2023
The Affordable Rental Housing Crisis and Population Health Equity: a Multidimensional and Multilevel Framework
Keene D, Blankenship K. The Affordable Rental Housing Crisis and Population Health Equity: a Multidimensional and Multilevel Framework. Journal Of Urban Health 2023, 100: 1212-1223. PMID: 37991605, PMCID: PMC10728029, DOI: 10.1007/s11524-023-00799-8.Peer-Reviewed Original ResearchConceptsHousing insecurityPopulation health equityHousing crisisStructural racismHealth equityUnequal burdenCurrent housing crisisMultilevel frameworkHousing arrangementsRacismInsecurityIndividual householdsHousing conditionsEquityCrisisHousingPolicyPopulation healthMultiple formsCommunityConsiderable bodyInsecure individualsFull impactHomelessnessHouseholdsStructural Racism, the Social Determination of Health, and Health Inequities: The Intersecting Impacts of Housing and Mass Incarceration
Blankenship K, Rosenberg A, Schlesinger P, Groves A, Keene D. Structural Racism, the Social Determination of Health, and Health Inequities: The Intersecting Impacts of Housing and Mass Incarceration. American Journal Of Public Health 2023, 113: s58-s64. PMID: 36696621, PMCID: PMC9877374, DOI: 10.2105/ajph.2022.307116.Peer-Reviewed Original ResearchConceptsStructural racismHealth inequitiesMass incarcerationConceptualization of racismAffordable housing optionsImpact of housingRacist practicesRace inequitiesHousing optionsSegregated neighborhoodsPublic health researchersRacismUS societySocial determinationBlack peopleRacial health disparitiesHealth equityHousingSocial determinantsInequitiesNew formsHealth researchersPolicyIncarcerationHealth disparities
2022
Housing Insecurity Among Patients With Cancer
Fan Q, Keene DE, Banegas MP, Gehlert S, Gottlieb LM, Yabroff KR, Pollack CE. Housing Insecurity Among Patients With Cancer. Journal Of The National Cancer Institute 2022, 114: 1584-1592. PMID: 36130291, PMCID: PMC9949594, DOI: 10.1093/jnci/djac136.Peer-Reviewed Original ResearchConceptsCancer careSocial determinantsNational Cancer Policy ForumHealth system interventionsCancer control continuumKey social determinantsHousing insecurityTransportation insecurityPatient outcomesHealth disparitiesHealth equitySocioeconomic statusCareHealth carePatientsStable housingControl continuumCancerSystem interventionsHealthOutcomesEquitable accessDeterminantsSeries of webinarsDiagnosis
2021
Does rental assistance improve mental health? Insights from a longitudinal cohort study
Denary W, Fenelon A, Schlesinger P, Purtle J, Blankenship KM, Keene DE. Does rental assistance improve mental health? Insights from a longitudinal cohort study. Social Science & Medicine 2021, 282: 114100. PMID: 34144434, PMCID: PMC8299474, DOI: 10.1016/j.socscimed.2021.114100.Peer-Reviewed Original ResearchConceptsRental assistanceUnited StatesHousing costsLow-income individualsUrban developmentMental healthEligible householdsBudgetary constraintsAssistanceFixed-effects analysisPsychological distressHouseholdsFinancial strainLongitudinal dataLongitudinal cohort studyLow-income adultsNew HavenNon-significant decreaseCross-sectional analysisRentersHousingU.S. DepartmentCohort studySocial Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability
Blankenship KM, Rosenberg A, Keene DE, Dawson AJ, Groves AK, Schlesinger P. Social Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability. AIDS And Behavior 2021, 25: 190-201. PMID: 33796957, PMCID: PMC8484381, DOI: 10.1007/s10461-021-03238-4.Peer-Reviewed Original ResearchConceptsRelationship workMass incarcerationHousing vulnerabilitySocial determinationLongitudinal qualitative interviewsHIV-related riskQualitative interviewsSurveillance stateAbductive approachSexual practicesCommitted relationshipSocial determinantsHIV preventionCase studyIncarcerationSexual riskHIV-negative womenNeighborhoodContextNew HavenVulnerabilityWomenHIVStudy periodInterviews“I don't know what home feels like anymore”: Residential spaces and the absence of ontological security for people returning from incarceration
