Low-Income Housing Rental Assistance, Perceptions of Neighborhood Food Environment, and Dietary Patterns among Latino Adults

the AHOME Study

Marlene Camacho-Rivera, Emily Rosenbaum, Cecile Yama, Earle C. Chambers

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Federal rental assistance programs, in the form of the traditional public housing program and the Housing Choice Voucher Program (HCVP—formerly known as Section 8), are designed to reduce the economic rental burden for low-income residents. While residents using federal housing vouchers, which allow low-income residents in public housing to move out of public housing to rent-subsidized homes, have been found to be have better cardiovascular outcomes compared to the cardiovascular outcomes of low-income public housing residents, the mechanisms explaining these associations remains an understudied area. Purpose: The aim of this study is to assess whether residents participating in HCVP or unassisted residents had greater access to healthy foods such as fruits and vegetables, and less access to unhealthy foods such as fast food and sugar sweetened beverages, when compared to residents living in public housing (referent group). Methods: The Affordable Housing as an Obesity Mediating Environment (AHOME) study is a cross-sectional study of Latinos residing in low-income housing in the Bronx, NY (n = 362). Participants were interviewed to assess food patterns and perceptions of neighborhood environment. Results: The analytic sample was primarily female (74.5 %) with a mean age of 46.4 years (SD = 14.68). Residents participating in HCVP had similar availability of fruits and vegetables in the home compared to residents receiving no assistance or public housing residents. HCVP participants consumed more fast food (β = 0.34; CI = 0.10–0.58) but had similar sugar sweetened beverage consumption compared to public housing residents. Unassisted residents had more fast food consumption (β = 0.25; CI = 0.01–0.49) but less sugar sweetened beverage consumption (β = −0.52; CI = −0.76–−0.28) than public housing residents. Perceptions of neighborhood food environment were not significantly associated with dietary patterns. Conclusion: This study shows variability in consumption of sugar sweetened beverage consumption and fast food consumption, but not in availability of fruits and vegetables, across residents participating in HCVP, public housing residents, and unassisted residents. Evaluating the health benefits associated with low-income housing mobility programs, such as HCVP, requires examining how housing may influence dietary patterns above and beyond an individual’s socioeconomic position.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of racial and ethnic health disparities
DOIs
StateAccepted/In press - Apr 29 2016

Fingerprint

Public Housing
Hispanic Americans
low income
assistance
Obesity
housing
resident
food
Food
public housing
Fast Foods
Beverages
Vegetables
Fruit
vegetables
food consumption
Insurance Benefits
Cross-Sectional Studies
Economics
socioeconomic position

Keywords

  • Food availability
  • Housing
  • Latino
  • Neighborhood

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Anthropology
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

@article{8881fd3142fb453cb5a14fe8e0f83651,
title = "Low-Income Housing Rental Assistance, Perceptions of Neighborhood Food Environment, and Dietary Patterns among Latino Adults: the AHOME Study",
abstract = "Introduction: Federal rental assistance programs, in the form of the traditional public housing program and the Housing Choice Voucher Program (HCVP—formerly known as Section 8), are designed to reduce the economic rental burden for low-income residents. While residents using federal housing vouchers, which allow low-income residents in public housing to move out of public housing to rent-subsidized homes, have been found to be have better cardiovascular outcomes compared to the cardiovascular outcomes of low-income public housing residents, the mechanisms explaining these associations remains an understudied area. Purpose: The aim of this study is to assess whether residents participating in HCVP or unassisted residents had greater access to healthy foods such as fruits and vegetables, and less access to unhealthy foods such as fast food and sugar sweetened beverages, when compared to residents living in public housing (referent group). Methods: The Affordable Housing as an Obesity Mediating Environment (AHOME) study is a cross-sectional study of Latinos residing in low-income housing in the Bronx, NY (n = 362). Participants were interviewed to assess food patterns and perceptions of neighborhood environment. Results: The analytic sample was primarily female (74.5 {\%}) with a mean age of 46.4 years (SD = 14.68). Residents participating in HCVP had similar availability of fruits and vegetables in the home compared to residents receiving no assistance or public housing residents. HCVP participants consumed more fast food (β = 0.34; CI = 0.10–0.58) but had similar sugar sweetened beverage consumption compared to public housing residents. Unassisted residents had more fast food consumption (β = 0.25; CI = 0.01–0.49) but less sugar sweetened beverage consumption (β = −0.52; CI = −0.76–−0.28) than public housing residents. Perceptions of neighborhood food environment were not significantly associated with dietary patterns. Conclusion: This study shows variability in consumption of sugar sweetened beverage consumption and fast food consumption, but not in availability of fruits and vegetables, across residents participating in HCVP, public housing residents, and unassisted residents. Evaluating the health benefits associated with low-income housing mobility programs, such as HCVP, requires examining how housing may influence dietary patterns above and beyond an individual’s socioeconomic position.",
keywords = "Food availability, Housing, Latino, Neighborhood",
author = "Marlene Camacho-Rivera and Emily Rosenbaum and Cecile Yama and Chambers, {Earle C.}",
year = "2016",
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doi = "10.1007/s40615-016-0234-z",
language = "English (US)",
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journal = "Journal of racial and ethnic health disparities",
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T1 - Low-Income Housing Rental Assistance, Perceptions of Neighborhood Food Environment, and Dietary Patterns among Latino Adults

