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Housing Voucher Programs Advance Health Equity and Show Economic Benefits

A parent and child walk hand in hand.A systematic review of economic evidence finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults and to advance health equity. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

What are Tenant-based Housing Voucher Programs?

Tenant-based housing voucher programs help households with very low incomes afford safe and sanitary housing in the private market. Vouchers are tied to households rather than specific housing units, so that households can use vouchers to move to neighborhoods with greater opportunities. Vouchers pay a substantial portion of the rent, which leaves households with money to cover other needs.

Tenant-based housing voucher programs may vary with regard to eligibility criteria (e.g., family income level), rental process (e.g., time allowed to find and rent a property), assistance (e.g., counseling in finding rentals), relocation requirements (e.g., housing in low-poverty neighborhoods), and availability of short-term payments for initial expenses (e.g., rental deposits).

Why is this important?

Housing is an established social determinant of health.1,2 In the United States, housing quality, housing security, and neighborhood characteristics have been associated with health and health-related outcomes.3-5

For More Information:

References

1 Fullilove MT. Housing is health care. American Journal of Preventive Medicine 2010;39(6): 607-8.

2 U.S. Department of Health and Human Services. Healthy People 2030. Bethesda (MD): 2020. Available from URL: www.health.gov/healthypeople.

3 Alley DE, Soldo BJ, Pagán JA, et al. Material resources and population health: disadvantages in health care, housing, and food among adults over 50 years of age. Am J Public Health 2009;99 (Suppl 3):S693-S701. doi:10.2105/AJPH.2009.161877.

4 Chetty R. The effects of exposure to better neighborhoods on children: New evidence from the Moving to Opportunity experiment. American Economic Review 2016;106(4):855-902.

5 Cutts DB, Meyers AF, Black MM, Casey PF, et al. US housing insecurity and the health of very young children. American Journal of Public Health 2011;101(8):1508-14.