Misclassification of Rental Assistance in the National Health Interview Survey: Evidence and Implications
Misclassification of Rental Assistance in the National Health Interview Survey: Evidence and Implications
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DOI：
10.1097/ede.0000000000000861
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发表时间：
2018-09-01
期刊：
影响因子：
5.4
通讯作者：
Slopen, Natalie
中科院分区：
文献类型：
--
作者：
Boudreaux, Michel;Fenelon, Andrew;Slopen, Natalie
背景资料：联邦调查可以在衡量租房补助与健康的关系以及确定受补助人口的健康需求方面发挥作用。然而，租金援助的自我报告可能有偏见。我们的目标是评估报告的租金援助的准确性，在全国健康访谈调查（NHIS）。方法：我们进行了记录检查研究的报告，美国住房和城市发展部的租金援助在2004-2012年NHIS，使用与行政记录相关的调查响应。错误分类措施仅限于假阴性率，因为调查确定了所有租赁援助计划的参与情况，但行政数据仅涉及美国住房和城市发展部。假阴性率计算的总人口，社会人口亚组，跨水平的自我报告的健康状况，并为特定的援助类型（住房选择权，公共住房，多户住房）。结果：我们估计假阴性率为22.6%。与接受其他形式援助的居民相比，公共住房居民的错误分类率更高，即使在控制了社会人口统计数据之后。各地区和其他人口统计数据的比率各不相同。与健康状况较好的人相比，那些自我报告健康状况一般或较差的人不太可能误报援助，但协变量解释了这种差异。误报援助调整后的协会援助和health.Conclusions：假阴性报告租金援助是中等偏高的NHIS，但我们没有发现证据表明，它独立的偏见估计协会的健康和租金援助。
Background: Federal surveys could play a role in measuring the association of rental assistance and health and in identifying the health needs of the assisted population. However, self-reports of rental assistance could be biased. Our objective was to assess the accuracy of reported rental assistance in the National Health Interview Survey (NHIS).Methods: We conducted a record-check study of reports of US Department of Housing and Urban Development rental assistance in the 2004-2012 NHIS, using survey responses linked to administrative records. Misclassification measures were limited to the false-negative rate because the survey ascertained participation in all rental assistance programs, but the administrative data pertained only to US Department of Housing and Urban Development. False-negative rates were calculated for the total population, for sociodemographic subgroups, across levels of self-reported health status, and for specific assistance types (Housing Choice Vouchers, Public Housing, and Multifamily Housing).Results: We estimated a false-negative rate of 22.6%. Misclassification was higher among Public Housing residents compared to those receiving other forms of assistance, even after controlling for sociodemographics. Rates varied across region and other demographics. Those self-reporting fair or poor health were less likely to misreport assistance compared with those in better health, but the difference was explained by covariates. Misreporting assistance had little independent impact on the adjusted association of assistance and health.Conclusions: False-negative reporting of rental assistance is moderately high in the NHIS, but we did not find evidence that it independently biased estimates of the association of health and rental assistance.