Health of Low-Income Adults in Subsidized Housing: Randomized Experiment, NY City

补贴住房中低收入成年人的健康状况：随机实验，纽约市

• 批准号: 7950575
• 负责人: JEANNE BROOKS-GUNN
• 金额: $ 45万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7950575
• 关键词: Adult; Air; Anxiety; Area; Asthma; Back; Behavior; Biological Preservation; Caliber; Caring; Characteristics; Cities; Code; Communities; Consumption; Crime; Cues; Data; Data Collection; Development; Diet; Dimensions; Disadvantaged; Economics; Environment; Ethnic Origin; Exposure to; Family; Family Sizes; Food; Health; Health Food; Health Status; Health behavior; Healthcare; Household; Housing; Improve Access; Income; Individual; Institution; Intervention; Life; Life Style; Location; Low income; Marketing; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Neighborhoods; New York City; Obesity; Outcome; Participant; Pathway interactions; Perception; Personal Satisfaction; Policies; Population; Population Study; Poverty; Preventive; Proxy; Psyche structure; Public Assistance; Public Health; Public Housing; Qualifying; Questionnaires; Race; Randomized; Recording of previous events; Relative (related person); Reporting; Research; Research Personnel; Resources; Safety; Sampling; Schools; Self Assessment; Self-Administered; Shapes; Site; Social Environment; Social Network; Social support; Source; Surveys; System; Telephone Interviews; Testing; Time; Translations; Trust; Work; after-school program; cohort; community living; comparative; comparison group; cost; design; diet and exercise; distilled alcoholic beverage; experience; fast food; federal poverty level; follow-up; hazard; health disparity; improved; interest; member; physical conditioning; population health; primary outcome; programs; public health relevance; research study; residence; response; social; treatment site; uptake; voucher

DESCRIPTION (provided by applicant): From a public health perspective, moving to subsidized housing, to less poor neighborhoods, to housing developments with low rates of crime, or to more mixed income settings might reduce health disparities through multiple pathways. The proposed experimental research will utilize the NYC Department of Housing Preservation and Development's lottery system to identify treatment and control households that fit our study criteria. Group assignment will include households who move to a subsidized apartment in one of ten newly constructed housing sites (treatment) and matched households who do not receive housing (control). We estimate that our experimental sample will be comprised of about 1,300 participating treatment households and 1,690 lottery- matched controls. This proposal's design improves and expands upon the design of earlier housing experiments in that it (a) compares the impact of moving to a new neighborhood versus staying in the same neighborhood among recipients of subsidized housing, (b) compares the impact of moving into mixed-income versus solely low- income buildings, (c) examines the impact of subsidized housing on near-poor families (rather than just families below the poverty threshold), (d) examines the effect of subsidized housing where the uptake of the offer is 90% (rather than less than one-half in previous demonstrations of subsidized housing), and (e) examines the effect of subsidized housing where the families are likely to stay in the subsidized housing (compared to studies of vouchers, where over half of those who did move ended up moving again, typically back to poor neighborhoods). Our proposed data collection strategy will include baseline data collection at time of application for housing using a self-administered questionnaire to be completed by a single adult household member and augmented by information obtained from the housing application itself. Follow-up telephone interviews will take place 12-18 months after move-in, or equivalent for non-movers. A variety of information on current health status and health behaviors will be collected at baseline and follow-up to enable assessment of within-household change as well as average change between comparison groups at follow-up. Experimental analyses will be used to quantify the impact of moving to subsidized housing in a new neighborhood relative to moving to subsidized housing in the same neighborhood of residence at time of application. Exploratory analysis will compare two types of treatment: moves to mixed-income housing and exclusively low-income housing developments. Relationships among household, housing, and neighborhood features will be examined as potential outcomes as well as mediators of individual-level health outcomes. PUBLIC HEALTH RELEVANCE: Experimental research has shown that moving to new housing in particular kinds of neighborhoods may improve the life chances of poor families; however, previous research confounded housing- and neighborhood mobility and did not investigate the benefits of mixed-income housing developments. Our randomized experiment will track about 1,300 households who receive city-subsidized housing and about 1,700 matched households who do not receive housing over the first 12-18 months after move-in to assess changes in physical and mental health, and health behaviors. In addition, we will explore changes in physical, economic, and social environments that may mediate the relationship between residential context and health and well-being of low-income residents.

描述（由申请人提供）：从公共卫生的角度来看，转向补贴的住房，较贫穷的社区，转向犯罪率较低的住房发展，或者更混杂的收入环境可能会通过多种途径减少健康差异。 拟议的实验研究将利用纽约市住房保存和开发系统的彩票系统来识别符合我们学习标准的治疗和控制家庭。小组分配将包括在十个新建造的住房（治疗）之一和不接受住房的匹配家庭中搬到补贴公寓的家庭（对照）。我们估计我们的实验样本将包括约1,300个参与治疗家庭和1,690个彩票匹配的对照。 This proposal's design improves and expands upon the design of earlier housing experiments in that it (a) compares the impact of moving to a new neighborhood versus staying in the same neighborhood among recipients of subsidized housing, (b) compares the impact of moving into mixed-income versus solely low- income buildings, (c) examines the impact of subsidized housing on near-poor families (rather than just families below the poverty threshold), (d) examines the补贴住房的影响，该报价的吸收为90％（在先前的有补贴住房的演示中不到一半），并且（e）检查了补贴住房的影响，在这些凭借中，家庭可能会留在补贴的住房中（与凭证的研究相比，与之相比，在这些凭证的研究中，确实有一半的人又又回到了贫困的社区中，否则又是贫穷的居民）。 我们提出的数据收集策略将包括在住房申请时收集基线数据，该数据收集使用自我管理调查表由一个成年家庭成员完成，并通过从住房申请本身获得的信息进行增强。后续电话访谈将在搬进后12-18个月进行，或同等的非行驶者。将在基线和随访中收集有关当前健康状况和健康行为的各种信息，以评估内部内部变化以及随访时比较组之间的平均变化。实验分析将用于量化在应用时在新社区中移至新社区中的补贴住房的影响。探索性分析将比较两种类型的治疗方法：转移到混合收入住房和仅有低收入住房的发展。 家庭，住房和邻里特征之间的关系将被视为潜在的结果以及个人水平健康成果的调解人。 公共卫生相关性：实验研究表明，搬到特定类型的社区可能会改善贫困家庭的生活机会；但是，先前的研究使住房和邻里流动性混淆，并没有调查混合收入住房发展的好处。我们的随机实验将追踪约1,300个家庭，这些家庭接受城市补贴的住房和约1,700个匹配的家庭，他们在搬入后的前12-18个月内未接受住房，以评估身心健康的变化以及健康行为和健康行为。此外，我们将探索物理，经济和社会环境的变化，这些变化可能会介导低收入居民的住宅环境与健康与福祉之间的关系。