Housing and inequalities in health: a study of socioeconomic dimensions of housing and self reported health from a survey of Vancouver residents

Dunn, James R.

doi:10.1136/jech.56.9.671

Cited by 189 publications

(193 citation statements)

References 14 publications

Supporting

Mentioning

177

Contrasting

Unclassified

Order By: Relevance

“…30,[46][47][48] This study extends that body of literature by documenting the relevance of housing circumstances to the food security of lowincome urban families. Our finding that housing and food problems coexist among poor families is perhaps not surprising; nonetheless, this study provides empirical evidence of the need for a reconsideration of current definitions of affordable housing and a review of interventions based on such definitions to ensure that they enable families to maintain adequate housing and meet their other basic needs.…”

Section: Discussionmentioning

confidence: 93%

Housing Circumstances are Associated with Household Food Access among Low-Income Urban Families

2011

View full text Add to dashboard Cite

Household food insecurity is a pervasive problem in North America with serious health consequences. While affordable housing has been cited as a potential policy approach to improve food insecurity, the relationship between conventional notions of housing affordability and household food security is not well understood. Furthermore, the influence of housing subsidies, a key policy intervention aimed at improving housing affordability in Western countries, on food insecurity is unclear. We undertook a cross-sectional survey of 473 families in market rental (n=222) and subsidized (n=251) housing in high-poverty urban neighborhoods to examine the influence of housing circumstances on household food security. Food insecurity, evident among two thirds of families, was inversely associated with income and after-shelter income. Food insecurity prevalence did not differ between families in market and subsidized housing, but families in subsidized housing had lower odds of food insecurity than those on a waiting list for such housing. Market families with housing costs that consumed more than 30% of their income had increased odds of food insecurity. Rent arrears were also positively associated with food insecurity. Compromises in housing quality were evident, perhaps reflecting the impact of financial constraints on multiple basic needs as well as conscious efforts to contain housing costs to free up resources for food and other needs. Our findings raise questions about current housing affordability norms and highlight the need for a review of housing interventions to ensure that they enable families to maintain adequate housing and obtain their other basic needs.

show abstract

Section: Discussionmentioning

confidence: 93%

Housing Circumstances are Associated with Household Food Access among Low-Income Urban Families

2011

View full text Add to dashboard Cite

show abstract

“…Dupuis & Thorns (1998), Després (1991), Shaw (2004), Dunn (2002), and others describe material and meaningful (psychological) aspects of housing that go well beyond financial problems (Després, 1991;Dunn, 2002;Dupuis & Thorns, 1998;Shaw, 2004). Shaw's conceptualization of instability includes material measures, such as those typically measured in studies of housing and IPV-condition of the housing, risk of homelessness, affordability-but also the proximity of the home to resources or services (e.g., grocery markets, schools, health care), and features of the natural and built environment.…”

Section: Background and Rationalementioning

confidence: 99%

Conceptualizing Housing Instability: Experiences with Material and Psychological Instability Among Women Living with Partner Violence

et al. 2015

View full text Add to dashboard Cite

Although recent research has documented that partner violence places women at risk of homelessness and material housing instability, sparse evidence yet documents the existence or importance of psychological housing instability for this group. We draw from 45 women's reports of their experiences of housing instability across three periods: while living with their abusive partner, immediately after leaving the partner, and long after leaving. Housing instability-material and especially psychological-was a major concern for women across all periods, along with co-occurring social, familial, financial, mental health, and violence related problems. In the absence of coordinated services models, access to and navigation of available services to address these simultaneous problems posed important challenges for these women. The concept of housing instability should be expanded to include psychological instability, and, for women who are experiencing abuse, should be considered alongside numerous social and health problems that exacerbate housing precarity.

show abstract

“…While the impact of KT on clinical decision-making has been mixed 12 the complex policy implications of urban health research defy the reduction of evidence use to implementation. For example, a comprehensive policy response to research showing correlations between housing affordability and health status in a given jurisdiction 13 could necessitate coordination across multiple departments, agencies and levels of government and would likely take place over a number of years. 14 A problem-solving or solutionimplementation model, based on clinical decision making for an individual patient, is an obviously inadequate analogy for such wide-sweeping, long-term policy change.…”

Section: Policy Making For Urban Health Equity Is Much More Than Implmentioning

confidence: 99%

“…For example, which unique sector, or level of government, for example, would be the ideal participant and target audience for research related to social housing and health? 13 Should researchers emphasize linkages and exchanges with state or provincial representatives in the health care sector (who have limited responsibility for housing); with municipal representatives responsible for administering (but unable to expand investments in) social housing; or with legislators in national government who are promoting (perhaps at the behest of advocacy groups) a national housing strategy? Surely a better answer than to target just one key audience for this research would be to forge connections and collaborations with all these decision-makers, and especially with other important stakeholders as well.…”

Section: Kt For Policy: Many Decisions By Many Actorsmentioning

confidence: 99%

Taking Power, Politics, and Policy Problems Seriously

Murphy

Fafard

2012

J Urban Health

View full text Add to dashboard Cite

Knowledge Translation (KT) is a growing movement in clinical and health services research, aimed to help make research more relevant and to move research into practice and policy. This paper examines the conventional model of policy change presented in KT and assesses its applicability for increasing the impact of urban health research on urban health policy. In general, KT conceptualizes research utilization in terms of the technical implementation of scientific findings, on the part of individual decision-makers who can be "targeted" for a KT intervention, in a context that is absent of political interests. However, complex urban health problems and interventions infrequently resemble this single decision, single decision-maker model posited by KT. In order to clarify the conditions under which urban health research is more likely or not to have an influence on public policy development, we propose to supplement the conventional model with three concepts drawn from the social science: policy stages, policy networks, and a discourse analysis approach for theorizing power in policy-making.

show abstract

Housing and inequalities in health: a study of socioeconomic dimensions of housing and self reported health from a survey of Vancouver residents

Cited by 189 publications

References 14 publications

Housing Circumstances are Associated with Household Food Access among Low-Income Urban Families

Housing Circumstances are Associated with Household Food Access among Low-Income Urban Families

Conceptualizing Housing Instability: Experiences with Material and Psychological Instability Among Women Living with Partner Violence

Taking Power, Politics, and Policy Problems Seriously

Contact Info

Product

Resources

About