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Housing assistance programs and adult health in the United States

Author

Listed:
  • Fenelon, A.
  • Mayne, P.
  • Simon, A.E.
  • Rossen, L.M.
  • Helms, V.
  • Lloyd, P.
  • Sperling, J.
  • Steffen, B.L.

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.

Suggested Citation

  • Fenelon, A. & Mayne, P. & Simon, A.E. & Rossen, L.M. & Helms, V. & Lloyd, P. & Sperling, J. & Steffen, B.L., 2017. "Housing assistance programs and adult health in the United States," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 571-578.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303649_5
    DOI: 10.2105/AJPH.2016.303649
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    Cited by:

    1. Keene, Danya E. & Guo, Monica & Murillo, Sascha, 2018. "“That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults," Social Science & Medicine, Elsevier, vol. 197(C), pages 71-77.
    2. Jie Tang & Nanqian Chen & Hailun Liang & Xu Gao, 2022. "The Effect of Built Environment on Physical Health and Mental Health of Adults: A Nationwide Cross-Sectional Study in China," IJERPH, MDPI, vol. 19(11), pages 1-21, May.
    3. Nanqian Chen & Yanpei Shen & Hailun Liang & Rui Guo, 2021. "Housing and Adult Health: Evidence from Chinese General Social Survey (CGSS)," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
    4. Hee-Jung Jun & Soojeong Han, 2020. "The Effect of Discrimination on Stress among Public Housing Residents: A Comparative Study between Social-Mix and Independent Public Housing Complexes," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    5. Anuj Gangopadhyaya & Fredric Blavin & Breno Braga & Jason Gates, 2020. "Credit where it is due: Investigating pathways from earned income tax credit expansion to maternal mental health," Health Economics, John Wiley & Sons, Ltd., vol. 29(9), pages 975-991, September.
    6. Richard A. Sharpe & Tim Taylor & Lora E. Fleming & Karyn Morrissey & George Morris & Rachel Wigglesworth, 2018. "Making the Case for “Whole System” Approaches: Integrating Public Health and Housing," IJERPH, MDPI, vol. 15(11), pages 1-22, October.
    7. Richard A. Sharpe & Katrina M. Wyatt & Andrew James Williams, 2022. "Do the Determinants of Mental Wellbeing Vary by Housing Tenure Status? Secondary Analysis of a 2017 Cross-Sectional Residents Survey in Cornwall, South West England," IJERPH, MDPI, vol. 19(7), pages 1-32, March.
    8. Denary, Whitney & Fenelon, Andrew & Schlesinger, Penelope & Purtle, Jonathan & Blankenship, Kim M. & Keene, Danya E., 2021. "Does rental assistance improve mental health? Insights from a longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 282(C).

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