Health of Low-Income Adults in Subsidized Housing: Randomized Experiment, NY City

补贴住房中低收入成年人的健康状况：随机实验，纽约市

• 批准号: 7950575
• 负责人: JEANNE BROOKS-GUNN
• 金额: $ 45万
• 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 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7950575
• 关键词: Adult; Air; Anxiety; Area; Asthma; Back; Behavior; Biological Preservation; Caliber; Caring; Characteristics; Cities; Code; Communities; Consumption; Crime; Cues; Data; Data Collection; Development; Diet; Dimensions; Disadvantaged; Economics; Environment; Ethnic Origin; Exposure to; Family; Family Sizes; Food; Health; Health Food; Health Status; Health behavior; Healthcare; Household; Housing; Improve Access; Income; Individual; Institution; Intervention; Life; Life Style; Location; Low income; Marketing; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Neighborhoods; New York City; Obesity; Outcome; Participant; Pathway interactions; Perception; Personal Satisfaction; Policies; Population; Population Study; Poverty; Preventive; Proxy; Psyche structure; Public Assistance; Public Health; Public Housing; Qualifying; Questionnaires; Race; Randomized; Recording of previous events; Relative (related person); Reporting; Research; Research Personnel; Resources; Safety; Sampling; Schools; Self Assessment; Self-Administered; Shapes; Site; Social Environment; Social Network; Social support; Source; Surveys; System; Telephone Interviews; Testing; Time; Translations; Trust; Work; after-school program; cohort; community living; comparative; comparison group; cost; design; diet and exercise; distilled alcoholic beverage; experience; fast food; federal poverty level; follow-up; hazard; health disparity; improved; interest; member; physical conditioning; population health; primary outcome; programs; public health relevance; research study; residence; response; social; 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 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 households who move to a subsidized apartment in one of ten newly constructed housing sites (treatment) and matched households who do not receive housing (control). We estimate that our experimental sample will be comprised of about 1,300 participating treatment households and 1,690 lottery- matched controls. 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 previous demonstrations of subsidized housing), and (e) examines the effect of subsidized housing where the families are likely to stay in the subsidized housing (compared to studies of vouchers, where 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 a single adult household member and augmented by information obtained from the housing application itself. Follow-up telephone interviews will take place 12-18 months after move-in, or equivalent for non-movers. A variety of information on current health status and health behaviors will be collected at baseline and follow-up to enable assessment of within-household change as well as average change between comparison groups at follow-up. Experimental analyses will be used to quantify the impact of moving to subsidized housing in a new neighborhood relative to moving to subsidized housing in the same neighborhood of residence at time of application. Exploratory analysis will compare two types of treatment: moves to mixed-income housing and exclusively low-income housing developments. 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: 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 track about 1,300 households who receive city-subsidized housing and about 1,700 matched households who do not receive housing over the first 12-18 months after move-in to assess changes in physical and mental health, and health behaviors. In addition, we will explore changes in physical, economic, and social environments that may mediate the relationship between residential context and health and well-being of low-income residents.

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通过多种途径减少健康差距。 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。分组分配将包括搬入十个新建住房地点之一的补贴公寓的家庭（处理组）和未获得住房的匹配家庭（对照）。我们估计我们的实验样本将包括大约 1,300 个参与治疗的家庭和 1,690 个抽签匹配的对照家庭。 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 补贴住房的影响，其中报价的接受率为 90%（而不是之前补贴住房示范中的不到一半），以及 (e) 研究补贴住房的影响，其中家庭可能会留在补贴住房中（与代金券的研究相比，其中超过一半的搬迁者最终再次搬迁，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使用自我管理的调查问卷收集基线数据，该问卷由一名成年家庭成员填写，并通过从住房申请本身获得的信息进行补充。后续电话访谈将在搬入后 12 至 18 个月进行，对于未搬入者则为同等时间。将在基线和随访时收集有关当前健康状况和健康行为的各种信息，以便评估随访时家庭内的变化以及对照组之间的平均变化。实验分析将用于量化搬到新社区的补贴住房相对于申请时搬到同一居住社区的补贴住房的影响。探索性分析将比较两种类型的待遇：转向混合收入住房和专门低收入住房开发。 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：实验研究表明，搬进特定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。我们的随机实验将在入住后的前 12-18 个月内跟踪约 1,300 个获得城市保障性住房的家庭和约 1,700 个未获得住房的匹配家庭，以评估身心健康和健康行为的变化。此外，我们将探讨物理、经济和社会环境的变化，这些变化可能会调节居住环境与低收入居民的健康和福祉之间的关系。