ArticleAmerican journal of epidemiology2016
Health Selection into Neighborhoods Among Families in the Moving to Opportunity Program.
Article in American journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Examining the effectiveness of place-based interventions to improve public health and reduce health inequalities: an umbrella review.BMC public health · 2021Pooled it
- Housing Assistance and Child Health: A Systematic Review.Pediatrics · 2018Pooled it
- Research on neighborhood effects on health in the United States: A systematic review of study characteristics.Social science & medicine (1982) · 2016Pooled it
- Poverty reduction and childhood opportunity moves: A randomized trial of cash transfers to low-income U.S. families with infants.Health & place · 2024Trial
- Helped into Harm: Mediation of a Housing Voucher Intervention on Mental Health and Substance Use in Boys.Epidemiology (Cambridge, Mass.) · 2021Trial
- The impact of health shocks on housing instability: Evidence from urban Medicaid enrollees.Journal of health economics · 2026Article
- Housing Quality Improvement and Health Care Utilization: A Regression Discontinuity Study.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2026Article
- [Formula: see text] Unraveling the impact of child opportunity and medical factors on neuropsychological outcomes in school-age patients with critical congenital heart disease.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2026Observational
- Characterizing neurodevelopmental follow-up attendance of children with congenital heart disease.Pediatric research · 2026Article
- Estimation of place-based vulnerability scores for HIV viral non-suppression: an application leveraging data from a cohort of people with histories of using drugs.BMC medical research methodology · 2024Article
- Does poor health influence residential selection? Understanding mobility among low-income housing voucher recipients in the Moving to Opportunity Study.Housing policy debate · 2024Article
- The Role of Infant Health Problems in Constraining Interneighborhood Mobility: Implications for Citywide Employment Networks.Journal of health and social behavior · 2023Article
- Effects of Housing Vouchers on the Long-Term Exposure to Neighborhood Opportunity among Low-Income Families: The Moving to Opportunity Experiment.Housing studies · 2023Article
- Moving to greener pastures: Health selection into neighborhood green space among a highly mobile and diverse population in California.Social science & medicine (1982) · 2022Article
- Socially Connected Neighborhoods and the Spread of Sexually Transmitted Infections.Demography · 2022Article
- School racial segregation and long-term cardiovascular health among Black adults in the US: A quasi-experimental study.PLoS medicine · 2022Article
- Do health trajectories predict neighborhood outcomes? Evidence of health selection in a diverse sample of U.S. adults.Health & place · 2022Article
- Creative Approaches for Assessing Long-term Outcomes in Children.Pediatrics · 2021Review
- Health Selection Into Eviction: Adverse Birth Outcomes and Children's Risk of Eviction Through Age 5 Years.American journal of epidemiology · 2021Article
- Review
Corrections and comments
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Authors and funding
4 authors.
Funding
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.
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