Variation in Health Outcomes within Disadvantaged Neighborhoods

弱势社区内健康结果的差异

• 批准号: 8733454
• 负责人: MICHAEL PAUL ERIKSEN
• 金额: $ 18.97万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8733454
• 关键词: Address; Affect; Area; Attitude; Back; Behavior; Censuses; Cities; Country; Crime; Data; Death Rate; Development; Disadvantaged; Employment; Environment; Face; Family; Female; Funding; Goals; Health; Health Policy; Health behavior; Home environment; Household Heads; Housing; Individual; Investigation; Knowledge; Life; Mainstreaming; Marketing; Measures; Mediating; Mental Health; Minority; Minority Groups; Modeling; Names; Neighborhoods; Obesity; Outcome; Personal Satisfaction; Persons; Policies; Positioning Attribute; Poverty; Pregnancy in Adolescence; Process; Public Health; Public Housing; Research; Research Design; Resources; Respondent; Sampling; Services; Social Environment; Social Network; Sorting - Cell Movement; Stress; Surveys; Symptoms; Testing; Time; Transportation; United States; Universities; Variant; authority; experience; health disparity; high school; improved; meetings; physical conditioning; prospective; research study; segregation; social; Address; Affect; Area; Attitude; Back; Behavior; Censuses; Cities; Country; Crime; Data; Death Rate; Development; Disadvantaged; Employment; Environment; Face; Family; Female; Funding; Goals; Health; Health Policy; Health behavior; Home environment; Household Heads; Housing; Individual; Investigation; Knowledge; Life; Mainstreaming; Marketing; Measures; Mediating; Mental Health; Minority; Minority Groups; Modeling; Names; Neighborhoods; Obesity; Outcome; Personal Satisfaction; Persons; Policies; Positioning Attribute; Poverty; Pregnancy in Adolescence; Process; Public Health; Public Housing; Research; Research Design; Resources; Respondent; Sampling; Services; Social Environment; Social Network; Sorting - Cell Movement; Stress; Surveys; Symptoms; Testing; Time; Transportation; United States; Universities; Variant; authority; experience; health disparity; high school; improved; meetings; physical conditioning; prospective; research study; segregation; social

We propose to expand an existing study of public housing relocations in the City of Atlanta to examine how relocation among public housing residents to new neighborhoods will affect their health. Our existing study consists of following a sample of 387 respondents from 7 public housing projects over time (6 and 18 months post-relocation), as they are relocated out of public housing and into private market housing. Our specific aims, for which we are requesting funding, are 1) to assess the new homes and the built environments of the new neighborhoods, that public housing residents relocate to, in order to determine their impact on the health of the sample; and 2) assess the person-environment fit of residents with their new neighborhoods, and investigate whether it mediates the association between neighborhood disadvantage and health. Neighborhoods have barriers that make it difficult for all individuals to meet their health needs. The person-environment fit framework asserts that persons have resources and competencies with which to deal with neighborhood barriers, therefore when persons' needs are met by their neighborhoods then there is a good fit. Using administrative data on neighborhoods, audits of new homes and neighborhoods combined with individual level data from surveys, we will examine path models of the effects of neighborhoods on health allowing the person environment fit to mediate the associations.We hypothesize that aspects of the built environment and homes will explain variation in health symptoms within the new neighborhoods and that respondents who have positive subjective attitudes towards their new homes and neighborhoods will experience better health than those that do not even if the objective measures of their neighborhoods are poor. Our ultimate goal is to inform both housing policy and health policy in regards to how relocations affect the lives and health of public housing residents, and beyond that to develop a model of how neighborhood disadvantage operates through the fit of persons with their environments. Our most important long term goal is to reduce racial health disparities and this is the group whose poor health is a major reason for existing health disparities.

我们建议扩大亚特兰大市公共住房搬迁的现有研究以检查 公共住房居民之间的搬迁如何影响他们的健康。我们的现有 研究包括随着时间的推移的7个公共住房项目的387名受访者的样本（6和18 固定后几个月），因为它们被转移到公共住房中，并转移到私人市场住房中。我们的 我们要求提供资金的具体目标是1）评估新房屋和建造的房屋 新社区的环境，公共住房居民搬迁到 对样本健康的影响； 2）评估居民的人环境适合他们的新 社区，并调查它是否介导了社区劣势之间的关联 和健康。社区的障碍使所有人都难以满足其健康需求。 人与环境拟合框架断言，人们拥有资源和能力 处理邻里障碍，因此，当他们的社区满足人们的需求时， 很合适。使用有关社区的管理数据，新房屋和社区的审核 结合调查中的个人级别数据，我们将检查的路径模型 健康的社区使人们环境适合调解协会。我们假设 建筑环境和房屋的各个方面将解释新的健康症状的差异 社区以及对新家有积极主观态度的受访者 即使其客观措施的目标，社区的健康 社区很差。我们的最终目标是告知住房政策和卫生政策 搬迁如何影响公共住房居民的生活和健康，除此之外 关于邻里劣势如何通过人们与环境的适应性运作。我们最大的 重要的长期目标是减少种族健康差异，这是健康状况不佳的群体 现有健康差异的主要原因。