一项住房流动计划对青少年及年轻成年人养育子女的影响。
A housing mobility program's impacts on teen and young adult parenting.
作者信息
Fuller Taleria R, Sciandra Matt, Koumans Emilia H, Boulet Sheree L, Warner Lee, Cox Shanna, Gennetian Lisa A
机构信息
Centers for Disease Control and Prevention, Division of Reproductive Health, 4770 Buford Hwy, MS- 107-2, Atlanta, GA, 30341, USA.
RTI International, 307 Waverley Oaks Rd Ste 101, Waltham, MA, 02452, USA.
出版信息
SSM Popul Health. 2019 Jul 16;9:100451. doi: 10.1016/j.ssmph.2019.100451. eCollection 2019 Dec.
OBJECTIVE
To assess the impact of Moving to Opportunity for Fair Housing Demonstration Program (MTO) implemented in 1994 in five U.S. cities (Baltimore, Boston, Chicago, Los Angeles, and New York City) on teen births.
METHODS
We analyzed baseline and long-term evaluation data for youth (ages 13-20) and young adults (ages 21-30) (N = 7861) who were children or teens at baseline. We used regression analyses to estimate the impact of housing vouchers on having a teen birth.
RESULTS
Overall, MTO had no significant effect on teen births. However, among young adults whose parent had a child before age 20, the proportion with a teen birth themselves was 21% lower among those offered housing vouchers to low-poverty neighborhoods with no restrictions compared to those not offered housing vouchers (p < 0.05).
CONCLUSION
MTO appeared to decrease intergenerational teen births among young adults. Further exploration of housing relocation may help untangle risks and protective factors for reducing intergenerational teen births.
PUBLIC HEALTH IMPLICATIONS
Reducing intergenerational teen births is important, especially among those facing economic, environmental, and health risks. Comprehensive programs addressing multiple social determinants of health are vital to reducing teen births.
目的
评估1994年在美国五个城市（巴尔的摩、波士顿、芝加哥、洛杉矶和纽约市）实施的“公平住房示范项目之迁移计划”（MTO）对青少年生育的影响。
方法
我们分析了基线时为儿童或青少年的青年（13 - 20岁）和年轻成年人（21 - 30岁）（N = 7861）的基线和长期评估数据。我们使用回归分析来估计住房券对青少年生育的影响。
结果
总体而言，MTO对青少年生育没有显著影响。然而，在父母在20岁之前生育子女的年轻成年人中，与未获得住房券的人相比，那些获得无限制地前往低贫困社区的住房券的人自身青少年生育的比例低21%（p < 0.05）。
结论
MTO似乎降低了年轻成年人中的代际青少年生育。进一步探索住房搬迁可能有助于理清减少代际青少年生育的风险和保护因素。
对公共卫生的影响
减少代际青少年生育很重要，尤其是在那些面临经济、环境和健康风险的人群中。解决健康的多个社会决定因素的综合项目对于减少青少年生育至关重要。
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