Rosenberg A, Keene DE, Schlesinger P, Groves AK, Blankenship KM. “I don't know what home feels like anymore”: Residential spaces and the absence of ontological security for people returning from incarceration. Social Science & Medicine 2021, 272: 113734. PMID: 33601251, PMCID: PMC8942126, DOI: 10.1016/j.socscimed.2021.113734.Peer-Reviewed Original ResearchConceptsOntological securityResidential experiencesHealth inequitiesResidential spaceHealth equityIntersection of housingIdea of homeWaves of interviewsSense of feelingCarceral stateMass incarcerationHousing vulnerabilityParticipants' narrativesU.S. citiesBasic securityPlace rulesHousingIncarcerationOne's identityUnderstudied aspectPrisonInequitiesSecurityPeopleEquityEviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy
Benfer EA, Vlahov D, Long MY, Walker-Wells E, Pottenger JL, Gonsalves G, Keene D. Eviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy. Journal Of Urban Health 2021, 98: 1-12. PMID: 33415697, PMCID: PMC7790520, DOI: 10.1007/s11524-020-00502-1.Peer-Reviewed Original ResearchConceptsNon-Hispanic whitesHealth inequitiesPandemic mitigation strategiesInfection rateCOVID-19COVID-19 infectionCOVID-19 infection ratesRacial health inequitiesNegative health effectsSupportive measuresHealth outcomesLow-income populationsHealth effectsUnprecedented unemployment ratesPandemic control strategiesDecreased abilityCOVID-19 pandemicPublic healthRecent dataCOVID-19 spreadDisproportionate ratesPrevention policiesPreventionDeathRecent studiesHousing Instability and HIV Risk: Expanding our Understanding of the Impact of Eviction and Other Landlord-Related Forced Moves
Groves AK, Niccolai LM, Keene DE, Rosenberg A, Schlesinger P, Blankenship KM. Housing Instability and HIV Risk: Expanding our Understanding of the Impact of Eviction and Other Landlord-Related Forced Moves. AIDS And Behavior 2021, 25: 1913-1922. PMID: 33389317, PMCID: PMC7778418, DOI: 10.1007/s10461-020-03121-8.Peer-Reviewed Original Research
2019
Clinical management of Type II Diabetes among the unstably housed: a qualitative study of primary care physicians
Henry ML, Lichtman JH, Hanlon K, Keene DE. Clinical management of Type II Diabetes among the unstably housed: a qualitative study of primary care physicians. Family Practice 2019, 37: 418-423. PMID: 31781768, PMCID: PMC7377290, DOI: 10.1093/fampra/cmz085.Peer-Reviewed Original ResearchConceptsType II diabetesPrimary care cliniciansStandard of careII diabetesCare cliniciansDiabetes managementClinical settingPrimary care physiciansOptimal diabetes managementCare physiciansDiabetes patientsType II diabetes managementClinical managementIndividualized carePatient housingUS adultsClinical decisionPatient healthDiabetesPatientsCliniciansCareClinical adjustmentsParticipantsQualitative studyEviction From Renter-occupied Households and Rates of Sexually Transmitted Infections
Niccolai LM, Blankenship KM, Keene DE. Eviction From Renter-occupied Households and Rates of Sexually Transmitted Infections. Sexually Transmitted Diseases 2019, 46: 63-68. PMID: 30148755, PMCID: PMC6289707, DOI: 10.1097/olq.0000000000000904.Peer-Reviewed Original ResearchConceptsMedian ratePredictors of STIRates of chlamydiaNumerous health outcomesTertile categoriesPotential confoundersSTI ratesSTI riskCounty-level associationsHealth outcomesInfection rateSimilar associationChlamydiaConfidence intervalsGonorrheaHigh rateLow-income individualsDescriptive statisticsHousing instabilityAssociation
2018
Maximizing Home Equity or Preventing Home Loss: Reverse Mortgage Decision Making and Racial Inequality
