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The Aftermath of Public Housing Relocations: Relationships between Changes in Local Socioeconomic Conditions and Depressive Symptoms in a Cohort of Adult Relocaters

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Abstract

USA is experiencing a paradigm shift in public housing policy: while policies used to place people who qualified for housing assistance into spatially concentrated housing complexes, they now seek to geographically disperse them, often to voucher-subsidized rental units in the private market. Programs that relocate residents from public housing complexes tend to move them to neighborhoods that are less impoverished and less violent. To date, studies have reached conflicting findings about the relationship between public housing relocations and depression among adult relocaters. The present longitudinal multilevel analysis tests the hypothesis that pre-/postrelocation improvements in local economic conditions, social disorder, and perceived community violence are associated with declines in depressive symptoms in a cohort of African-American adults; active substance misusers were oversampled. We tested this hypothesis in a cohort of 172 adults who were living in one of seven public housing complexes scheduled for relocation and demolition in Atlanta, GA; by design, 20 % were dependent on substances and 50 % misused substances but were not dependent. Baseline data captured prerelocation characteristics of participants; of the seven census tracts where they lived, three waves of postrelocation data were gathered approximately every 9 months thereafter. Surveys were administered at each wave to assess depressive symptoms measured using the Center for Epidemiologic Studies Depression Scale (CES-D), perceived community violence, and other individual-level covariates. Participants' home addresses were geocoded to census tracts at each wave, and administrative data sources were used to characterize tract-level economic disadvantage and social disorder. Hypotheses were tested using multilevel models. Between waves 1 and 2, participants experienced significant improvements in reported depressive symptoms and perceived community violence and in tract-level economic disadvantage and social disorder; these reductions were sustained across waves 2–4. A 1 standard deviation improvement in economic conditions was associated with a 1-unit reduction in CES-D scores; the magnitude of this relationship did not vary by baseline substance misuse or gender. Reduced perceived community violence also predicted lower CES-D scores. Our objective measure of social disorder was unrelated to depressive symptoms. We found that relocaters who experienced greater pre-/postrelocation improvements in economic conditions or in perceived community violence experienced fewer depressive symptoms. Combined with past research, these findings suggest that relocation initiatives should focus on the quality of the places to which relocaters move; future research should also identify pathways linking pre-/postrelocation changes in place characteristics to changes in mental health.

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References

  1. Goetz EG. Clearing the way: deconcentrating the poor in urban America. Washington: The Urban Institute; 2003.

    Google Scholar 

  2. Keating L, Flores C. Sixty and out: Techwood Homes transformed by enemies and friends. J Urban Hist. 2000; 26(3): 275–311.

    Article  Google Scholar 

  3. Schill MH. Distressed public housing: where do we go from here? Univ Chicago Law Rev. 1993; 60(2): 497–554.

    Article  Google Scholar 

  4. Massey D, Denton N. American apartheid: segregation and the making of the underclass. Cambridge: Harvard University Press; 1993.

    Google Scholar 

  5. Massey D, Kanaiaupuni S. Public housing and the concentration of poverty. Soc Sci Q. 1993; 74(1): 109–122.

    Google Scholar 

  6. Fauth RC, Leventhal T, Brooks-Gunn J. Seven years later: effects of a neighborhood mobility program on poor Black and Latino adults' well-being. J Health Soc Behav. 2008; 49(June): 119–130.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Kling JR, Liebman JB, F LK, Sanbonmatsu L. Moving to opportunity and tranquility: neighborhood effects on adult economic self-sufficiency and health from a randomized housing voucher experiment. Princeton, NJ: Princeton University, Department of Economics, Industrial Relations Section; 2004.

  8. Leventhal T, Brooks-Gunn J. Moving to opportunity: an experimental study of neighborhood effects on mental health. Am J Public Health. 2003; 93(9): 1576–1582.

    Article  PubMed Central  PubMed  Google Scholar 

  9. del Conte A, Kling J. A synthesis of MTO research on self-sufficiency, safety and health, and behavior and delinquency. Poverty Res News. 2001; 5(1): 3–6.

