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

摘要 不良童年经历（ACE）是美国的一个重要公共卫生问题。三个ACE在 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， 普遍存在，并与整个生命过程中的不良行为和健康结果相关。一个关键的风险因素 ACE，父母的压力，往往是经济压力和物质困难的结果，如住房 不稳定事实上，以前的研究表明，住房不足与虐待儿童有关， 忽视亲密伴侣暴力和阿片类药物过量因此，有可能一个程序设计， 增加经济适用房的供应，如低收入住房税收抵免（LIHTC）计划，将 减少这三种ACE的发生。我们将通过一系列广义线性模型来检验这一假设。 混合模型分析，以检查LIHTC单位可用性对儿童虐待和忽视，亲密关系， 伴侣暴力和阿片类药物过量（目标1）。通过检查计划实施的具体方面，我们 将确定该计划的核心组成部分，增加影响（目标2）。我们还将决定是否驱逐 比率改变了LIHTC单位的可用性与虐待和忽视儿童、亲密伴侣 暴力和阿片类药物过量（目标3）。了解LIHTC计划对虐待儿童的影响， 忽视、亲密伴侣暴力和阿片类药物过量将为政策和方案性初级预防提供信息 战略布局由于拟议的研究审查了经济战略的有效性，LIHTC计划， 为了防止多种形式的暴力和其他影响儿童的ACE，这项研究解决了第一个问题 招标书中说明的主要目标/成果。

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.