Moving to opportunity: an experimental study of neighborhood effects on mental health

Tama Leventhal, Jeanne Brooks-Gunn, Tama Leventhal, Jeanne Brooks-Gunn

Abstract

Objectives: The health consequences of neighborhood poverty are a public health problem. Data were obtained to examine links between neighborhood residence and mental health outcomes.

Methods: Moving to Opportunity was a randomized, controlled trial in which families from public housing in high-poverty neighborhoods were moved into private housing in near-poor or nonpoor neighborhoods, with a subset remaining in public housing. At the 3-year follow-up of the New York site, 550 families were reinterviewed.

Results: Parents who moved to low-poverty neighborhoods reported significantly less distress than parents who remained in high-poverty neighborhoods. Boys who moved to less poor neighborhoods reported significantly fewer anxious/depressive and dependency problems than did boys who stayed in public housing.

Conclusions: This study provides experimental evidence of neighborhood income effects on mental health.

References

    1. Massey DS, Denton NA. American Apartheid: Segregation and the Making of the Underclass. Cambridge, Mass: Harvard University Press; 1993.
    1. Wilson WJ. The Truly Disadvantaged: The Innercity, the Underclass, and Public Policy. Chicago, Ill: University of Chicago Press; 1987.
    1. Leventhal T, Brooks-Gunn J. The neighborhoods they live in: effects of neighborhood residence upon child and adolescent outcomes. Psychol Bull. 2000;126:309–337.
    1. Mayer SE, Jencks C. Growing up in poor neighborhoods: how much does it matter? Science. 1989;243:1441–1445.
    1. Tienda M. Poor people and poor places: deciphering neighborhood effects on poverty outcomes. In: Huber J, ed. Macro-Micro Linkages in Sociology. Newbury Park, Calif: Sage Publications; 1991:244–262.
    1. Rubinowitz LS, Rosenbaum JE. Crossing the Class and Color Lines: From Public Housing to White Suburbia. Chicago, Ill: University of Chicago Press; 2000.
    1. Rosenbaum JE, Popkin SJ. Employment and earnings of low-income blacks who move to middle-class suburbs. In: Jencks C, Peterson P, eds. The Urban Underclass. Washington, DC: Brookings Institution; 1991:342–356.
    1. Feins JD, Holin MJ, Phipps A. Moving to Opportunity for Fair Housing Program Operations Manual. Cambridge, Mass: Abt Associates; 1996.
    1. Goering J, Kraft J, Feins D, McInnis D, Holin MJ, Elhassan H. Moving to Opportunity for Fair Housing Demonstration Program: Current Status and Initial Findings. Washington, DC: US Dept of Housing and Urban Development; 1999.
    1. Goering J, ed. Choosing a Better Life? Evaluating the Moving to Opportunity Social Experiment. Washington, DC: Urban Institute Press. In press.
    1. Kandel DB, Davies M. Depressive Mood Inventory. Epidemiology of depressive mood in adolescents: an empirical study. Arch Gen Psychiatry. 1982;39:1205–1212.
    1. Rickels K, Garcia CR, Lipman RS, Derogatis LR, Fisher EL. Hopkins Symptom Checklist: assessing emotional distress in obstetric-gynecologic practice. Prim Care. 1976;3:751–764.
    1. Peterson JL, Zill N. Marital disruption, parent-child relationships, and behavior problems in children. J Marriage Fam. 1986;48:295–307.
    1. Zill N. Behavior Problem Scales Developed From the 1981 Child Health Supplement to the National Health Interview Survey. Washington, DC: Child Trends; 1985.
    1. Bloom HS. Accounting for no-shows in experimental evaluation designs. Eval Rev. 1984;8:225–246.
    1. Angrist JD, Imbens GW, Rubin DB. Identification of causal effects using instrumental variables. J Am Stat Assoc. 1996;91:444–455.
    1. Ensminger ME, Lamkin RP, Jacobson N. School leaving: a longitudinal perspective including neighborhood effects. Child Dev. 1996;67:2400–2416.
    1. Entwisle DR, Alexander KL, Olson LS. The gender gap in math: its possible origins in neighborhood effects. Am Sociol Rev. 1994;59:822–838.
    1. Astone NM, McLanahan SS. Family structure, residential mobility, and school drop out: a research note. Demography. 1994;31:575–584.
    1. Duncan GJ, Yeung WJ, Brooks-Gunn J, Smith JR. How much does childhood poverty affect the life chances of children? Am Sociol Rev. 1998;63:406–423.
    1. Haveman R, Wolfe B, Spaulding J. Child events and circumstances influencing high school completion. Demography. 1991;28:133–158.
    1. Rutter M. Stress, coping, and development: some issues and some questions. J Child Psychol Psychiatry. 1981;22:232–356.
    1. McLoyd VC. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev. 1990;61:311–346.
    1. Katz LF, Kling JR, Liebman JB. Moving to Opportunity in Boston: early results of a randomized mobility experiment. Q J Economics. 2001;116:607–654.
    1. Ludwig J, Duncan GJ, Hirschfield P. Urban poverty and juvenile crime: evidence from a randomized housing-mobility experiment. Q J Economics. 2001;116:655–679.
    1. Morris PA, Huston AC, Duncan GJ, Crosby DA, Bos JM. How Welfare and Work Policies Affect Children: A Synthesis of Research. New York: The Next Generation, Manpower Demonstration Research Corporation; 2001.
    1. Cherry R, Williams MRE. Prosperity for All? The Economic Boom and African Americans. New York: Russell Sage; 2000.
    1. Bluestone B, Stevenson MH. The Boston Renaissance: Race, Space, and Economic Change in an American Metropolis. New York: Russell Sage; 2000.
    1. Sjoquist DL, ed. The Atlanta Paradox. New York: Russell Sage; 2000.
    1. Adler NE, Boyce WT, Chesney MA, Folkman S, Syme SL. Socioeconomic inequalities in health: no easy solution. JAMA. 1993;269:3140–3145.
    1. Adler NE, Boyce WT, Chesney MA, et al. Socioeconomic status and health: the challenge of the gradient. Am Psychol. 1994;49:15–24.
    1. McEwen BS. Protective and damaging effects of stress mediators. N Engl J Med. 1998;338:171–179.
    1. McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Ann N Y Acad Sci. 1999;896:30–47.

Source: PubMed

3
Tilaa