Misclassification of Rental Assistance in the National Health Interview Survey

Boudreaux, Michel; Fenelon, Andrew; Slopen, Natalie

doi:10.1097/ede.0000000000000861

Cited by 17 publications

(7 citation statements)

References 10 publications

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“…We create three mutually exclusive categories: those receiving assistance, those on a waiting list for assistance and not currently receiving another form of assistance, and those who are neither on a waiting list nor receiving assistance. Previous work suggests that self-report of rental assistance can be unreliable, 31 in part because of the multiple and inconsistent terms individuals use to denote participation in assistance programs. We improve on prior surveys by asking participants if they have ever applied for, are currently receiving, or are on a waitlist for each form of rental assistance that is available in New Haven.…”

Section: Methodsmentioning

confidence: 99%

Rental Assistance and Adult Self-Rated Health

Keene¹,

Niccolai²,

Rosenberg³

et al. 2020

Journal of Health Care for the Poor and Underserved

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Rental assistance, in the form of vouchers and project-based subsidized housing, is a primary source of aff ordable housing for low-income Americans, given a growing and severe shortage of private-market rental units. However, due to supply constraints, fewer than one in four eligible households receive this kind of assistance. In this paper, we examine associations between receipt of rental assistance and self-rated health among a sample of 400 low-income adults in one U.S. city. We fi nd that individuals who currently receive rental assistance have lower odds of reporting poor or fair self-rated health than individuals who are currently on rental assistance waiting lists. Th ese relationships persist aft er adjusting for factors that aff ect access to rental assistance and are not signifi cantly modifi ed by criminal justice history. Our fi ndings suggest that the current unmet need for rental assistance may contribute to poor health among low-income Americans.

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Section: Methodsmentioning

confidence: 99%

Rental Assistance and Adult Self-Rated Health

Keene¹,

Niccolai²,

Rosenberg³

et al. 2020

Journal of Health Care for the Poor and Underserved

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show abstract

“…As a result, no respondents under the age of 18 were eligible for linkage to the HUD record in these years. Respondents who did not provide enough information to be linked tended to be younger and were more likely to be Hispanic compared to the general population (Boudreaux, Fenelon, and Slopen forthcoming). NCHS created adjusted weights that accounted for nonrandom linkage eligibility so that estimates from the linkage-eligible sample were representative of the entire civilian noninstitutionalized U.S. population (Lloyd and Helms 2016).…”

Section: Methodsmentioning

confidence: 99%

The Impact of Housing Assistance on the Mental Health of Children in the United States

et al. 2018

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Housing assistance policies may lead to improved mental health for children and adolescents by improving housing quality, stability, and affordability. We use a unique data linkage of the National Health Interview Survey and U.S. Department of Housing and Urban Development administrative data to examine the impact of housing assistance on parent-reported mental health outcomes for children ages 2 to 17 (N = 1,967). We account for selection into housing assistance using a pseudo-waitlist method that compares children receiving assistance to those who will enter housing assistance within two years of their interview. Compared to those in the pseudo-waitlist group, we find that children living in public housing have better mental health outcomes. We do not find similar benefits for children receiving vouchers. Our results suggest that housing assistance policies can have a positive impact on mental health among disadvantaged children.

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“…Administrative records are necessary to overcome biases from self-reports of rental assistance participation. 25 To adjust for potential bias, the National Center for Health Statistics created weights that account for linkage eligibility and nonresponse to make estimates representative of the civilian, noninstitutionalized US population. 24 The Penn State institutional review board exempted the study from review and informed consent because it was not human participants research and the data were deidentified.…”

Section: Methodsmentioning

confidence: 99%

“…The HUD administrative record contains longitudinal information on HUD rental assistance entry and exit and the type of housing program (project-based housing or voucher); these data were used to generate a record of rental assistance spells across the study period. Administrative records are necessary to overcome biases from self-reports of rental assistance participation . To adjust for potential bias, the National Center for Health Statistics created weights that account for linkage eligibility and nonresponse to make estimates representative of the civilian, noninstitutionalized US population .…”

