Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol

Introduction Social housing programmes have been shown to influence health, but their effects on cardiovascular mortality and incidence of infectious diseases, such as leprosy and tuberculosis, are unknown. We will use individual administrative data to evaluate the effect of the Brazilian housing pr...

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Main Authors: Mauricio L Barreto, Alastair H Leyland, Liam Smeeth, Srinivasa Vittal Katikireddi, Peter Craig, Julia Pescarini, Andrêa J F Ferreira, Mauro Sanchez, Renzo Joel Flores-Ortiz, Camila Silveira Teixeira, Rosemeire Fiaccone, Maria Yury Ichihara, Rodrigo Oliveira, Estela M L Aquino, Sanni Ali, Rita de Cássia Ribeiro
Format: Article
Language:English
Published: BMJ Publishing Group 2021-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/3/e041722.full
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author Mauricio L Barreto
Alastair H Leyland
Liam Smeeth
Srinivasa Vittal Katikireddi
Peter Craig
Julia Pescarini
Andrêa J F Ferreira
Mauro Sanchez
Renzo Joel Flores-Ortiz
Camila Silveira Teixeira
Rosemeire Fiaccone
Maria Yury Ichihara
Rodrigo Oliveira
Estela M L Aquino
Sanni Ali
Rita de Cássia Ribeiro
author_facet Mauricio L Barreto
Alastair H Leyland
Liam Smeeth
Srinivasa Vittal Katikireddi
Peter Craig
Julia Pescarini
Andrêa J F Ferreira
Mauro Sanchez
Renzo Joel Flores-Ortiz
Camila Silveira Teixeira
Rosemeire Fiaccone
Maria Yury Ichihara
Rodrigo Oliveira
Estela M L Aquino
Sanni Ali
Rita de Cássia Ribeiro
author_sort Mauricio L Barreto
collection DOAJ
description Introduction Social housing programmes have been shown to influence health, but their effects on cardiovascular mortality and incidence of infectious diseases, such as leprosy and tuberculosis, are unknown. We will use individual administrative data to evaluate the effect of the Brazilian housing programme Minha Casa Minha Vida (MCMV) on cardiovascular disease (CVD) mortality and incidence of leprosy and tuberculosis.Methods and analysis We will link the baseline of the 100 Million Brazilian Cohort (2001–2015), which includes information on socioeconomic and demographic variables, to the MCMV (2009–2015), CVD mortality (2007–2015), leprosy (2007–2015) and tuberculosis (2007–2015) registries. We will define our exposed population as individuals who signed the contract to receive a house from MCMV, and our non-exposed group will be comparable individuals within the cohort who have not signed a contract for a house at that time. We will estimate the effect of MCMV on health outcomes using different propensity score approaches to control for observed confounders. Follow-up time of individuals will begin at the date of exposure ascertainment and will end at the time a specific outcome occurs, date of death or end of follow-up (31 December 2015). In addition, we will conduct stratified analyses by the follow-up time, age group, race/ethnicity, gender and socioeconomic position.Ethics and dissemination The study was approved by the ethic committees from Instituto Gonçalo Muniz-Oswaldo Cruz Foundation and University of Glasgow Medical, Veterinary and Life Sciences College. Data analysis will be carried out using an anonymised dataset, accessed by researchers in a secure computational environment according to the Centre for Integration of Data and Health Knowledge procedures. Study findings will be published in high quality peer-reviewed research journals and will also be disseminated to policy makers through stakeholder events and policy briefs.