T2 - the AHOME Study

AU - Camacho-Rivera, Marlene

AU - Rosenbaum, Emily

AU - Yama, Cecile

AU - Chambers, Earle C.

PY - 2016/4/29

Y1 - 2016/4/29

N2 - Introduction: Federal rental assistance programs, in the form of the traditional public housing program and the Housing Choice Voucher Program (HCVP—formerly known as Section 8), are designed to reduce the economic rental burden for low-income residents. While residents using federal housing vouchers, which allow low-income residents in public housing to move out of public housing to rent-subsidized homes, have been found to be have better cardiovascular outcomes compared to the cardiovascular outcomes of low-income public housing residents, the mechanisms explaining these associations remains an understudied area. Purpose: The aim of this study is to assess whether residents participating in HCVP or unassisted residents had greater access to healthy foods such as fruits and vegetables, and less access to unhealthy foods such as fast food and sugar sweetened beverages, when compared to residents living in public housing (referent group). Methods: The Affordable Housing as an Obesity Mediating Environment (AHOME) study is a cross-sectional study of Latinos residing in low-income housing in the Bronx, NY (n = 362). Participants were interviewed to assess food patterns and perceptions of neighborhood environment. Results: The analytic sample was primarily female (74.5 %) with a mean age of 46.4 years (SD = 14.68). Residents participating in HCVP had similar availability of fruits and vegetables in the home compared to residents receiving no assistance or public housing residents. HCVP participants consumed more fast food (β = 0.34; CI = 0.10–0.58) but had similar sugar sweetened beverage consumption compared to public housing residents. Unassisted residents had more fast food consumption (β = 0.25; CI = 0.01–0.49) but less sugar sweetened beverage consumption (β = −0.52; CI = −0.76–−0.28) than public housing residents. Perceptions of neighborhood food environment were not significantly associated with dietary patterns. Conclusion: This study shows variability in consumption of sugar sweetened beverage consumption and fast food consumption, but not in availability of fruits and vegetables, across residents participating in HCVP, public housing residents, and unassisted residents. Evaluating the health benefits associated with low-income housing mobility programs, such as HCVP, requires examining how housing may influence dietary patterns above and beyond an individual’s socioeconomic position.

AB - Introduction: Federal rental assistance programs, in the form of the traditional public housing program and the Housing Choice Voucher Program (HCVP—formerly known as Section 8), are designed to reduce the economic rental burden for low-income residents. While residents using federal housing vouchers, which allow low-income residents in public housing to move out of public housing to rent-subsidized homes, have been found to be have better cardiovascular outcomes compared to the cardiovascular outcomes of low-income public housing residents, the mechanisms explaining these associations remains an understudied area. Purpose: The aim of this study is to assess whether residents participating in HCVP or unassisted residents had greater access to healthy foods such as fruits and vegetables, and less access to unhealthy foods such as fast food and sugar sweetened beverages, when compared to residents living in public housing (referent group). Methods: The Affordable Housing as an Obesity Mediating Environment (AHOME) study is a cross-sectional study of Latinos residing in low-income housing in the Bronx, NY (n = 362). Participants were interviewed to assess food patterns and perceptions of neighborhood environment. Results: The analytic sample was primarily female (74.5 %) with a mean age of 46.4 years (SD = 14.68). Residents participating in HCVP had similar availability of fruits and vegetables in the home compared to residents receiving no assistance or public housing residents. HCVP participants consumed more fast food (β = 0.34; CI = 0.10–0.58) but had similar sugar sweetened beverage consumption compared to public housing residents. Unassisted residents had more fast food consumption (β = 0.25; CI = 0.01–0.49) but less sugar sweetened beverage consumption (β = −0.52; CI = −0.76–−0.28) than public housing residents. Perceptions of neighborhood food environment were not significantly associated with dietary patterns. Conclusion: This study shows variability in consumption of sugar sweetened beverage consumption and fast food consumption, but not in availability of fruits and vegetables, across residents participating in HCVP, public housing residents, and unassisted residents. Evaluating the health benefits associated with low-income housing mobility programs, such as HCVP, requires examining how housing may influence dietary patterns above and beyond an individual’s socioeconomic position.

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