersed into the ambient air. Emerging evidence shows that TRAP can increase asthma incidence in children. Living with asthma can carry a huge financial burden for individuals and families due to direct and indirect medical expenses, which can include costs of hospitalization, medical visits, medication, missed school days, and loss of wages from missed workdays for caregivers. Objective: The objective of this paper is to estimate the economic impact of childhood asthma incident cases attributable to nitrogen dioxide (NO2), a common traffic-related air pollutant in urban areas, in the United States at the state level. Methods: We calculate the direct and indirect costs of childhood asthma incident cases attributable to NO2 using previously published burden of disease estimates and per person asthma cost estimates. By multiplying the per person indirect and direct costs for each state with the NO2-attributable asthma incident cases in each state, we were able to estimate the total cost of childhood asthma cases attributable to NO2 in the United States. Results: The cost calculation estimates the total direct and indirect annual cost of childhood asthma cases attributable to NO2 in the year 2010 to be $178,900,138.989 (95% CI: $101,019,728.20–$256,980,126.65). The state with the highest cost burden is California with $24,501,859.84 (95% CI: $10,020,182.62–$38,982,261.250), and the state with the lowest cost burden is Montana with $88,880.12 (95% CI: $33,491.06–$144,269.18). Conclusion: This study estimates the annual costs of childhood asthma incident cases attributable to NO2 and demonstrates the importance of conducting economic impacts studies of TRAP. It is important for policy-making institutions to focus on this problem by advocating and supporting more studies on TRAP’s impact on the national economy and health, including these economic impact estimates in the decision-making process, and devising mitigation strategies to reduce TRAP and the population’s exposure.

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Associations between Greenspace and Gentrification-Related Sociodemographic and Housing Cost Changes in Major Metropolitan Areas across the United States

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063315 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3315

Author(s):

Leah H. Schinasi ◽

Helen V. S. Cole ◽

Jana A. Hirsch ◽

Ghassan B. Hamra ◽

Pedro Gullon ◽

...

Keyword(s):

United States ◽

Census Tract ◽

Household Income ◽

The United States ◽

Effect Modification ◽

Ethnic Composition ◽

Housing Cost ◽

Census Tract Level ◽

Specific Distribution ◽

Meta Analyses

Neighborhood greenspace may attract new residents and lead to sociodemographic or housing cost changes. We estimated relationships between greenspace and gentrification-related changes in the 43 largest metropolitan statistical areas (MSAs) of the United States (US). We used the US National Land Cover and Brown University Longitudinal Tracts databases, as well as spatial lag models, to estimate census tract-level associations between percentage greenspace (years 1990, 2000) and subsequent changes (1990–2000, 2000–2010) in percentage college-educated, percentage working professional jobs, race/ethnic composition, household income, percentage living in poverty, household rent, and home value. We also investigated effect modification by racial/ethnic composition. We ran models for each MSA and time period and used random-effects meta-analyses to derive summary estimates for each period. Estimates were modest in magnitude and heterogeneous across MSAs. After adjusting for census-tract level population density in 1990, compared to tracts with low percentage greenspace in 1992 (defined as ≤50th percentile of the MSA-specific distribution in 1992), those with high percentage greenspace (defined as >75th percentile of the MSA-specific distribution) experienced higher 1990–2000 increases in percentage of the employed civilian aged 16+ population working professional jobs (β: 0.18, 95% confidence interval (CI): 0.11, 0.26) and in median household income (β: 0.23, 95% CI: 0.15, 0.31). Adjusted estimates for the 2000–2010 period were near the null. We did not observe evidence of effect modification by race/ethnic composition. We observed evidence of modest associations between greenspace and gentrification trends. Further research is needed to explore reasons for heterogeneity and to quantify health implications.

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Cost Burden of Chronic Pain Patients in a Large Integrated Delivery System in the United States

Pain Practice ◽

10.1111/papr.12357 ◽

2015 ◽

Vol 16 (8) ◽

pp. 1001-1011 ◽

Cited By ~ 11

Author(s):

Peter W. Park ◽

Richard D. Dryer ◽

Rozelle Hegeman-Dingle ◽

Jack Mardekian ◽

Gergana Zlateva ◽

...

Keyword(s):

United States ◽

Chronic Pain ◽

Delivery System ◽

The United States ◽

Cost Burden ◽

Integrated Delivery System ◽

Chronic Pain Patients ◽

Integrated Delivery ◽

Pain Patients

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