{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:37:34Z","timestamp":1789843054502,"version":"4.0.1"},"reference-count":33,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:p> Objectives. We describe the lifetime prevalence and associated health-related concerns of family homelessness among fifth-grade students. <\/jats:p><jats:p> Methods. We used a population-based, cross-sectional survey of 5147 fifth-grade students in 3 US cities to analyze parent-reported measures of family homelessness, child health status, health care access and use, and emotional, developmental, and behavioral health and child-reported measures of health-related quality of life and exposure to violence. <\/jats:p><jats:p> Results. Seven percent of parents reported that they and their child had experienced homelessness (i.e., staying in shelters, cars, or on the street). Black children and children in the poorest families had the highest prevalence of homelessness (11%). In adjusted analyses, most general health measures were similar for children who had and had not been homeless. Children who had ever experienced homelessness were more likely to have an emotional, behavioral, or developmental problem (odds ratio [OR] = 1.7; 95% confidence interval [CI] = 1.1, 2.6; P = .01), to have received mental health care (OR = 2.2; 95% CI = 1.6, 3.2; P &lt; .001), and to have witnessed serious violence with a knife (OR = 1.6; 95% CI = 1.1, 2.3; P = .007) than were children who were never homeless. <\/jats:p><jats:p> Conclusions. Family homelessness affects a substantial minority of fifth-grade children and may have an impact on their emotional, developmental, and behavioral health. <\/jats:p>","DOI":"10.2105\/ajph.2008.147785","type":"journal-article","created":{"date-parts":[[2009,6,19]],"date-time":"2009-06-19T02:12:46Z","timestamp":1245377566000},"page":"1446-1452","source":"Crossref","is-referenced-by-count":37,"title":["<b>Prevalence, Characteristics, and Associated Health and Health Care of Family Homelessness Among Fifth-Grade Students<\/b>"],"prefix":"10.2105","volume":"99","author":[{"given":"Tumaini R.","family":"Coker","sequence":"first","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc N.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Kanouse","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo Anne","family":"Grunbaum","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Janice","family":"Gilliland","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan R.","family":"Tortolero","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Cuccaro","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Schuster","sequence":"additional","affiliation":[{"name":"Tumaini R. Coker is with the Department of Pediatrics, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, CA. Marc N. Elliott and David E. Knouse are with the RAND Corporation, Santa Monica. Jo Anne Grunbaum is with the Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA. M. Janice Gilliland is with the Department of Maternal and Child Health, University of Alabama,..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"crossref","unstructured":"Burt MR, Aron LY, Douglans T, Valente J, Lee E, Iwen B. Homelessness: Programs and the People They Serve. Findings of the National Survey of Homeless Assistance Providers and Clients. Washington, DC: Urban Institute; 1999.","DOI":"10.1037\/e726182011-001"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.2307\/1602424"},{"key":"bib4","unstructured":"The Annual Homeless Assessment Report to Congress. Washington, DC: Office of Community Planning and Development, US Dept of Housing and Urban Development; 2007."},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1037\/h0085059"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3549(04)50056-0"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1542\/pir.25-7-235"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1080\/10511482.1994.9521155"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.12.1907"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.11.1895"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/BF00942181"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.3.554"},{"key":"bib13","first-page":"668","volume":"81","author":"Miller DS","year":"1988","journal-title":"Pediatrics"},{"key":"bib14","first-page":"858","volume":"86","author":"Wood DL","year":"1990","journal-title":"Pediatrics"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.35.1.246"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.46.11.1170"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.3.244"},{"key":"bib18","unstructured":"Rog DJ, Buckner JC. Homeless Families and Children. Washington, DC: US Dept of Health and Human Services and US Dept of Housing and Urban Development; 2007."},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.78.7.783"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.76.9.1097"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1037\/e726152011-001"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2004.04.007"},{"key":"bib24","unstructured":"Derogatis L. BSI-18: Administration, Scoring, and Procedures Manual. Minneapolis, MN: National Computer Systems; 2000."},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200108000-00006"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.14.1813"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1367\/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.00645.x"},{"key":"bib29","unstructured":"Skinner CJ. Domain means, regression and multivariate analyses. In: Skinner CJ, Holt D, Smith TMF, eds. Analysis of Complex Surveys. Chichester, England: Wiley; 1989:59\u201388."},{"key":"bib30","unstructured":"Wooldridge J. Econometric Analysis of Cross Section and Panel Data. Cambridge, MA: MIT Press; 2002."},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1994.75.3f.1671"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830040068011"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03540080062031"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0052"},{"key":"bib35","unstructured":"Hunger and Homelessness Survey: A Status Report on Hunger and Homelessness in America's Cities. 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