Abstract
Using the Moving to Opportunity (MTO) experiment (1994-2002), this study examined how a multidimensional measure of neighborhood quality over time influenced adolescent psychological distress, using instrumental variable (IV) analysis. Neighborhood quality was operationalized with an independently-validated 19-indicator child opportunity index (COI), linked to MTO family addresses over 4-7 years. We examined if being randomized to receive a housing subsidy (versus remaining in public housing) predicted neighborhood quality across time. Using IV analysis, we tested if experimentally induced differences in COI across time predicted psychological distress (N=2829; Mean(standard deviation (SD)) = -.04(1.12)). The MTO voucher treatment improved neighborhood quality for children compared to in-place controls. A one-SD change in COI since baseline predicted 0.32 point lower psychological distress for girls (B(95%CI)= -0.32 (-0.61, -0.03)). Results were comparable but less precisely estimated when operationalizing neighborhood quality as simply average post-random assignment COI, (B(95%CI)= -0.36(-0.74, 0.02). Effect estimates based on a COI excluding poverty and on the most recent COI measure were slightly larger than other operationalizations of neighborhood quality. Improving a multidimensional measure of neighborhood quality led to reductions in low-income girls’ psychological distress, and this was estimated with high internal validity using IV methods.