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Social and Economic Determinants of Maternal Morbidity in the United States

美国孕产妇发病率的社会和经济决定因素

基本信息

批准号：
10336069
负责人：
SARA MARKOWITZ
金额：
$ 14.72万
依托单位：
NATIONAL BUREAU OF ECONOMIC RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-10 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10336069
关键词：
Address Affect Apgar Score Area Attention Automobile Driving Birth Birth Certificates Censuses Cesarean section Characteristics Child Childhood Chronic Cities Communities Community Networks Complex Data Death Certificates Diabetes Mellitus Diamond Discrimination Economic Development Economics Education Educational Background Employment Opportunities Environment Environmental Pollution Episiotomy Family Florida Forcep Fostering Foundations Functional disorder Gestational Age Goals Health Health Services Accessibility Health care facility Healthcare Systems Hospitals Housing Hypertension Immersion Infant Health Insurance Investments Life Link Location Low income Marriage Maternal Health Maternal Mortality Measures Mental Depression Minority Modeling Morbidity - disease rate Neighborhoods Obesity Outcome Policies Pollution Pregnancy Prenatal care Privatization Program Reviews Research Research Personnel Review Literature Risk Role Shelter facility Socioeconomic Status Taxes Testing Thyroid Gland Time United States Unmarried Vacuum Vulnerable Populations Woman Women Status Women&apos s Health base black women delivery complications economic determinant emerging adult experience food insecurity health care quality health disparity improved low socioeconomic status lower income families maternal comorbidity maternal morbidity parent grant programs racial disparity racism social determinants social health determinants socioeconomics

项目摘要

OTHER PROJECT INFORMATION – Project Summary/Abstract Affordable Housing During Childhood and Women’s Health Outcomes in Early Adulthood Research shows that low-socioeconomic status (SES) and minority women have worse maternal health outcomes than higher-SES, white women in the United States. Researchers hypothesize that social determinants of health (SDOH) such as food insecurity, discrimination, and pollution may affect these maternal health disparities. Among the various SDOH, however, there is little information about the link between affordable housing availability and health outcomes of low-SES women. This proposal explores whether affordable housing made available through the Low-Income Housing Tax Credit (LIHTC) Program improves the maternal health of low-SES women. I link data on new LIHTC affordable housing units in Florida to birth and death certificates for women born into low-income Census tracts between 1975-1985. Then I locate these women when they first give birth, and I measure their health and socioeconomic outcomes at that time. The hypothesis is that low-income women born into Census tracts with more affordable housing units per capita have better maternal health outcomes than low-income women born into tracts with fewer affordable housing units. One potential mechanism that I explore is that place-based affordable housing, like LIHTC, fosters economic development in low-income neighborhoods, which in turn provides economic opportunities for low-SES women and their families.

其他项目信息-项目概要/摘要儿童时期的经济适用房和成年早期妇女的健康结果研究表明，低社会经济地位和少数民族妇女的孕产妇健康状况较差在美国，比社会经济地位高的白色女性的结果更好。研究人员推测，健康的决定因素（SDOH），如粮食不安全，歧视和污染可能会影响这些孕产妇健康差距。然而，在各种SDOH中，关于负担得起的低社会经济地位妇女的住房可得性和健康结果。该提案探讨了经济适用房是否通过低收入住房税收抵免方案提供的住房补贴改善了低社会经济地位的女性我把佛罗里达新的LIHTC经济适用房的数据与出生和死亡证明联系起来， 1975-1985年出生在低收入人口普查区的妇女。然后我找到这些女人第一次给我测量他们的健康和当时的社会经济状况。假设低收入者出生在人均负担得起的住房单位较多的人口普查区的妇女的孕产妇健康状况更好与出生在负担得起的住房单元较少的地区的低收入妇女相比，一种潜在的机制我所探讨的是，以地方为基础的经济适用房，如LIHTC，促进了低收入国家的经济发展，社区，这反过来又为低社会经济地位的妇女及其家庭提供了经济机会。