Boen, Courtney
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Publication The Health Impacts of Eviction: Evidence from the National Longitudinal Study of Adolescent to Adult Health(2021-02-26) Hoke, Morgan; Boen, Courtney E.Eviction represents an urgent social and economic issue in the United States, with nearly two million evictions occurring annually in the U.S. Still, the population health impacts of evictions, as well as the pathways linking eviction to health, are not well documented or understood, particularly among young adults. Using nationally-representative, longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (1994-2008) (n=9,029), the present study uses a combination of analytic methods—including prospective lagged dependent variable regression models, inverse probabilities of treatment weighting, longitudinal first difference models, causal mediation techniques—to comprehensively assess whether and how evictions relate to depressive risk and self-rated health across early adulthood, paying particular attention to the stress-related pathways linking eviction and health. Results provide robust evidence of positive longitudinal associations between eviction and depressive risk, in particular. In the prospective regression models, young adults who experienced recent eviction had more depressive symptoms and worse self-rated health than those who were not evicted, net a host of background characteristics. Using treatment weighting techniques, results showed that young adults who experienced eviction had more depressive symptoms than those who were not evicted (5.921 vs. 4.998 depressive symptoms, p=0.003). Perceived social stress mediated nearly 18 percent of the associations between eviction and the depressive symptoms (p<0.001). In the first difference models, young people who experienced eviction between survey waves experienced greater increases in depressive symptoms over time compared to those who were not evicted, net of changes in other indicators of socioeconomic status and residential instability. Taken together, our results suggest that the recent surges in evictions in the U.S. serve as a potent threat to population health during the emerging adult period, with especially devastating consequences for low-income individuals and communities of color.Publication State Immigration Policy Contexts and Racialized Legal Status Disparities in Healthcare Utilization among U.S. Agricultural Workers(2022-07-09) Schut, Rebecca Anna; Boen, CourtneyResearch links restrictive immigration policies to immigrant health and healthcare outcomes. Still, most studies in this area focus on the impacts of single policies in particular years, with few assessing how broader state-level immigration policy contexts impact groups by nativity, race-ethnicity, and legal status. Linking data from the National Agricultural Workers Survey (2005-2012) with information on state immigration policies, we use an intersectional approach to examine the links between state-level immigration policy contexts and healthcare utilization by nativity, race-ethnicity, and legal status. We also assess the associations between two specific types of state immigration policies—those governing immigrant access to Medicaid and driver’s licenses—with healthcare utilization disparities. We find that state-level immigration policy contexts are associated with healthcare utilization among U.S. born and naturalized U.S. citizen non-White Latinx agricultural workers, who report lower levels of healthcare utilization and greater barriers to care-seeking in more restrictive policy contexts. By contrast, we found little evidence that state policies shaped healthcare utilization among undocumented workers. These findings advance understanding of the impacts of “policies of exclusion” on the lives of marginalized groups and underscore the importance of racialized legal status in considering the links between sociopolitical contexts and health and healthcare disparities.