Tenant Right-to-Counsel and Adverse Birth Outcomes in New York, New York
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View abstract on PubMed
Summary
This summary is machine-generated.New York's right-to-counsel program, offering legal aid to low-income tenants, was linked to fewer adverse birth outcomes like preterm birth and low birth weight for Medicaid-insured parents.
Area Of Science
- Public Health
- Health Policy
- Socioeconomic Determinants of Health
Background
- Evictions during pregnancy are linked to adverse birth outcomes.
- New York City implemented a right-to-counsel program in 2017 for low-income tenants.
- This program may mitigate negative birth outcomes.
Purpose Of The Study
- To examine the association between zip code-level right-to-counsel access and adverse birth outcomes.
- Focus on preterm birth and low birth weight in Medicaid-insured populations.
Main Methods
- Retrospective cohort study using a natural experiment design.
- Leveraged New York's right-to-counsel program rollout (Jan 2016-Feb 2020).
- Analyzed population-based data of live births to Medicaid-insured parents, controlling for confounding factors.
Main Results
- Right-to-counsel access during pregnancy was associated with significant reductions in adverse birth outcomes.
- Reductions observed in low birth weight (0.73 pp), preterm birth (0.91 pp), and a composite outcome (0.96 pp).
- Study included 260,493 live births.
Conclusions
- Right-to-counsel programs are associated with reduced risk of adverse birth outcomes.
- Eviction prevention may extend health benefits beyond legal resolutions.
- Findings highlight the broader public health impact of legal interventions.
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