Measuring the effects of In-Place Subsidized Housing: A Randomized Experiment for

衡量就地补贴住房的效果：一项随机实验

• 批准号: 7873419
• 负责人: JEANNE BROOKS-GUNN
• 金额: $ 42.17万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7873419
• 关键词: Absenteeism; Address; Adolescent; Adult; Age; Anxiety; Asthma; Attitude; Back; Behavior; Behavioral; Biological Preservation; Caregivers; Caring; Characteristics; Child; Child Development; Child health care; Cities; Communities; Conflict (Psychology); Crime; Cues; Data Collection; Development; Disadvantaged; Economics; Environment; Exposure to; Family; Family dynamics; Family health status; Food; Gender; Health; Health Food; Health Status; Health behavior; Healthcare; Home environment; Household; Housing; Improve Access; Income; Individual; Institution; Interview; Life; Life Style; Literature; Location; Low income; Marketing; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Neighborhoods; New York City; Obesity; Outcome; Parenting behavior; Parents; Participant; Pathway interactions; Peer Group; Perception; Performance; Personal Satisfaction; Persons; Policies; Population Study; Poverty; Prevalence; Preventive; Process; Proxy; Psyche structure; Public Assistance; Public Health; Public Housing; Qualifying; Questionnaires; Randomized; Recording of previous events; Records; Relative (related person); Research; Research Personnel; Resources; Risk; Safety; Sampling; Schools; Self Assessment; Self Efficacy; Self-Administered; Shapes; Site; Social Environment; Social Network; Source; Substance abuse problem; System; Testing; Time; Translations; Violence; Vulnerable Populations; Youth; after-school program; base; child well being; community living; comparative; contextual factors; cost; design; deviant; diet and exercise; distilled alcoholic beverage; follow up assessment; follow-up; hazard; health disparity; improved; interest; knowledge base; physical conditioning; primary outcome; programs; public health relevance; research study; residence; response; social; success; treatment site; uptake; voucher

DESCRIPTION (provided by applicant): From a public health perspective, moving to subsidized housing, to less poor neighborhoods, to housing developments with low rates of crime, or to more mixed income settings might reduce health disparities between children and families who have low income and those who do not. Children and young adolescents may be particularly influenced by housing given that they spend a large proportion of their time in their home neighborhood where the accessibility and quality of local amenities and institutions matter, and because they are influenced by their parents' responses to residential location. Receipt of in-place subsidized housing, the focus of our proposal, may help to improve the health and developmental trajectories of at-risk youth through multiple pathways. The proposed experimental research will utilize the NYC Department of Housing Preservation and Development's lottery system to identify treatment and control households that fit our study criteria. Group assignment will include families with children who move to a subsidized apartment in one of eleven newly constructed housing sites (treatment) and matched families who do not receive housing (control). This proposal's design improves and expands upon the design of earlier housing experiments in that it (a) compares the impact of moving to a new neighborhood versus staying in the same neighborhood among recipients of subsidized housing, (b) compares the impact of moving into mixed-income versus solely low- income buildings, (c) examines the impact of subsidized housing on near-poor families (rather than just families below the poverty threshold), (d) examines the effect of subsidized housing where the uptake of the offer is 90% (rather than less than one-half in Moving to Opportunity), and (e) examines the effect of subsidized housing where the families are likely to stay in the subsidized housing (in Moving to Opportunity, over half of those who did move ended up moving again, typically back to poor neighborhoods). Our proposed data collection strategy will include baseline data collection at time of application for housing, using a self-administered questionnaire to be completed by the primary caregiver and augmented by information obtained from the housing application itself. Follow-up assessments will include in-person interviews with the primary caregiver and detailed information on up to two co-resident children for each participating household. Our follow-up information on children will be collected by proxy for children under age eight and in-person with children ages eight to eighteen. Experimental analyses will be used to quantify the impact of moving to subsidized housing and additional exploratory analyses will be conducted to investigate the potential benefits of housing relative to neighborhoods and assess evidence of differential impacts among those receiving particular types of subsidized housing. Relationships among household, housing, and neighborhood features will be examined as potential outcomes as well as mediators of individual-level health outcomes. PUBLIC HEALTH RELEVANCE: The health of children and adults is influenced by the environments in which they live. Experimental research has shown that moving to new housing in particular kinds of neighborhoods may improve the life chances of poor families; however, previous research confounded housing- and neighborhood mobility and did not investigate the benefits of mixed-income housing developments. Our randomized experiment will address these shortcomings will NYC children and families who apply for in-place subsidized housing allocated through a housing lottery and test whether receipt of such housing improves the health and well-being of children and caregivers.

描述（由申请人提供）：从公共卫生的角度来看，搬到补贴住房、贫困程度较低的社区、犯罪率较低的住房开发区或收入更加混合的环境可能会减少低收入儿童和家庭与非收入家庭之间的健康差距。儿童和青少年可能特别受到住房的影响，因为他们大部分时间都在自己的家乡度过，而当地便利设施和机构的可达性和质量很重要，而且他们会受到父母对居住地点的反应的影响。获得就地补贴住房是我们提案的重点，可能有助于通过多种途径改善高危青少年的健康和发展轨迹。拟议的实验研究将利用纽约市住房保护和发展部的抽签系统来确定符合我们研究标准的治疗和控制家庭。小组分配将包括搬进十一个新建住房地点之一的补贴公寓的有孩子的家庭（治疗）和没有获得住房的匹配家庭（对照）。该提案的设计改进并扩展了早期住房实验的设计，因为它（a）比较了补贴住房接受者搬到新社区与留在同一社区的影响，（b）比较了搬入混合收入与完全低收入建筑的影响，（c）研究了补贴住房对近贫困家庭（而不仅仅是贫困线以下的家庭）的影响，（d）研究了 (e) 研究补贴住房的影响，其中接受率达到 90%（而不是“搬到机会”中的不到一半），以及 (e) 检查补贴住房的影响，其中家庭可能会留在补贴住房中（在“搬到机会”中，超过一半的搬家者最终再次搬家，通常回到贫困社区）。我们提出的数据收集策略将包括在申请住房时收集基线数据，使用由主要照顾者填写的自填问卷，并通过从住房申请本身获得的信息进行补充。后续评估将包括与主要照顾者的面对面访谈以及每个参与家庭最多两名同住儿童的详细信息。我们将通过代理人收集八岁以下儿童的后续信息，并亲自收集八岁至十八岁儿童的后续信息。将使用实验分析来量化搬迁到补贴住房的影响，并将进行额外的探索性分析，以调查住房相对于社区的潜在效益，并评估接受特定类型补贴住房的人之间差异影响的证据。家庭、住房和邻里特征之间的关系将被视为潜在结果以及个人健康结果的中介因素。 公共卫生相关性：儿童和成人的健康受到他们居住环境的影响。实验研究表明，搬进特定类型社区的新住房可能会改善贫困家庭的生活机会；然而，之前的研究混淆了住房和邻里流动性，并且没有调查混合收入住房开发的好处。我们的随机实验将解决纽约市儿童和家庭通过住房抽签申请就地补贴住房的这些缺点，并测试获得此类住房是否可以改善儿童和照顾者的健康和福祉。