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: 8308630
• 负责人: JEANNE BROOKS-GUNN
• 金额: $ 51.99万
• 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/8308630
• 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; Economic Conditions; Economics; Environment; Ethnic Origin; Exposure to; Family; Family Sizes; 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; 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 Conditions; 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; 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，到不那么贫困的社区，到犯罪率低的住房开发区，或到更混合的收入环境，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彩票系统，以确定治疗和控制家庭，符合我们的研究标准。小组分配将包括在10个新建住房地点之一搬到补贴公寓的家庭（处理）和没有得到住房的匹配家庭（对照）。我们估计我们的实验样本将由大约1,300个参与治疗的家庭和1,690个彩票匹配的对照组成。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）比较了搬进混合收入与仅低收入建筑的影响，（c）研究资助房屋对接近贫穷家庭的影响（而不仅仅是贫困线以下的家庭），（d）研究资助房屋的成效，如资助房屋的申请人有90%接受资助，（而不是以前的补贴住房示范中的不到一半），以及（e）审查补贴住房的影响，这些家庭可能会留在补贴住房中（与凭单研究相比，在凭单研究中，超过一半的搬家者最终再次搬家，通常回到贫困社区）。我们建议的数据收集策略，会包括在申请房屋时，由一名成年住户成员填写自填问卷，并以房屋申请本身所提供的数据作为补充，以收集基线数据。后续电话面试将在搬入后12-18个月进行，或对非搬迁者进行同等时间的电话面试。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，以便评估家庭内变化以及随访时比较组之间的平均变化。实验分析将用于量化搬到新社区的补贴住房相对于搬到申请时居住的同一社区的补贴住房的影响。探索性分析将比较两种待遇：搬到混合收入住房和专门开发低收入住房。家庭，住房和邻里功能之间的关系将被检查作为潜在的结果，以及个人层面的健康结果的调解人。 公共卫生相关性：实验研究表明，在特定类型的社区搬到新的住房可能会改善贫困家庭的生活机会;然而，以前的研究混淆了住房和社区的流动性，没有调查混合收入住房开发的好处。我们的随机实验将跟踪大约1，300个获得城市补贴住房的家庭和大约1，700个在搬入后的前12-18个月内没有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，我们还将探讨物理，经济和社会环境的变化，这些变化可能会调解居住环境与低收入居民的健康和福祉之间的关系。