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Health Selection into Neighborhoods Among Families in the Moving to Opportunity Program.
- Source :
-
American journal of epidemiology [Am J Epidemiol] 2016 Jan 15; Vol. 183 (2), pp. 130-7. Date of Electronic Publication: 2015 Dec 10. - Publication Year :
- 2016
-
Abstract
- Moving to Opportunity for Fair Housing was a randomized experiment that moved very low-income US families from high-poverty neighborhoods to low-poverty neighborhoods starting in the early 1990s. We modeled report of a child's baseline health problem as a predictor of neighborhood outcomes for households randomly assigned to move from high- to low-poverty neighborhoods. We explored associations between baseline health problems and odds of moving with the program upon randomization (1994-1997), neighborhood poverty rate at follow-up (2002), and total time spent in affluent neighborhoods and duration-weighted poverty. Among 1,550 households randomized to low-poverty neighborhoods, a smaller share of households reporting baseline child health problems (P = 0.004) took up the intervention (38%) than those not reporting a health problem (50%). In weighted and covariate-adjusted models, a child health problem predicted nearly 40% lower odds of complying with the experimental condition (odds ratio = 0.62, 95% confidence interval: 0.42, 0.91; P = 0.015). Among compliers, a baseline child health problem predicted 2.5 percentage points' higher neighborhood poverty at take-up (95% confidence interval: 0.90, 4.07; P = 0.002). We conclude that child health problems in a household prior to randomization predicted lower likelihood of using the program voucher to move to a low-poverty neighborhood within the experiment's low-poverty treatment arm and predicted selection into poorer neighborhoods among experimental compliers. Child morbidity may constrain families attempting to improve their life circumstances.<br /> (© The Author 2015. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Subjects :
- Adult
Child
Female
Humans
Male
Poverty psychology
Poverty Areas
United States
Family Health statistics & numerical data
Government Programs statistics & numerical data
Housing statistics & numerical data
Poverty statistics & numerical data
Residence Characteristics statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1476-6256
- Volume :
- 183
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 26656481
- Full Text :
- https://doi.org/10.1093/aje/kwv189