title: Priorities of low-income urban residents for interventions to address the socio-economic determinants of health.
abstract: OBJECTIVE
  To determine the priorities of low-income urban residents for interventions that address the socio-economic determinants of health.
  
  
  METHODS
  We selected and estimated the cost of 16 interventions related to education, housing, nutrition, employment, health care, healthy behavior, neighborhood improvement, and transportation. Low-income residents of Washington, D.C. (N=431) participated in decision exercises to prioritize these interventions.
  
  
  RESULTS
  Given a budget valued at approximately twice an estimated cost of medical and dental care ($885), the interventions ultimately prioritized by the greatest percentage of individuals were: health insurance (95%), housing vouchers (82%) dental care (82%), job training (72%), adult education (63%), counseling (68%), healthy behavior incentives (68%), and job placement (67%). The percentages of respondents who received support for housing, adult education, and job training and placement were far less than the percentage who prioritized these interventions.
  
  
  CONCLUSIONS
  Poor and low-income residents' priorities may usefully inform allocation of social services that affect health.
authors.affiliation: Bioethics Consultation Service, Dept. of Bioethics; Clinical Center, National Institutes of Health, Bldg. 10, Rm. 1C118, Bethesda, MD 20892-1156, USA. mdanis@nih.gov
authors.forename: Marion
authors.initials: M
authors.lastname: Danis
authors.forename: Namrata
authors.initials: N
authors.lastname: Kotwani
authors.forename: Joanne
authors.initials: J
authors.lastname: Garrett
authors.forename: Ivonne
authors.initials: I
authors.lastname: Rivera
authors.forename: John
authors.initials: J
authors.lastname: Davies-Cole
authors.forename: Pamela
authors.initials: P
authors.lastname: Carter-Nolan
mesh_terms: D000328:Adult; D003256:Community Participation; D004219:District of Columbia; D005260:Female; D015276:Health Care Rationing / Q000379:methods*; D006292:Health Priorities / Q000706:statistics & numerical data*; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012947:Social Work; D012959:Socioeconomic Factors; D014504:Urban Health; D014505:Urban Population / Q000706:statistics & numerical data