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Housing Instability and Alcohol Problems during the 2007–2009 US Recession: the Moderating Role of Perceived Family Support

Journal of Urban Health volume 91, pages 17–32 (2014)Cite this article

Abstract

The 2007–2009 US economic recession was marked by unprecedented rates of housing instability and relatively little is known about how this instability impacted alcohol problems. While previous studies have linked homelessness to increased rates of alcohol use and abuse, housing instability during a recession impacts a much larger segment of the population and usually does not result in homelessness. Using a nationally representative sample of US adults, this study examines the association between housing instability during the recession and alcohol outcomes. Additionally, we assess whether this association is moderated by perceived family support. In multivariate negative binomial regressions, both trouble paying the rent/mortgage (vs. stable housing) and lost (vs. stable) housing were associated with experiencing more negative drinking consequences and alcohol dependence symptoms. However, these associations were moderated by perceived family support. In contrast to those with low perceived family support, participants with high perceived family support reported relatively few alcohol problems, irrespective of housing instability. Furthermore, while job loss was strongly associated with alcohol problems in univariate models, no significant associations between job loss and alcohol outcomes were observed in multivariate models that included indicators of housing instability. Findings point to the importance of the informal safety net and suggest that alcohol screening and abuse prevention efforts should be intensified during periods of recession, particularly among those who experience housing instability.

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Acknowledgments

This work was funded by the National Institute on Alcohol Abuse and Alcoholism (P50AA005595, R01AA020474, and T32AA007240). The content is solely the responsibility of the authors and does not necessarily represent the official view of the National Institute on Alcohol Abuse and Alcoholism or the National Institutes of Health.

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Authors and Affiliations

  1. Alcohol Research Group, 6475 Christie Ave., Suite 400, Emeryville, CA, 94608-1010, USA

    Ryan D. Murphy, Sarah E. Zemore & Nina Mulia

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  1. Ryan D. Murphy
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  2. Sarah E. Zemore
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  3. Nina Mulia
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Correspondence to Ryan D. Murphy.

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Murphy, R.D., Zemore, S.E. & Mulia, N. Housing Instability and Alcohol Problems during the 2007–2009 US Recession: the Moderating Role of Perceived Family Support. J Urban Health 91, 17–32 (2014). https://doi.org/10.1007/s11524-013-9813-z

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Keywords

  • Drinking consequences
  • Alcohol dependence
  • National probability sample