Examining mediators of housing mobility on adolescent asthma: results from a housing voucher experiment.
Examining mediators of housing mobility on adolescent asthma: results from a housing voucher experiment.
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检查青少年哮喘的住房流动性中介因素：住房券实验的结果。
DOI：
10.1016/j.socscimed.2014.02.020
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Osypuk,TheresaL
中科院分区：
文献类型：
--
作者：
Schmidt,NicoleM;Lincoln,AlisaK;Nguyen,QuynhC;Acevedo-Garcia,Dolores;Osypuk,TheresaL
关于邻里对健康影响的文献主要采用非实验研究设计，通常不测试影响健康的特定邻里介质。我们使用移动到机会（MTO）住房券实验来解决这些差距。研究已经记录了MTO对健康的有利和不利影响，但尚未明确测试介导机制。我们测试了MTO对青年哮喘的调节作用（n= 2829）。MTO将居住在公共住房中的家庭随机分为实验组和对照组，实验组接受凭证补贴租赁住房，对照组不接受凭证，并在随机化后4-7年测量结果。与对照组相比，MTO组在自我报告的哮喘诊断（B= 0.24，p = 0.06）、过去一年哮喘发作（B= 0.44，p = 0.02）和过去一年喘息（B= 0.17，p = 0.17）方面具有有害的主效应。使用反向优势加权调解，我们测试了心理健康，吸烟，和四个住房方面的潜在中介的MTO哮喘的关系。我们发现没有显着的调解整体，但调解可能是性别特异性的。性别分层模型显示，吸烟（p= 0.05）和成人报告的住房质量（p= 0.06），这分别减少了35%和42%的总影响的哮喘诊断女孩抵消中介作用。MTO治疗使男孩的心理健康恶化，心理健康使哮喘诊断的治疗效果降低了27%。未来的研究应该探索其他潜在的介质和性别特异性介质的MTO对哮喘的影响。改善测量的住房条件和其他潜在的调解人可能有助于阐明“黑箱”的邻里效应。
Literature on neighborhood effects on health largely employs non-experimental study designs and does not typically test specific neighborhood mediators that influence health. We address these gaps using the Moving to Opportunity (MTO) housing voucher experiment. Research has documented both beneficial and adverse effects on health in MTO, but mediating mechanisms have not been tested explicitly. We tested mediation of MTO effects on youth asthma (n= 2829). MTO randomized families living in public housing to an experimental group receiving a voucher to subsidize rental housing, or a control group receiving no voucher, and measured outcomes 4–7 years following randomization. MTO had a harmful main effect vs. controls for self-reported asthma diagnosis (b= 0.24,p= 0.06), past-year asthma attack (b= 0.44,p= 0.02), and past-year wheezing (b= 0.17,p= 0.17). Using Inverse Odds Weighting mediation we tested mental health, smoking, and four housing dimensions as potential mediators of the MTO–asthma relationship. We found no significant mediation overall, but mediation may be gender-specific. Gender-stratified models displayed countervailing mediation effects among girls for asthma diagnosis by smoking (p= 0.05) and adult-reported housing quality (p= 0.06), which reduced total effects by 35% and 42% respectively. MTO treatment worsened boys' mental health and mental health reduced treatment effects on asthma diagnosis by 27%. Future research should explore other potential mediators and gender-specific mediators of MTO effects on asthma. Improving measurement of housing conditions and other potential mediators may help elucidate the “black box” of neighborhood effects.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
空气污染对儿童肺部健康的影响
影响因子：
5
作者：
A. Tabaku;G. Bejtja;S. Bala;E. Toçi;Jerina Resuli
通讯作者：
Jerina Resuli
转向公平住房示范计划的机会——最终影响评估
DOI：
--
发表时间：
2011
期刊：
影响因子：
--
作者：
L. Sanbonmatsu;Jens Ludwig;Jens Ludwig;Lawrence F. Katz;Lawrence F. Katz;L. Gennetian;Greg J. Duncan;Ronald C. Kessler;Emma K. Adam;Thomas W. Mcdade;S. Lindau;S. Lindau
通讯作者：
S. Lindau
影响因子：
14.2
作者：
TARGONSKI, PV;PERSKY, VW;RAMEKRISHNAN, V
通讯作者：
RAMEKRISHNAN, V
12 岁以下儿童的家庭社会经济状况、家庭吸烟和哮喘发作
影响因子：
1.9
作者：
C. Strong;Ly
通讯作者：
Ly