The Effect of Neighborhood Socioeconomic Status on Education and Health Outcomes for Children Living in Social Housing
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Date
2014-11
Authors
Martens, Patricia J
Chateau, Dan G
Burland, Elaine M
Finlayson, Greg S
Smith, Mark J
Taylor, Carole R
Brownell, Marni D
Nickel, Nathan C
Katz, Alan
Bolton, James M
Journal Title
Journal ISSN
Volume Title
Publisher
American Journal of Public Health
Abstract
Objectives. We explored differences in health and education outcomes between children living in social housing and not, and effects of social housing’s neighborhood socioeconomic status.
Methods. In this cohort study, we used the population-based repository of
administrative data at the Manitoba Centre for Health Policy. We included
children aged 0 to 19 years in Winnipeg, Manitoba, in fiscal years 2006–2007 to 2008–2009 (n = 13 238 social housing; n = 174 017 others). We examined 5 outcomes: age-2 complete immunization, a school-readiness measure, adolescent pregnancy (ages 15–19 years), grade-9 completion, and high-school completion. Logistic regression and generalized estimating equation modeling generated rates. We derived neighborhood income quintiles (Q1 lowest, Q5 highest) from average household income census data.
Results. Children in social housing fared worse than comparative children within each neighborhood income quintile.When we compared children in social housing by quintile, preschool indicators (immunization and school readiness) were similar, but adolescent outcomes (grade-9 and high-school completion, adolescent pregnancy) were better in Q3 to Q5.
Conclusions. Children in social housing had poorer health and education outcomes than all others, but living in social housing in wealthier areas was associated with better adolescent outcomes.
Description
Keywords
Social housing, Educational Status, Health Status, Child, Adolescent, Infant, Social Determinants of Health, Socioeconomic factors, Neighborhood
Citation
Martens PJ, Chateau DG, Burland EMJ, Finlayson GS, Smith MJ, Taylor CR, Brownell MD, Nickel NC, Katz A, Bolton JM, and the PATHS Equity Team. The Effect of Neighborhood Socioeconomic Status on Education and Health Outcomes for Children Living in Social Housing. American Journal of Public Health, Nov 2014, Vol 104(11), p. 21203(11). DOI: 10.2105/AJPH.2014.302133.