Housing Assistance Programs and Adult Health in the United States.
Housing Assistance Programs and Adult Health in the United States.
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DOI：
10.2105/ajph.2016.303649
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发表时间：
2017-04
影响因子：
12.7
通讯作者：
Steffen BL
中科院分区：
文献类型：
--
作者：
Fenelon A;Mayne P;Simon AE;Rossen LM;Helms V;Lloyd P;Sperling J;Steffen BL
研究获得住房援助是否与低收入成年人的健康状况改善有关。我们使用全国健康访谈调查数据（1999-2012）与美国住房和城市发展部（HUD）行政记录（1999-2014）相关联，以检查报告的一般或不良健康状况和心理困扰的差异。我们使用多变量模型来比较那些目前正在接受HUD住房援助（公共住房，住房选择券和多户住房）的人与那些将在2年内接受住房援助（HUD等待名单的平均持续时间）的人，以考虑选择HUD援助。我们发现，与未来居民相比，目前的公共住房（OR = 0.77; 95%置信区间[CI] = 0.57，0.97）和多户住房（OR = 0.75; 95% CI = 0.60，0.95）居民的健康状况一般或较差的几率降低。公共住房居民的心理困扰的几率也降低（OR = 0.59; 95%CI = 0.40，0.86）。这些差异并没有介导的邻里水平的特点，我们没有发现任何健康福利，目前的住房选择券受助人。住房援助与改善进入公共住房和多户住房方案的个人的健康和心理福祉有关。
To examine whether access to housing assistance is associated with better health among low-income adults. We used National Health Interview Survey data (1999–2012) linked to US Department of Housing and Urban Development (HUD) administrative records (1999–2014) to examine differences in reported fair or poor health and psychological distress. We used multivariable models to compare those currently receiving HUD housing assistance (public housing, housing choice vouchers, and multifamily housing) with those who will receive housing assistance within 2 years (the average duration of HUD waitlists) to account for selection into HUD assistance. We found reduced odds of fair or poor health for current public housing (odds ratio [OR] = 0.77; 95% confidence interval [CI] = 0.57, 0.97) and multifamily housing (OR = 0.75; 95% CI = 0.60, 0.95) residents compared with future residents. Public housing residents also had reduced odds of psychological distress (OR = 0.59; 95% CI = 0.40, 0.86). These differences were not mediated by neighborhood-level characteristics, and we did not find any health benefits for current housing choice voucher recipients. Housing assistance is associated with improved health and psychological well-being for individuals entering public housing and multifamily housing programs.