• Am J Prev Med · May 2022

    The Association of Low-Income Housing Tax Credit Units and Reports of Child Abuse and Neglect.

    • Meghan E Shanahan, Anna E Austin, Christine P Durrance, Sandra L Martin, Jeremy A Mercer, Desmond K Runyan, and Carol W Runyan.
    • From the Department of Maternal and Child Health, UNC Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; UNC Injury Prevention Research Center (IPRC), The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: shanahan@unc.edu.
    • Am J Prev Med. 2022 May 1; 62 (5): 727734727-734.

    IntroductionPoverty broadly and financial stress owing to housing insecurity specifically are associated with an increased risk of child maltreatment. Therefore, it is possible that a program designed to increase access to affordable housing such as the Low-Income Housing Tax Credit program could reduce child maltreatment. The purpose of this study is to examine the association of the availability of housing units through the Low-Income Housing Tax Credit Program with the rates of child maltreatment reports, including reports for physical abuse and neglect, at the state and county levels.MethodsData were from the 2005‒2015 National Child Abuse and Neglect Data System and the Low-Income Housing Tax Credit Program database. Generalized estimating equations were conducted in 2021 to calculate rate ratios and 95% CIs, adjusting for relevant confounders.ResultsAt the state level, ≥25 compared with <25 Low-Income Housing Tax Credit Program units per 100,000 population was associated with a lower rate of overall child maltreatment (i.e., neglect and physical abuse; rate ratio=0.96, 95% CI=0.93, 0.99), neglect (rate ratio=0.96, 95% CI=0.94, 0.99), and physical abuse (rate ratio=0.96, 95% CI=0.93, 1.00) reports. Similarly, at the county level, ≥1 compared with 0 Low-Income Housing Tax Credit Program units per 100,000 population was associated with a lower rate of overall child maltreatment (rate ratio=0.94, 95% CI=0.92, 0.97), neglect (rate ratio=0.96, 95% CI=0.93, 0.98), and physical abuse (rate ratio=0.94, 95% CI=0.91, 0.98) reports.ConclusionsIncreasing access to affordable housing may be an effective strategy to reduce child maltreatment at both the state and county levels.Copyright © 2022 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

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