Evidence map›Paper›PMID 30167733›Full record

Trial reportSocial psychiatry and psychiatric epidemiology2019

The price of admission: does moving to a low-poverty neighborhood increase discriminatory experiences and influence mental health?

Theresa L Osypuk, Nicole M Schmidt, Rebecca D Kehm, Eric J Tchetgen Tchetgen, M Maria Glymour

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. A Longitudinal Ecologic Analysis of Neighborhood-Level Social Inequalities in Health in Texas.International journal of environmental research and public health · 2025
    Article
  6. The Price of Denial: Examining the Health Consequences of Mortgage Lending Bias in Michigan Metro Areas.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Racialized Housing Discrimination and Population Health: a Scoping Review and Research Agenda.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Theresa L OsypukDivision of Epidemiology and Community Health, West Bank Office Building, Suite 300, University of Minnesota School of Public Health, 1300 S. Second Street, Minneapolis, MN, 55454, USA. tosypuk@umn.edu.ORCID http://orcid.org/0000-0001-5770-3346
Nicole M SchmidtMinnesota Population Center, University of Minnesota, Minneapolis, MN, USA.
Rebecca D KehmDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0002-6089-6799
Eric J Tchetgen TchetgenStatistics Department, Wharton School of Business, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8369-3900
M Maria GlymourDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-9644-3081

Funding

Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
Identification and Inference for Longitudinal Causal Mediation Analysis in HIVR01AI104459 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI SHPITSER, ILYA, VANDERWEELE, TYLER · 2013 to 2017
$2.0M
Health, Neighborhood Context, and MobilityR01HD090014 · NICHD · UNIVERSITY OF MINNESOTA · PI OSYPUK, THERESA LOUISE · 2017 to 2020
$1.9M
Effects of a neighborhood experiment on adolescent female psychological distressR21HD066312 · NICHD · NORTHEASTERN UNIVERSITY · PI OSYPUK, THERESA LOUISE · 2010 to 2011
$434k
Mediators and Moderators of a Neighborhood Experiment on Alcohol UseR21AA024530 · NIAAA · UNIVERSITY OF MINNESOTA · PI OSYPUK, THERESA LOUISE · 2016 to 2017
$416k
National Institutes of Health (US) R21HD066312NIAAA NIH HHS R21 AA024530NIAID NIH HHS R01 AI104459NICHD NIH HHS P2C HD041023NICHD NIH HHS R01 HD090014NICHD NIH HHS R21 HD066312
6 · The paper itself

Abstract

purposeThe Moving to Opportunity (MTO) study is typically interpreted as a trial of changes in neighborhood poverty. However, the program may have also increased exposure to housing discrimination. Few prior studies have tested whether interpersonal and institutional forms of discrimination may have offsetting effects on mental health, particularly using intervention designs.

methodsWe evaluated the effects of MTO, which randomized public housing residents in 5 cities to rental vouchers, or to in-place controls (N = 4248, 1997-2002), which generated variation on neighborhood poverty (% of residents in poverty) and encounters with housing discrimination. Using instrumental variable analysis (IV), we derived two-stage least squares IV estimates of effects of neighborhood poverty and housing discrimination on adult psychological distress and major depressive disorder (MDD).

resultsRandomization to voucher group vs. control simultaneously decreased neighborhood % poverty and increased exposure to housing discrimination. Higher neighborhood % poverty was associated with increased psychological distress [B

conclusionsNeighborhood poverty mediated MTO treatment on adult mental health, suggesting that greater neighborhood poverty contributes to mental health problems. Yet housing discrimination-mental health findings were inconclusive. Effects of neighborhood poverty on health may be underestimated when failing to account for discrimination.

Indexed as

HousingAdultCitiesFemaleHumansMajor Depressive DisorderMalePovertyResidence CharacteristicsSocial DiscriminationStress, PsychologicalDiscriminationHousingNeighborhood povertyPsychological distressRandomized controlled trial

Identifiers

PMID30167733
PMCPMC6395546

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.