    Google Scholar 

  10. Kramer MR, Waller LA, Dunlop A, Hogue CR. Housing transitions and low birth weight among low-income women: longitudinal study of the perinatal consequences of changing public housing policy. Am J Public Health. 2012; 102(12): 2255–2261.

    Article  PubMed  Google Scholar 

  11. Kling J, Liebman JB, Katz LF. Experimental analysis of neighborhood effects. Econometrica. 2007; 75(1): 83–119.

    Article  Google Scholar 

  12. Fauth RC, Leventhal T, Brooks-Gunn J. Short-term effects of moving from public housing in poor to middle-class neighborhoods on low-income, minority adults' outcomes. Soc Sci Med. 2004; 59: 2271–2284.

    Article  PubMed  Google Scholar 

  13. Hirsch AR. Making the second ghetto: race and housing in Chicago 1940–1960. Chicago: The University of Chicago Press; 1998.

    Book  Google Scholar 

  14. Friedman LM. Public housing and the poor: an overview. Calif Law Rev. 1966; 54(2): 642–669.

    Article  Google Scholar 

  15. Spence LH. Rethinking the social role of public housing. Hous Policy Debate. 1993; 4(3): 355–368.

    Article  Google Scholar 

  16. Casey C. Characteristics of HUD-assisted renters and their units in 1989. Washington, DC: U.S. Dept. of Housing and Urban Development, Office of Policy Development and Research; 1992.

  17. Schill MH, Wachter SM. The spatial bias of federal housing law and policy: concentrated poverty in urban America. Univ Pennsylvania Law Rev. 1995; 143(5): 1285–1342.

    Article  Google Scholar 

  18. Bickford A, Massey D. Segregation in the second ghetto: racial and ethnic segregation in American public housing 1977. Soc Forces. 1991; 69(4): 1011–1036.

    Article  Google Scholar 

  19. Carter WH, Schill MH, Wachter SM. Polarisation, public housing and racial minorities in US cities. Urban Stud. 1998; 35(10): 1889–1911.

    Article  Google Scholar 

  20. Oliver ML, Shapiro TM. Black Wealth/White wealth: a new perspective on racial inequality. Secondth ed. New York: Routledge; 2006.

    Google Scholar 

  21. Popkin S, Cove E. Safety is the most important thing: how HOPE VI helped families. Washington: Urban Institute; 2007.

    Google Scholar 

  22. Popkin S, Levy D, Harris LE, et al. HOPE VI panel study: baseline report. Washington: Urban Institute; 2002.

    Google Scholar 

  23. Popkin S, Price DJ. Escaping the hidden war: safety is the biggest gain for CHA families. Washington: The Urban Institutes; 2010.

    Google Scholar 

  24. Popkin S, Gwiasda VE, Olson LM, Posenbaum DP, Buron L. The hidden war: crime and the tragedy of public housing in Chicago. New Brunswick: Rutgers University Press; 2000.

    Google Scholar 

  25. National Commission on Severely Distressed Public Housing. Final Report to Congress and the Secretary of Housing and Urban Development. Washington: National Commission on Severely Distressed Public Housing; 1992.

    Google Scholar 

  26. Popkin S, Katz B, Cunningham M, Brown K, Gustafson J, Turner M. A decade of HOPE VI: research findings and policy challenges. Washington: The Urban Institute; 2004.

    Google Scholar 

  27. Boston TD. Environment matters: the effect of mixed-income revitalization on the socio-economic status of public housing residents: a case study of Atlanta. Atlanta: Georgia Institute of Technology; 2005.

    Google Scholar 

  28. Popkin S, Rich M, Hendey L, Hayes C, Parilla J. Public housing relocations and crime: making the case for responsible relocation. Washington: The Urban Institute; 2012.

    Google Scholar 

  29. Ruel E, Oakley DA, Ward C, Alston R, Reid LW. Public housing relocations in Atlanta: documenting residents' attitudes, concerns and experiences. Cities. 2013; 35: 349–358.

    Article  Google Scholar 

  30. Oakley D, Ward C, Reid L, Ruel E. The poverty deconcentration imperative and public housing transformation. Sociol Compass. 2011; 5(9): 824–833.

