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Housing Subsidies and Pediatric Undernutrition FREE

Alan Meyers, MD, MPH; Deborah A. Frank, MD; Nicole Roos, MBA; Karen E. Peterson, RD, DSc; Virginia A. Casey, PhD, MPH; L. Adrienne Cupples, PhD; Suzette M. Levenson, MEd, MPH
Arch Pediatr Adolesc Med. 1995;149(10):1079-1084. doi:10.1001/archpedi.1995.02170230033004.
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Objective:  To test the hypothesis that receipt of housing subsidies by poor families is associated with improved nutritional status of their children.

Design:  Cross-sectional study.

Setting:  Pediatric emergency department of an urban municipal hospital.

Patients:  Convenience sample of 203 children younger than 3 years and their families who were being seen during one of twenty-seven 24-hour periods.

Main Outcome Measures:  Anthropometric indicators (z scores of weight for age, weight-for-height, and height-for-age), and the proportion of children with low growth indicator (weight-for-height below the 10th percentile or height-for-age below the fifth percentile, or both, of the reference population).

Results:  Multivariate analysis controlling for demographics and program participation showed that receipt of housing assistance contributed significantly to z scores for weight-for-age (P=.03) and weight-for-height (P=.04). The risk of a child's having low growth indicators was 21.6% for children whose families were on the waiting list for housing assistance compared with 3.3% for those whose families received subsidies (adjusted odds ratio=8.2, 95% confidence interval=2.2 to 30.4, P=.002)

Conclusion:  Receiving a housing subsidy is associated with increased growth in children from low-income families, an effect that is consistent with a protective effect of housing subsidies against childhood undernutrition.(Arch Pediatr Adolesc Med. 1995;149:1079-1084)

REFERENCES

Wiecha JL, Palombo R.  Multiple program participation: comparison of nutrition and food assistance program benefits with food costs in Boston, Massachusetts . Am J Public Health . 1989;;79:591-594.
Rosenberg M. Children are Hungry in Massachusetts . Boston, Mass: Project Bread; 1991;.
Leonard PA, Lazere EB. A Place to Call Home: The Low Income Housing Crisis in 44 Major Metropolitan Areas . Washington, DC: Center on Budget and Policy Priorities; 1992;.
Tenant Selection, Assignment, and Transfer Plan of the Boston Housing Authority . Boston, Mass: Boston Housing Authority; 1989;.
World Health Organization Working Group.  Use and interpretation of anthropometric indicators of nutritional status . Bull World Health Organ . 1986;;64: 929-941.
Dean AG, Dean JA, Burton AH, Dicker RC. Epi Info, Version 5: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers . Stone Mountain, Ga: USD Inc; 1990;.
Centers for Disease Control and Prevention.  Pediatric Nutrition Surveillance System—United States 1980-1991 . MMWR Morb Mortal Wkly Rep . 1992;;41 (No. (SS-7) ):1-24.
Waterlow JC.  Classification and definition of protein-calorie malnutrition . BMJ . 1972;;3:566-569.
Goetze R, Johnson MR. Roxbury, '29 Page Profile': 1990 Census of Population and Housing from US Census Summary Tape File 3 . Boston, Mass: Redevelopment Authority; 1993;.
Fierman AH, Dreyer BP, Quinn L, Shulman S, Courtlandt DC, Guzzo R.  Growth delay in homeless children . Pediatrics . 1991;;88:918-925.
Consumer Expenditure Survey: Quarterly Data from the Interview Survey . Washington, DC: US Dept of Labor, Bureau of Labor Statistics; 1992;.
Buzina R, Bates CJ, van der Beek J, et al.  Workshop on functional significance of mild-to-moderate malnutrition . Am J Clin Nutr . 1989;;50:172-176.
Karp R, Martin R, Sewell T, Manni J, Heller A.  Growth and academic achievement in inner-city kindergarten children . Clin Pediatr (Phila) . 1992;;31:336-340.

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References

Wiecha JL, Palombo R.  Multiple program participation: comparison of nutrition and food assistance program benefits with food costs in Boston, Massachusetts . Am J Public Health . 1989;;79:591-594.
Rosenberg M. Children are Hungry in Massachusetts . Boston, Mass: Project Bread; 1991;.
Leonard PA, Lazere EB. A Place to Call Home: The Low Income Housing Crisis in 44 Major Metropolitan Areas . Washington, DC: Center on Budget and Policy Priorities; 1992;.
Tenant Selection, Assignment, and Transfer Plan of the Boston Housing Authority . Boston, Mass: Boston Housing Authority; 1989;.
World Health Organization Working Group.  Use and interpretation of anthropometric indicators of nutritional status . Bull World Health Organ . 1986;;64: 929-941.
Dean AG, Dean JA, Burton AH, Dicker RC. Epi Info, Version 5: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers . Stone Mountain, Ga: USD Inc; 1990;.
Centers for Disease Control and Prevention.  Pediatric Nutrition Surveillance System—United States 1980-1991 . MMWR Morb Mortal Wkly Rep . 1992;;41 (No. (SS-7) ):1-24.
Waterlow JC.  Classification and definition of protein-calorie malnutrition . BMJ . 1972;;3:566-569.
Goetze R, Johnson MR. Roxbury, '29 Page Profile': 1990 Census of Population and Housing from US Census Summary Tape File 3 . Boston, Mass: Redevelopment Authority; 1993;.
Fierman AH, Dreyer BP, Quinn L, Shulman S, Courtlandt DC, Guzzo R.  Growth delay in homeless children . Pediatrics . 1991;;88:918-925.
Consumer Expenditure Survey: Quarterly Data from the Interview Survey . Washington, DC: US Dept of Labor, Bureau of Labor Statistics; 1992;.
Buzina R, Bates CJ, van der Beek J, et al.  Workshop on functional significance of mild-to-moderate malnutrition . Am J Clin Nutr . 1989;;50:172-176.
Karp R, Martin R, Sewell T, Manni J, Heller A.  Growth and academic achievement in inner-city kindergarten children . Clin Pediatr (Phila) . 1992;;31:336-340.

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