Moderating Effects of the Low-Income Housing Tax Credit on Associations Between Race and Elevated Blood Pressure in Chicago.
While there is growing awareness of discriminatory housing policies and their adverse impacts on health, little is known about how housing policy may promote health equity. We focused on the Low-Income Housing Tax Credit (LIHTC), the largest affordable housing program in the United States, and exami...
| Publicado en: | Journal of Urban Health Vol. 102; no. 3; pp. 520 - 530 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Jun2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=186778971&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 186778971 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Jun2025 vid: 102 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 186778971 10.1007/s11524-025-00983-y ppf: 520 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 872KB tig: atl: Moderating Effects of the Low-Income Housing Tax Credit on Associations Between Race and Elevated Blood Pressure in Chicago. aug: au: Xie, Tiffany H. Peek, Monica E. Tabit, Corey E. Tung, Elizabeth L. affil: https://ror.org/024mw5h28 Pritzker School of Medicine, University of Chicago, Chicago, IL, USA https://ror.org/024mw5h28 Section of General Internal Medicine, University of Chicago, Chicago, IL, USA https://ror.org/024mw5h28 Section of Cardiology, University of Chicago, Chicago, IL, USA https://ror.org/024mw5h28 Center for Health and the Social Sciences, University of Chicago, Chicago, IL, USA su: United States Chicago (Ill.) Illinois Health equity Cities & towns Housing discrimination Hypertension Low-income housing credit Neighborhood characteristics sug: subj: Health equity Cities & towns Housing discrimination Hypertension United States Chicago (Ill.) Illinois Low-income housing credit Neighborhood characteristics keyword: Affordable housing Blood pressure Health disparities Housing Housing policy Social determinants of health Studies in Human Society Sociology Affordable housing Blood pressure Health disparities Housing Housing policy Social determinants of health Studies in Human Society Sociology ab: While there is growing awareness of discriminatory housing policies and their adverse impacts on health, little is known about how housing policy may promote health equity. We focused on the Low-Income Housing Tax Credit (LIHTC), the largest affordable housing program in the United States, and examined how living in neighborhoods with LIHTC housing may moderate associations between elevated blood pressure and race/ethnicity in Chicago, IL. A retrospective cohort included 15,339 adult patients at an academic medical center from 2018 to 2019. We used mixed-effects hierarchal logistic regression models to examine elevated blood pressure (diastolic blood pressure ≥ 90 mmHg or systolic blood pressure ≥ 140 mmHg) as a function of race/ethnicity, LIHTC, and race/ethnicity-LIHTC interaction effects, adjusting for patient- and neighborhood-level covariates. A majority were female (63.2%) and non-Hispanic Black (57.6%), with an average age of 50.2 years (SD 19.1). One in ten (9.9%) patients lived in a census tract with LIHTC. Overall, Black patients had 2.52 times the adjusted odds of elevated blood pressure compared to White patients (95% CI = 2.25–2.82). In models examining the moderating effects of LIHTC, the odds ratio of hypertension in Black patients vs. White patients was reduced from 2.62 to 1.52, representing a 67.9% reduction in the difference between Black and White patients. Notably, Black patients, who have been disproportionately impacted by discriminatory housing policies, were the only group found to have moderating effects associated with LIHTC. Housing policies may mitigate neighborhood effects associated with racial disparity, possibly supporting efforts to achieve health equity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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