    Article  Google Scholar 

  31. Atlanta Housing Authority. Amended and restated statement of policies governing the Housing Choice Tenant-Based Program. Atlanta: AHA; 2013.

    Google Scholar 

  32. Digenis-Bury E, Brooks D, Chen L, Ostrem M, Horsburgh R. Use of a population-based survey to describe the health of Boston public housing residents. Am J Public Health. 2008; 98(1): 85–91.

    Article  PubMed Central  PubMed  Google Scholar 

  33. Sikkema K, Koob J, Cargill V, et al. Levels and predictors of HIV risk behavior among women in low-income public housing developments. Public Health Rep. 1995; 110: 707–713.

    PubMed Central  PubMed  CAS  Google Scholar 

  34. Williams C, Adams-Campbell L. Addictive behaviors and depression among African-Americans residing in a public housing community. Addict Behav. 2000; 25(1): 45–56.

    Article  PubMed  CAS  Google Scholar 

  35. Boardman J, Finch B, Ellison CG, Williams DR, Jackson J. Neighborhood disadvantage, stress, and drug use among adults. J Health Soc Behav. 2001; 42(2): 151–165.

    Article  PubMed  CAS  Google Scholar 

  36. Hill TD, Angel RJ. Neighborhood disorder, psychological distress, and heavy drinking. Soc Sci Med. 2005; 61: 965–975.

    Article  PubMed  Google Scholar 

  37. Jones-Webb R, Snowden L, Herd D, Short B, Hannan P. Alcohol-related problems among black, Hispanic, and white men: the contribution of neighborhood poverty. J Stud Alcohol. 1997; 58(5): 539–545.

    PubMed  CAS  Google Scholar 

  38. Latkin C, Williams CT, Wang J, Curry AD. Neighborhood social disorder as a determinant of drug injection behaviors: a structural equation modelling approach. Health Psychol. 2005; 24(1): 96–100.

    Article  PubMed  Google Scholar 

  39. Latkin CA, Curry AD, Hua W, Davey MA. Direct and indirect associations of neighborhood disorder with drug use and high-risk sexual partners. Am J Prev Med. 2007; 32(6 Suppl): S234–S241.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Schroeder JR, Latkin CA, Hoover DR, Curry AD, Knowlton AR, Celentano DD. Illicit drug use in one's social network and in one's neighborhood predicts individual heroin and cocaine use. Ann Epidemiol. 2001; 11: 389–394.

    Article  PubMed  CAS  Google Scholar 

  41. Williams CT, Latkin CA. Neighborhood socioeconomic status, personal network attributes, and use of heroin and cocaine. Am J Prev Med. 2007; 32(6 Suppl): S203–S210.

    Article  PubMed Central  PubMed  Google Scholar 

  42. Cunningham M, Popkin S, Burt M. Public housing transformation and the "hard to house". Washington: The Urban Institute; 2005.

    Google Scholar 

  43. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1: 385–401.

    Article  Google Scholar 

  44. Radloff LS, Locke BZ. The community mental health assessment survey and the CES-D scale. In: Weissman MM, Myers JL, Ross CE, eds. Community surveys of psychiatric disorder. New Brunswick: Rutgers University Press; 1986: 177–189.

    Google Scholar 

  45. Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997; 277(5328): 918–924.

    Article  PubMed  CAS  Google Scholar 

  46. Logan JR, Xu Z, Stults B. Longitudinal tract Data Base. Foundation RS, trans. Providece, Rhode Island: spatial Strucures in the Social Sciences, Brown University; 2012.

  47. Leonard NR, Lester P, Rotheram-Borus M, Mattes K, Gwadz M, Ferns B. Successful recruitment and retention of participants in longitudinal behavioral research. AIDS Educ Prev. 2003; 15(3): 269–281.

    Article  PubMed  Google Scholar 

  48. Ribisl KM, Walton MA, Mowbray CT, Luke DA, Davidson WS, Bootsmiller BJ. Minimizing participant attrition in panel studies through the use of effective retention and tracking strategies: review and recommendations. Eval Program Plan. 1996; 19(1): 1–25.

    Article  Google Scholar 

  49. Cottler LB, Compton WM, Ben-Abdallah A, Horne M, Claverie D. Achieving a 96.6 percent follow-up rate in a longitudinal study of drug abusers. Drug Alcohol Depend. 1996; 41: 209–217.