Keene DE, Sarnak A, Coyle C. Maximizing Home Equity or Preventing Home Loss: Reverse Mortgage Decision Making and Racial Inequality. The Gerontologist 2018, 59: 242-250. PMID: 29522185, DOI: 10.1093/geront/gnx209.Peer-Reviewed Original ResearchConceptsSocial inequalitiesOlder homeownersHome equityMortgage decisionsUnequal landscapeHousing needsRacial inequalityDichotomous schemaEconomic opportunitiesReverse mortgage loansDepth interviewsHome lossThematic coding schemeUS homeownersReverse mortgagesHomeownersEquityStrategic toolInequalityResearch designReverse mortgage borrowersLast resortMortgage loansDiverse sampleMortgages
2017
“That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults
Keene DE, Guo M, Murillo S. “That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults. Social Science & Medicine 2017, 197: 71-77. PMID: 29222997, PMCID: PMC5771430, DOI: 10.1016/j.socscimed.2017.11.051.Peer-Reviewed Original Research
2016
“There's a Difference—I Own This”: Negotiating Social and Financial Services under Threat of Mortgage Foreclosure
Baker A, Keene DE. “There's a Difference—I Own This”: Negotiating Social and Financial Services under Threat of Mortgage Foreclosure. Social Work 2016, 61: 321-330. PMID: 29664259, DOI: 10.1093/sw/sww049.Peer-Reviewed Original ResearchConceptsSocial workersSocial work agenciesSocial service institutionsAsymmetrical power relationshipsCommunities of colorSocial service needsRisk of foreclosurePercent of homeownersNational housing marketThreat of defaultSense of matteringWork agenciesLegal aidDepth interviewsPower relationshipsForeclosure crisisHousing marketService institutionsHousehold budgetingGreat RecessionMortgage foreclosuresFinancial servicesService needsHomeownersForeclosure
2015
"When you're in a crisis like that, you don't want people to know": mortgage strain, stigma, and mental health.
Keene DE, Cowan SK, Baker AC. "When you're in a crisis like that, you don't want people to know": mortgage strain, stigma, and mental health. American Journal Of Public Health 2015, 105: 1008-12. PMID: 25790383, PMCID: PMC4386521, DOI: 10.2105/ajph.2014.302400.Peer-Reviewed Original ResearchConceptsMental healthStressful life eventsMeaning of homeownershipExperiences of stigmatizationPoor mental healthConcealable stigmaMobile African AmericansEmotional distressLife eventsParticipants' depressionSocial supportNortheastern US citySocial isolationSemistructured interviewsStigmatizationStigmaHealth consequencesParticipantsDepressionAmerican homeownersShameAnxietyDistress
2014
Getting sick and falling behind: health and the risk of mortgage default and home foreclosure
Houle JN, Keene DE. Getting sick and falling behind: health and the risk of mortgage default and home foreclosure. Journal Of Epidemiology & Community Health 2014, 69: 382. PMID: 25430548, DOI: 10.1136/jech-2014-204637.Peer-Reviewed Original ResearchConceptsMortgage defaultChronic conditionsOnset of illnessRisk of defaultHealth limitationsPoor health outcomesYouth 1979 dataMiddle-aged adultsLogistic regression modelsOlder middle-aged adultsMortgage distressForeclosure riskPolicy perspectiveHealth outcomesHealth statusHealth insuranceForeclosureHome foreclosuresFamily incomeDefaultNational Longitudinal StudyLongitudinal studySurvey wavesRiskRegression modelsFragile health and fragile wealth: Mortgage strain among African American homeowners
Keene DE, Lynch JF, Baker AC. Fragile health and fragile wealth: Mortgage strain among African American homeowners. Social Science & Medicine 2014, 118: 119-126. PMID: 25112566, DOI: 10.1016/j.socscimed.2014.07.063.Peer-Reviewed Original ResearchConceptsPoor healthWorking-class African AmericansAfrican American experienceHealth-related eventsConsequences of illnessOngoing historyAmerican experienceRacial inequalityRacial discriminationFragile healthYounger ageDisproportionate burdenHealth inequalitiesAfrican AmericansAmerican homeownersIllnessRisk of foreclosureHealthLived experienceDisabilityRecent studiesRiskParticipantsDownstream consequencesHistory