The Association of Low-Income Housing Tax Credit Units and Reports of Child Abuse and Neglect.

The Association of Low-Income Housing Tax Credit Units and Reports of Child Abuse and Neglect.
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低收入住房税收抵免单位协会和虐待和忽视儿童报告。

DOI:
10.1016/j.amepre.2021.11.020
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发表时间:
2022
影响因子:
5.5
通讯作者:
Runyan,CarolW
Runyan,CarolW
中科院分区:
医学2区
文献类型:
--
作者:
Shanahan,MeghanE;Austin,AnnaE;Durrance,ChristineP;Martin,SandraL;Mercer,JeremyA;Runyan,DesmondK;Runyan,CarolW

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1.普遍的贫困和住房不安全造成的经济压力与儿童受虐待的风险增加有关。因此,旨在增加获得负担得起的住房的机会的计划,如低收入住房税收抵免计划,可能会减少虐待儿童的情况。本研究的目的是检查协会的住房单位的可用性,通过低收入住房税收抵免计划与虐待儿童的报告率,包括身体虐待和忽视的报告,在国家和县levels.MethodsData是从2005年至2015年全国虐待儿童和虐待儿童数据系统和低收入住房税收抵免计划数据库。在2021年进行了广义估计方程,以计算率比和95%CI,调整相关confounders.ResultsAt国家一级,≥25与<25低收入住房税收抵免计划单位每10万人口与整体儿童虐待率较低(即,忽视和身体虐待;率比=0.96,95% CI=0.93,0.99)、忽视(率比=0.96,95% CI=0.94,0.99)和身体虐待(率比=0.96,95% CI=0.93,1.00)报告。同样,在县一级,与每10万人口0个低收入住房税收抵免计划单位相比,每10万人口≥1个低收入住房税收抵免计划单位与总体儿童虐待率较低有关(率比=0.94,95%CI =0.92,0.97),忽视(率比=0.96,95% CI=0.93,0.98)和身体虐待(率比=0.94,95%CI =0.91,0.98)reports.ConclusionsIncreasing获得负担得起的住房可能是一种有效的策略,以减少虐待儿童在州和县两级。
IntroductionPoverty broadly and financial stress owing to housing insecurity specifically are associated with an increased risk of child maltreatment. Therefore, it is possible that a program designed to increase access to affordable housing such as the Low-Income Housing Tax Credit program could reduce child maltreatment. The purpose of this study is to examine the association of the availability of housing units through the Low-Income Housing Tax Credit Program with the rates of child maltreatment reports, including reports for physical abuse and neglect, at the state and county levels.MethodsData were from the 2005‒2015 National Child Abuse and Neglect Data System and the Low-Income Housing Tax Credit Program database. Generalized estimating equations were conducted in 2021 to calculate rate ratios and 95% CIs, adjusting for relevant confounders.ResultsAt the state level, ≥25 compared with <25 Low-Income Housing Tax Credit Program units per 100,000 population was associated with a lower rate of overall child maltreatment (i.e., neglect and physical abuse; rate ratio=0.96, 95% CI=0.93, 0.99), neglect (rate ratio=0.96, 95% CI=0.94, 0.99), and physical abuse (rate ratio=0.96, 95% CI=0.93, 1.00) reports. Similarly, at the county level, ≥1 compared with 0 Low-Income Housing Tax Credit Program units per 100,000 population was associated with a lower rate of overall child maltreatment (rate ratio=0.94, 95% CI=0.92, 0.97), neglect (rate ratio=0.96, 95% CI=0.93, 0.98), and physical abuse (rate ratio=0.94, 95% CI=0.91, 0.98) reports.ConclusionsIncreasing access to affordable housing may be an effective strategy to reduce child maltreatment at both the state and county levels.