Does rental assistance improve mental health? Insights from a longitudinal cohort study.

Housing affordability Housing policy Mental health Psychological distress Rental assistance

Journal

Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205

Informations de publication

Date de publication:
08 2021
Historique:
revised: 28 05 2021
accepted: 31 05 2021
pubmed: 19 6 2021
medline: 3 8 2021
entrez: 18 6 2021
Statut: ppublish

Résumé

Almost half of renters in the United States are rent-burdened, meaning that they pay more than 30% of their income toward housing costs. Rental assistance through programs administered by the U.S. Department of Housing and Urban Development, alleviates these financial strains for around 5 million households. However, due to budgetary constraints, fewer than one in four eligible households actually receive this assistance and waitlists average two years nationally. Using longitudinal data from a cohort of 400 low-income adults living in New Haven, CT, this paper investigates how access to rental assistance affects mental health through two analytical methods that address selection into rental assistance. First, we performed a cross-sectional analysis to identify how psychological distress differs among those receiving and those on a waitlist for rental assistance. Second, we used a within-person fixed-effects analysis to compare changes in individuals following entry into rental assistance. We find that those receiving rental assistance report significantly less psychological distress than those on waiting lists and that transitions into rental assistance are associated with statistically non-significant decreases in psychological distress. Our findings suggest that expanding rental assistance may be one potential step toward improving the mental health of low-income individuals in the United States.

Identifiants

pubmed: 34144434
pii: S0277-9536(21)00432-9
doi: 10.1016/j.socscimed.2021.114100
pmc: PMC8299474
mid: NIHMS1711851
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

114100

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK124500
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH110192
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

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Auteurs

Whitney Denary (W)

Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA. Electronic address: whitney.denary@yale.edu.

Andrew Fenelon (A)

School of Public Policy and Department of Sociology and Criminology, Penn State University, University Park, PA, USA.

Penelope Schlesinger (P)

Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.

Jonathan Purtle (J)

Department of Health Management and Policy, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA.

Kim M Blankenship (KM)

Department of Sociology, American University, Washington, DC, USA.

Danya E Keene (DE)

Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.

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