Andrew Fenelon1, Patrick Mayne1, Alan E Simon1, Lauren M Rossen1, Veronica Helms1, Patricia Lloyd1, Jon Sperling1, Barry L Steffen1. 1. Andrew Fenelon is with the Department of Health Services Administration, University of Maryland, College Park. Patrick Mayne is with the Department of Sociology, Brown University, Providence, RI. Alan E. Simon is with the Office of the Assistant Secretary for Health, US Department of Health and Human Services, Washington, DC. Lauren M. Rossen and Patricia Lloyd are with the National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD. Veronica Helms, Jon Sperling, and Barry L. Steffen are with the Office of Policy Development and Research, US Department of Housing and Urban Development, Washington, DC.
Abstract
OBJECTIVES: To examine whether access to housing assistance is associated with better health among low-income adults. METHODS: We used National Health Interview Survey data (1999-2012) linked to US Department of Housing and Urban Development (HUD) administrative records (1999-2014) to examine differences in reported fair or poor health and psychological distress. We used multivariable models to compare those currently receiving HUD housing assistance (public housing, housing choice vouchers, and multifamily housing) with those who will receive housing assistance within 2 years (the average duration of HUD waitlists) to account for selection into HUD assistance. RESULTS: We found reduced odds of fair or poor health for current public housing (odds ratio [OR] = 0.77; 95% confidence interval [CI] = 0.57, 0.97) and multifamily housing (OR = 0.75; 95% CI = 0.60, 0.95) residents compared with future residents. Public housing residents also had reduced odds of psychological distress (OR = 0.59; 95% CI = 0.40, 0.86). These differences were not mediated by neighborhood-level characteristics, and we did not find any health benefits for current housing choice voucher recipients. CONCLUSIONS: Housing assistance is associated with improved health and psychological well-being for individuals entering public housing and multifamily housing programs.
OBJECTIVES: To examine whether access to housing assistance is associated with better health among low-income adults. METHODS: We used National Health Interview Survey data (1999-2012) linked to US Department of Housing and Urban Development (HUD) administrative records (1999-2014) to examine differences in reported fair or poor health and psychological distress. We used multivariable models to compare those currently receiving HUD housing assistance (public housing, housing choice vouchers, and multifamily housing) with those who will receive housing assistance within 2 years (the average duration of HUD waitlists) to account for selection into HUD assistance. RESULTS: We found reduced odds of fair or poor health for current public housing (odds ratio [OR] = 0.77; 95% confidence interval [CI] = 0.57, 0.97) and multifamily housing (OR = 0.75; 95% CI = 0.60, 0.95) residents compared with future residents. Public housing residents also had reduced odds of psychological distress (OR = 0.59; 95% CI = 0.40, 0.86). These differences were not mediated by neighborhood-level characteristics, and we did not find any health benefits for current housing choice voucher recipients. CONCLUSIONS: Housing assistance is associated with improved health and psychological well-being for individuals entering public housing and multifamily housing programs.
Authors: Eleni C Digenis-Bury; Daniel R Brooks; Leslie Chen; Mary Ostrem; C Robert Horsburgh Journal: Am J Public Health Date: 2007-11-29 Impact factor: 9.308
Authors: Stephen W Hwang; Evie Gogosis; Catharine Chambers; James R Dunn; Jeffrey S Hoch; Tim Aubry Journal: J Urban Health Date: 2011-12 Impact factor: 3.671
Authors: Gary Adamkiewicz; Ami R Zota; M Patricia Fabian; Teresa Chahine; Rhona Julien; John D Spengler; Jonathan I Levy Journal: Am J Public Health Date: 2011-08-11 Impact factor: 9.308
Authors: Diana Becker Cutts; Alan F Meyers; Maureen M Black; Patrick H Casey; Mariana Chilton; John T Cook; Joni Geppert; Stephanie Ettinger de Cuba; Timothy Heeren; Sharon Coleman; Ruth Rose-Jacobs; Deborah A Frank Journal: Am J Public Health Date: 2011-06-16 Impact factor: 9.308
Authors: Katherine Baicker; Sarah L Taubman; Heidi L Allen; Mira Bernstein; Jonathan H Gruber; Joseph P Newhouse; Eric C Schneider; Bill J Wright; Alan M Zaslavsky; Amy N Finkelstein Journal: N Engl J Med Date: 2013-05-02 Impact factor: 91.245
Authors: Jonathan Purtle; Luwam T Gebrekristos; Danya Keene; Penelope Schlesinger; Linda Niccolai; Kim M Blankenship Journal: Am J Public Health Date: 2020-01 Impact factor: 9.308