    Article  PubMed  CAS  Google Scholar 

  50. Scott CK. A replicable model for achieving over 90 % follow-up rates in longitudinal studies of substance abusers. Drug Alcohol Depend. 2004; 74: 21–36.

    Article  PubMed  Google Scholar 

  51. Singer J, Willett J. Applied longitudinal data analysis: modeling change and event occurrence. New York City: Oxford University Press; 2003.

    Book  Google Scholar 

  52. Latkin C, Curry A. Stressful neighborhoods and depression: a prospective study of the impact of neighborhood disorder. J Health Soc Behav. 2003; 44(March): 34–44.

    Article  PubMed  Google Scholar 

  53. Dempsey M. Metro Atlanta crime rates: 2009. AJC. Friday, Oct. 1, 2010, 2009.

  54. Galea S, Ahern J, Nandi A, Tracy M, Beard J, Vlahov D. Urban neighborhood poverty and the incidence of depression in a population-based cohort study. Ann Epidemiol. 2007; 17(3): 171–179.

    Article  PubMed Central  PubMed  Google Scholar 

  55. Sundquist K, Ahlen H. Neighbourhood income and mental health: a multilevel follow-up study of psychiatric hospital admissions among 4.5 million women and men. Health Place. 2006; 12(4): 594–602.

    Article  PubMed  Google Scholar 

  56. Curry A, Latkin C, Davey-Rothwell M. Pathways to depression: the impact of neighborhood violent crime on inner-city residents in Baltimore, Maryland, USA. Soc Sci Med. 2008; 67(1): 23–30.

    Article  PubMed Central  PubMed  Google Scholar 

  57. Yen IH, Kaplan GA. Poverty area residence and changes in depression and perceived health status: evidence from the Alameda County Study. Int J Epidemiol. 1999; 28(1): 90–94.

    Article  PubMed  CAS  Google Scholar 

  58. Silver E, Mulvey EP, Swanson JW. Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Soc Sci Med. 2002; 55(8): 1457–1470.

    Article  PubMed  Google Scholar 

  59. Matheson FI, Moineddin R, Dunn JR, Creatore MI, Gozdyra P, Glazier RH. Urban neighborhoods, chronic stress, gender and depression. Soc Sci Med. 2006; 63(10): 2604–2616.

    Article  PubMed  Google Scholar 

  60. Kim D. Blues from the neighborhood? Neighborhood characteristics and depression. Epidemiol Rev. 2008; 30: 101–117.

    Article  PubMed  CAS  Google Scholar 

  61. Clampet-Lundquist S. HOPE VI, relocation: moving to new neighborhoods and building new ties. Hous Policy Debate. 2004; 15(2): 415–447.

    Article  Google Scholar 

  62. Cooper H, Bonney L, Ross Z, et al. The aftermath of public housing relocation: relationship to substance misuse drug and alcohol dependence. Drug and Alcohol Dependence. 2013; 33(1): 37–44.

    Article  Google Scholar 

  63. Rao U. Links between depression and substance abuse in adolescents: neurobiological mechanisms. Am J Prev Med. 2006; 31(6 Suppl 1): S161–S174.

    Article  PubMed  Google Scholar 

  64. Stiffman AR, Hadley-Ives E, Elze D, Johnson S, Dore P. Impact of environment on adolescent mental health and behavior: structural equation modeling. Am J Orthopsychiatry. 1999; 69(1): 73–86.

    Article  PubMed  CAS  Google Scholar 

  65. Harries K. Social stress and trauma: synthesis and spatial analysis. Soc Sci Med. 1997; 45(8): 1251–1264.

    Article  PubMed  CAS  Google Scholar 

  66. Takagi D, Ikeda K, Kawachi I. Neighborhood social capital and crime victimization: comparison of spatial regression analysis and hierarchical regression analysis. Soc Sci Med. 2012; 75(10): 1895–1902.

    Article  PubMed  Google Scholar 

  67. Latkin CA, German D, Hua W, Curry AD. Individual-level influences on perceptions of neighborhood disorder: a multilevel analysis. J Community Psychol. 2009; 37(1): 122–133.

