Factors Associated With Rising Homelessness Within US States, 2019 to 2024

What state-level factors were associated with rising homelessness in US states from 2019 to 2024?In this cohort study including the 50 US states and Washington, DC, each additional 1% of person-time covered by an eviction moratorium was associated with a lower increase in homelessness from 2019 to 2024, and a significant increase was observed for each home-equivalent lost to climate-related events per 10 000 population. By contrast, average rents, unemployment, emergency rental assistance, and substance use were not associated with year-over-year change in homelessness.These findings suggest that to attenuate surges in homelessness, policymakers should take action to prevent evictions and address climate change.

Corresponding Author: Kathryn M. Leifheit, PhD, MSPH, Department of Health Policy and Management, UCLA Fielding School of Public Health, University of California, Los Angeles, 650 Charles E. Young Dr S, Los Angeles, CA 90095 (kleifheit@g.ucla.edu).

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