Housing mobility protects against alcohol use for children with socioemotional health vulnerabilities: An experimental design.
Purpose: Neighborhood context may influence alcohol use, but effects may be heterogeneous, and prior evidence is threatened by confounding. We leveraged a housing voucher experiment to test whether housing vouchers' effects on alcohol use differed for families of children with and without socioemoti...
| Publicado en: | Alcoholism: Clinical & Experimental Research Vol. 46; no. 9; pp. 1695 - 1710 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159232024&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159232024 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01456008 IQE jtl: Alcoholism: Clinical & Experimental Research issn: 01456008 maglogo: Y pubinfo: dt: Sep2022 vid: 46 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159232024 159152028 159232024 159232024 10.1111/acer.14911 159232024 ppf: 1695 ppct: 15 formats: tig: atl: Housing mobility protects against alcohol use for children with socioemotional health vulnerabilities: An experimental design. aug: au: Thyden, Naomi H. Schmidt, Nicole M. Joshi, Spruha Kim, Huiyun Nelson, Toben F. Osypuk, Theresa L. affil: Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis Minnesota,, USA sug: subj: Alcoholism Prevention and Control Public Housing Mental Disorders Family Psychosocial Factors Social Factors Financing, Government Human Experimental Studies Counseling Neighborhood Characteristics Adolescence Adult Regression Child Behavior Disorders Complications Odds Ratio Confidence Intervals Mothers Poverty Adolescent: 13-18 years Adult: 19-44 years ab: Purpose: Neighborhood context may influence alcohol use, but effects may be heterogeneous, and prior evidence is threatened by confounding. We leveraged a housing voucher experiment to test whether housing vouchers' effects on alcohol use differed for families of children with and without socioemotional health or socioeconomic vulnerabilities. Trial design In the Moving to Opportunity (MTO) study, low‐income families in public housing in five US cities were randomized in 1994 to 1998 to receive one of three treatments: (1) a housing voucher redeemable in a low‐poverty neighborhood plus housing counseling, (2) a housing voucher without locational restriction, or (3) no voucher (control). Alcohol use was assessed 10 to 15 years later (2008 to 2010) in youth ages 13 to 20, N = 4600, and their mothers, N = 3200. Methods: Using intention‐to‐treat covariate‐adjusted regression models, we interacted MTO treatment with baseline socioemotional health vulnerabilities, testing modifiers of treatment on alcohol use. Results: We found treatment effect modification by socioemotional factors. For youth, MTO voucher treatment, compared with controls, reduced the odds of ever drinking alcohol if youth had behavior problems (OR = 0.26, 95% CI [0.09, 0.72]) or problems at school (OR = 0.46, [0.26, 0.82]). MTO low‐poverty treatment (vs. controls) also reduced the number of drinks if their health required special medicine/equipment (OR = 0.50 [0.32, 0.80]). Yet treatment effects were nonsignificant among youth without socioemotional vulnerabilities. Among mothers of children with learning problems, MTO voucher treatment (vs. controls) reduced past‐month drinking (OR = 0.69 [0.47, 0.99]), but was harmful otherwise (OR = 1.22 [0.99, 1.45]). Conclusions: For low‐income adolescents with special needs/socioemotional problems, housing vouchers protect against alcohol use. In the 1990's the Moving to Opportunity study randomized low‐income families to receive housing vouchers vs staying in public housing. For low‐income adolescents with special needs/socioemotional problems at baseline, housing vouchers protected against alcohol use 10‐15 years later. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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