Section: Methodsmentioning

confidence: 99%

Association Between Rental Assistance Programs and Hemoglobin A_1c Levels Among US Adults

et al. 2022

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IMPORTANCE Programs that provide affordable and stable housing, such as federal rental assistance, may be associated with improved mean blood glucose levels and related diabetes outcomes.OBJECTIVE To assess whether 2 different types of federal rental assistance programs are associated with glycated hemoglobin A 1c (HbA 1c ) levels among middle-aged and older US adults. DESIGN, SETTING, AND PARTICIPANTSThis cohort study used data from the National Health and Nutrition Examination Survey (NHANES) linked with US Department of Housing and Urban Development records of rental assistance participation. Adults aged 45 years or older who were receiving 2 types of rental assistance (project-based housing or housing vouchers) at the time of the NHANES interview and those who would receive rental assistance within the subsequent 2 years (waitlist group) were included. Data were collected from January 1999 to December 2016 and analyzed in October 2021. EXPOSURES Rental assistance participation, including project-based housing (subsidized housing developments including public housing) and housing vouchers (tenant-based subsidies for private market housing). MAIN OUTCOMES AND MEASURESThe primary outcome was continuous HbA 1c level, a common measure of blood glucose reflecting diabetes control. Linear regression was used to estimate the association between the 2 rental assistance programs and HbA 1c level. Logistic regression was used to assess the association between rental assistance programs and HbA 1c cut points (prediabetes: 5.7% to Յ6.5%; diabetes: >6.5%; uncontrolled diabetes: Ն9% [to convert to proportion of total Hb, multiply by 0.01]). Analyses used weights created by the National Center for Health Statistics that adjust for linkage eligibility. RESULTS Among 1050 adults in the study (41.6% aged Ն65 years; 70.1% female), 795 were receiving rental assistance at time of the NHANES interview (450 lived in project-based housing, and 345 had housing vouchers), and 255 received rental assistance within 2 years after the interview.Participants in project-based housing had lower HbA 1c levels compared with individuals in the waitlist group (β, −0.290; 95% CI, −0.599 to 0.020), but the difference was not significant. No significant differences in HbA 1c levels were found between those receiving housing vouchers and those in the waitlist group (β, 0.051; 95% CI, −0.182 to 0.284). Receiving project-based housing was associated with a reduced likelihood of uncontrolled diabetes (−3.7 percentage points; 95% CI, −7.0 to −0.0 percentage points) compared with being in the waitlist group. CONCLUSIONS AND RELEVANCEIn this cohort study of a nationally representative sample of US adults, living in project-based, federally subsidized housing was associated with a reduced likelihood (continued) Key Points Question Is receiving housing rental assistance associated with glycated hemoglobin A 1c (HbA 1c ) levels among middle-aged and older US adults? Findings In this cohort study of 1050 US adults aged 45 years or older, participants who were ...

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Misclassification of Rental Assistance in the National Health Interview Survey

Abstract: False-negative reporting of rental assistance is moderately high in the NHIS, but we did not find evidence that it independently biased estimates of the association of health and rental assistance.

Cited by 17 publications

References 10 publications

Rental Assistance and Adult Self-Rated Health

Rental Assistance and Adult Self-Rated Health

The Impact of Housing Assistance on the Mental Health of Children in the United States

Association Between Rental Assistance Programs and Hemoglobin A_1c Levels Among US Adults

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Misclassification of Rental Assistance in the National Health Interview Survey

Abstract: False-negative reporting of rental assistance is moderately high in the NHIS, but we did not find evidence that it independently biased estimates of the association of health and rental assistance.

Cited by 17 publications

References 10 publications

Rental Assistance and Adult Self-Rated Health

Rental Assistance and Adult Self-Rated Health

The Impact of Housing Assistance on the Mental Health of Children in the United States

Association Between Rental Assistance Programs and Hemoglobin A1c Levels Among US Adults

Contact Info

Product

Resources

About

Association Between Rental Assistance Programs and Hemoglobin A_1c Levels Among US Adults