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Michel Boudreaux comments on housing aid helps reduce asthma among kids in poverty on Reuters
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Low-income children may have fewer asthma emergencies when their families receive housing subsidies
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Association of Childhood Asthma With Federal Rental Assistance
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Importance Millions of low-income children in the United States reside in substandard or unaffordable housing. Relieving these burdens may be associated with changes in asthma outcomes. Objectives To examine whether participation in the US Department of Housing and Urban Development’s (HUD) rental assistance programs is associated with childhood asthma outcomes and to examine whether associations varied by program type (public housing, multifamily housing, or housing choice vouchers). Design, Setting, and Participants This survey study used data from the nationally representative National Health Interview Survey linked to administrative housing assistance records from January 1, 1999, to December 31, 2014. A total of 2992 children aged 0 to 17 years who were currently receiving rental assistance or would enter a rental assistance program within 2 years of survey interview were included. Data analysis was performed from January 15, 2018, to August 31, 2019. Exposures Participation in rental assistance provided by HUD. Main Outcomes and Measures Ever been diagnosed with asthma, 12-month history of asthma attack, and 12-month history of visiting an emergency department for the treatment of asthma among program participants vs those waiting to enter a program. Overall participation was examined, and participation in public or multifamily housing was compared with participation in housing choice vouchers. Results This study included 2992 children who were currently participating in a HUD program or would enter a program within 2 years. Among children with an asthma attack in the past year, participation in a rental assistance program was associated with a reduced use of emergency departments for asthma of 18.2 percentage points (95% CI, −29.7 to −6.6 percentage points). Associations were only found after entrance into a program, suggesting that they were not confounded by time-varying factors. Statistically significant results were found for participation in public or multifamily housing (percentage point change, −36.6; 95% CI, −54.8 to −18.4) but not housing choice vouchers (percentage point change, −7.2; 95% CI, −24.6 to 10.3). No statistically significant evidence of changes in asthma attacks was found (percentage point change, −2.7; 95% CI, −12.3 to 7.0 percentage points). Results for asthma diagnosis were smaller and only significant at the 10% level (−4.3; 95% CI, −8.8 to 0.2 percentage points). Conclusions and Relevance Among children with a recent asthma attack, rental assistance was associated with less emergency department use. These results may have important implications for the well-being of low-income families and health care system costs.
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MPRC People
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Michel Boudreaux, Ph.D.
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Michel Boudreaux Publications
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John Haltiwanger's Study on Rising Inequality Between Firms cited by Brookings
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Inter-Industry Earnings Differentials Account for Rising Inequality Between Firms
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Desai comments on India census challenges
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Citizenship policies imperil data gathering
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Rendall comments on Baltimore population erosion
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Current Census estimates place its population at a 100-year low
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Rashawn Ray comments on Philadelphia Blacks' Dilemma during Coronavirus Outbreak featured in InsideSources
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African Americans in Philadephia suffer from both the pandemic and violent crimes
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Ray notes video evidence subverts standard racist playbook
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Politico Op-Ed examines Ahmaud Arbery trial
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Pandemic sees new business formation surge
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Prof. John Haltiwanger uses Census data to analyze trends
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Selected Research
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Racial Disparities in Maternal Mortality
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Associates Marian MacDorman and Marie Thoma, with colleagues Eugene DeClerq and Elizabeth Howell examine birth records
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Research
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Selected Research
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Collaborative Science and Learning as Tools for Climate Change Adaptation Planning
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Anticipated impacts from climate change act as stressors that motivate adaptation strategy development. And, while climate science projections extend from the global to regional scale, they can leave significant uncertainty at the local scale. In many jurisdictions, governance and environmental management professionals formulate and distribute information to guide climate change policy and preparation. In many rural or otherwise marginalized areas, however, relationships needed to promote clear understanding of impacts and to tackle cooperative adaptation planning alongside residents are lacking. This article discusses methods used by an interdisciplinary group of scientists to help a small community of rural coastal United States residents enhance their climate resilience. This was accomplished via participatory collaborative science and collaborative learning processes that facilitated relationships of trust among a broad group of stakeholders. Data gathered from our network and analyses of project activities show the benefits of collaboration across a social network representing the social-ecological system. The success of our efforts is evident in five ways: a) in localized application of climate and environmental knowledge, b) in building two-way knowledge across the local/nonlocal divide, c) in incorporating local community values, d) developing trust between residents, scientists, and environmental governance and management professionals, and e) in lessons learned transitioning from a learning to decision-making process. We strongly advocate those working with local groups on adaptation planning efforts begin with methods that help build knowledge, respect, trust, and capacity among residents.
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Retired Persons
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Michael Paolisso, Ph.D.
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Michael Paolisso Publications