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A Matched Analysis of the Association Between Federally Mandated Smoke-Free Housing Policies and Health Outcomes Among Medicaid-Enrolled Children in Subsidized Housing, New York City, 2015–2019

American journal of epidemiology, 2023-01, Vol.192 (1), p.25-33 [Peer Reviewed Journal]

The Author(s) 2022. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2022 ;The Author(s) 2022. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ;ISSN: 0002-9262 ;EISSN: 1476-6256 ;DOI: 10.1093/aje/kwac089 ;PMID: 35551590

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Title:
A Matched Analysis of the Association Between Federally Mandated Smoke-Free Housing Policies and Health Outcomes Among Medicaid-Enrolled Children in Subsidized Housing, New York City, 2015–2019
Author: Titus, Andrea R ; Mijanovich, Tod N ; Terlizzi, Kelly ; Ellen, Ingrid G ; Anastasiou, Elle ; Shelley, Donna ; Wyka, Katarzyna ; Elbel, Brian ; Thorpe, Lorna E
Subjects: Asthma ; Child ; Children ; Exposure ; Government programs ; Housing ; Housing policy ; Housing subsidies ; Humans ; Medicaid ; New York City - epidemiology ; No-smoking policies ; Original Contribution ; Outcome Assessment, Health Care ; Passive smoking ; Pediatrics ; Public Housing ; Respiratory tract ; Respiratory tract diseases ; Smoke ; Smoke-Free Policy ; Tobacco Smoke Pollution - prevention & control
Is Part Of: American journal of epidemiology, 2023-01, Vol.192 (1), p.25-33
Description: Smoke-free housing policies are intended to reduce the deleterious health effects of secondhand smoke exposure, but there is limited evidence regarding their health impacts. We examined associations between implementation of a federal smoke-free housing rule by the New York City Housing Authority (NYCHA) and pediatric Medicaid claims for asthma, lower respiratory tract infections, and upper respiratory tract infections in the early post–policy intervention period. We used geocoded address data to match children living in tax lots with NYCHA buildings (exposed to the policy) to children living in lots with other subsidized housing (unexposed to the policy). We constructed longitudinal difference-in-differences models to assess relative changes in monthly rates of claims between November 1, 2015, and December 31, 2019 (the policy was introduced on July 30, 2018). We also examined effect modification by baseline age group (≤2, 3–6, or 7–15 years). In New York City, introduction of a smoke-free policy was not associated with lower rates of Medicaid claims for any outcomes in the early postpolicy period. Exposure to the smoke-free policy was associated with slightly higher than expected rates of outpatient upper respiratory tract infection claims (incidence rate ratio = 1.05, 95% confidence interval: 1.01, 1.08), a result most pronounced among children aged 3–6 years. Ongoing monitoring is essential to understanding long-term health impacts of smoke-free housing policies.
Publisher: United States: Oxford University Press
Language: English
Identifier: ISSN: 0002-9262
EISSN: 1476-6256
DOI: 10.1093/aje/kwac089
PMID: 35551590
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection

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A Matched Analysis of the Association Between Federally Mandated Smoke-Free Housing Policies and Health Outcomes Among Medicaid-Enrolled Children in Subsidized Housing, New York City, 2015–2019

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