    Article  PubMed Central  PubMed  Google Scholar 

  68. Kruger DJ, Reischl TM, Gee GC. Neighborhood social conditions mediate the association between physical deterioration and mental health. Am J Community Psychol. 2007; 40(3–4): 261–271.

    Article  PubMed  Google Scholar 

  69. Thomas JC, Sampson LA. High rates of incarceration as a social force associated with community rates of sexually transmitted infection. J Infect Dis. 2005; 191(Suppl 1): S55–S60.

    Article  PubMed  Google Scholar 

  70. Thomas JC, Thomas KK. Things ain't what they ought to be: social forces unerlying racial disparities in rates of sexually transmitted diseases in a rural North Carolina county. Soc Sci Med. 1999; 49: 1075–1084.

    Article  PubMed  CAS  Google Scholar 

  71. Thomas JC, Torrone E. Incarceration as forced migration: effects on selected community health outcomes. Am J Public Health. 2006; 96(10): 1762–1765.

    Article  PubMed Central  PubMed  Google Scholar 

  72. Fullilove MT. Root shock: how tearing up city neighborhoods hurts America, and what we can do about it. New York: One World Press; 2005.

    Google Scholar 

  73. Wallace D, Wallace R. A plague on your houses: how New York was burned down and national public health crumbled. New York: Verso; 2001.

    Google Scholar 

  74. Wallace R. Urban desertification, public health and public order: "Planned shrinkage", violent death, substance abuse, and AIDS in the Bronx. Soc Sci Med. 1990; 31(7): 801–813.

    Article  PubMed  CAS  Google Scholar 

  75. Wallace RG. AIDS in the HAART era: New York's heterogeneous geography. Soc Sci Med. 2003; 56(6): 1155–1171.

    Article  PubMed  Google Scholar 

  76. Fullilove MT. Root shock: the consequences of African American dispossession. J Urban Health. 2001; 78(1): 72–80.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  77. Fullilove MT, Wallace R. Serial forced displacement in American cities, 1916–2010. J Urban Health. 2011; 88(3): 381–389.

    Article  PubMed Central  PubMed  Google Scholar 

  78. Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997; 44(2): 174–199.

    Article  Google Scholar 

  79. Watters JK, Biernacki P. Targeted sampling: options for the study of hidden populations. Soc Probl. 1989; 36(4): 416–430.

    Article  Google Scholar 

  80. Devine DJ, Gray RW, Rubin L, Tahiti LB. Housing choice voucher location patterns: implications for participant and neighborhood welfare. Washington, DC: Office of Policy Development and Research, U.S. Department of Housing and Urban Development; 2003.

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Acknowledgements

This study was funded by three grants: a CFAR03 grant awarded by the Emory Center for AIDS Research (P30 AI050409); a NIDA grant entitled “Public Housing Relocations: Impact on Healthcare Access, Drug Use & Sexual Health” (R21DA027072); and a NIDA grant entitled “Public Housing Relocations: Impact on HIV and Drug Use” (R01DA029513). We would like to thank our NIDA Project Officer, Dr. Bethany Deeds, for her excellent help with this project; Atlanta Housing Authority for permitting us to recruit participants on site; and study participants for sharing their time and experiences with the study. We would also like to thank Drs. Erin Ruel and Deidre Oakley for their insights into serial displacement and relocaters' health.

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  1. Rollins School of Public Health, Atlanta, GA, USA

    Hannah L. F. Cooper, Josalin Hunter-Jones, Mary E. Kelley, Conny Karnes, Danielle F. Haley, Zev Ross, Richard Rothenberg & Loida E. Bonney

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  1. Hannah L. F. Cooper
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  2. Josalin Hunter-Jones
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Correspondence to Hannah L. F. Cooper.

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L. F. Cooper, H., Hunter-Jones, J., Kelley, M.E. et al. The Aftermath of Public Housing Relocations: Relationships between Changes in Local Socioeconomic Conditions and Depressive Symptoms in a Cohort of Adult Relocaters. J Urban Health 91, 223–241 (2014). https://doi.org/10.1007/s11524-013-9844-5

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