Evaluating the Impact of Low-income Housing Tax Credits on child abuse and neglect, intimate partner violence, and opioid overdose

摘要 儿童不良经历(ACE)在美国是一个严重的公共卫生问题。三张A中 特别是，虐待和忽视儿童，接触亲密伴侣暴力，以及父母阿片类药物过量，是 在整个生命过程中普遍存在，并与不良的行为和健康结果相关。一个关键的风险因素 ACES，父母的压力，通常是经济压力和物质困难的结果，比如住房 不稳定。事实上，之前的研究表明，住房不足与虐待儿童和 疏忽，亲密伴侣暴力，阿片类药物过量。因此，有可能设计为 增加经济适用房的供应，如低收入住房税收抵免(LIHTC)计划，将 减少这三个A的出现。我们将通过一系列广义线性函数来检验这一假设 混合模型分析以检验LIHTC单元可用性对儿童虐待和忽视、亲密的影响 伴侣暴力和阿片类药物过量(目标1)。通过检查计划实施的特定方面，我们 将确定增加影响的计划的核心组成部分(目标2)。我们还将确定是否驱逐 比率改变了LIHTC单元的可用性与儿童虐待和忽视、亲密伴侣之间的关系 暴力、阿片类药物过量(目标3)。了解LIHTC计划对虐待儿童和 忽视、亲密伴侣暴力和阿片类药物过量将成为政策和方案一级预防的信息。 战略。随着这项拟议的研究检验经济战略的有效性，LIHTC计划， 为了防止多种形式的暴力和其他影响儿童的王牌行为，这项研究解决了第一个问题 征求建议书中指明的主要目标/结果。

ABSTRACT Adverse Childhood Experiences (ACEs) are a critical public health issue in the United States. Three ACEs in particular, child abuse and neglect, exposure to intimate partner violence, and parental opioid overdose, are prevalent and associated with poor behavioral and health outcomes across the life course. A key risk factor for ACEs, parental stress, is often the result of economic pressure and material hardship, such as housing instability. In fact, previous research demonstrates that housing insufficiency is associated with child abuse and neglect, intimate partner violence, and opioid overdose. Therefore, it is possible that a program designed to increase availability of affordable housing, such as the Low-Income Housing Tax Credit (LIHTC) program, will reduce the occurrence of these three ACEs. We will test this hypothesis through a series of generalized linear mixed model analyses to examine the impact of LIHTC unit availability on child abuse and neglect, intimate partner violence, and opioid overdose (Aim 1). By examining specific facets of program implementation, we will identify core components of the program that increase impact (Aim 2). We will also determine if eviction rates modify the relationship between availability of LIHTC units and child abuse and neglect, intimate partner violence, and opioid overdose (Aim 3). Understanding the impact of the LIHTC program on child abuse and neglect, intimate partner violence, and opioid overdose will inform policy and programmatic primary prevention strategies. As the proposed research examines the effectiveness of an economic strategy, the LIHTC program, to prevent multiple forms of violence and other ACEs that impact children, this research addresses the first primary objective/ outcome indicated in the request for proposals.