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spelling doaj-art-f4f01793141c446f9d2625438a3e9cfa2024-11-17T17:45:12ZengBMJ Publishing GroupBMJ Open2044-60552021-03-0111310.1136/bmjopen-2020-041722Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocolMauricio L Barreto0Alastair H Leyland1Liam Smeeth2Srinivasa Vittal Katikireddi3Peter Craig4Julia Pescarini5Andrêa J F Ferreira6Mauro Sanchez7Renzo Joel Flores-Ortiz8Camila Silveira Teixeira9Rosemeire Fiaccone10Maria Yury Ichihara11Rodrigo Oliveira12Estela M L Aquino13Sanni Ali14Rita de Cássia Ribeiro158 Federal University of Bahia, Salvador, BrazilMRC/CSO Social and Public Health Sciences Unit, Glasgow, UKprofessor of clinical epidemiology and general practitionerCentre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Swedenprofessor of public health evaluation3 London School of Hygiene & Tropical Medicine, London, UK2 Centro de Integração de Dados e Conhecimentos Para Saúde (Cidacs), Fiocruz Bahia, Salvador, Brazil4 Public Health, Universidade de Brasília, Brasilia, Brazil5 Center for Integration of Data and Health Knowledge (Cidacs), Fiocruz Bahia, Salvador, Brazil1 Public Health Institute, Federal University of Bahia, Salvador, Brazil6 Mathematics and Statistics, Universidade Federal da Bahia, Salvador, Brazil1 Public Health Institute, Federal University of Bahia, Salvador, Brazil7 Economy, Federal University of Bahia, Salvador, Brazil1 Public Health Institute, Federal University of Bahia, Salvador, Brazil10 Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK1 Public Health Institute, Federal University of Bahia, Salvador, BrazilIntroduction Social housing programmes have been shown to influence health, but their effects on cardiovascular mortality and incidence of infectious diseases, such as leprosy and tuberculosis, are unknown. We will use individual administrative data to evaluate the effect of the Brazilian housing programme Minha Casa Minha Vida (MCMV) on cardiovascular disease (CVD) mortality and incidence of leprosy and tuberculosis.Methods and analysis We will link the baseline of the 100 Million Brazilian Cohort (2001–2015), which includes information on socioeconomic and demographic variables, to the MCMV (2009–2015), CVD mortality (2007–2015), leprosy (2007–2015) and tuberculosis (2007–2015) registries. We will define our exposed population as individuals who signed the contract to receive a house from MCMV, and our non-exposed group will be comparable individuals within the cohort who have not signed a contract for a house at that time. We will estimate the effect of MCMV on health outcomes using different propensity score approaches to control for observed confounders. Follow-up time of individuals will begin at the date of exposure ascertainment and will end at the time a specific outcome occurs, date of death or end of follow-up (31 December 2015). In addition, we will conduct stratified analyses by the follow-up time, age group, race/ethnicity, gender and socioeconomic position.Ethics and dissemination The study was approved by the ethic committees from Instituto Gonçalo Muniz-Oswaldo Cruz Foundation and University of Glasgow Medical, Veterinary and Life Sciences College. Data analysis will be carried out using an anonymised dataset, accessed by researchers in a secure computational environment according to the Centre for Integration of Data and Health Knowledge procedures. Study findings will be published in high quality peer-reviewed research journals and will also be disseminated to policy makers through stakeholder events and policy briefs.https://bmjopen.bmj.com/content/11/3/e041722.full
spellingShingle Mauricio L Barreto
Alastair H Leyland
Liam Smeeth
Srinivasa Vittal Katikireddi
Peter Craig
Julia Pescarini
Andrêa J F Ferreira
Mauro Sanchez
Renzo Joel Flores-Ortiz
Camila Silveira Teixeira
Rosemeire Fiaccone
Maria Yury Ichihara
Rodrigo Oliveira
Estela M L Aquino
Sanni Ali
Rita de Cássia Ribeiro
Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
BMJ Open
title Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
title_full Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
title_fullStr Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
title_full_unstemmed Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
title_short Evaluating the health effect of a Social Housing programme, Minha Casa Minha Vida, using the 100 million Brazilian Cohort: a natural experiment study protocol
title_sort evaluating the health effect of a social housing programme minha casa minha vida using the 100 million brazilian cohort a natural experiment study protocol
url https://bmjopen.bmj.com/content/11/3/e041722.full
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