Housing Policies and Health Inequalities

Marí-Dell’Olmo, Marc; Novoa, Ana M.; Camprubí, Lluís; Peralta, Andrés; Vásquez-Vera, Hugo; Bosch, Jordi Cicres i; Amat, Jordi; Díaz, Fernando; Palència, Laia; Mehdipanah, Roshanak; Rodríguez-Sanz, Maica; Malmusi, Davide; Borrell, Carme

doi:10.1177/0020731416684292

Cited by 55 publications

(37 citation statements)

References 53 publications

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“…However, there is some evidence that cohousing provides residential security as residents value living in a home at an affordable price for a long period of time [ 16 , 38 , 52 ]. Housing affordability is recognised as a material pathway to health, and there is substantial evidence linking housing affordability problems with a range of adverse health effects [ 3 , 4 ] and health inequalities [ 64 ]. Potentially, cohousing has been considered a housing model that could help to decrease the commoditisation of housing, since it conceives housing as a social good that prioritises its use value over its exchange value.…”

Section: Discussionmentioning

confidence: 99%

The effects of cohousing model on people’s health and wellbeing: a scoping review

et al. 2020

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Background Housing is a social determinant of health. Extensive research has highlighted its adverse effects on health. However, less is known about the effects of cohousing typology on health, which has the potential to create lively social networks and healthy communities and environments. We report the findings of a scoping study designed to gather and synthesise all known evidence on the relationship between cohousing and wellbeing and health. Method Using the scoping review method, we conducted a literature review in PubMed, ProQuest, Scopus, Web of Science, Science Direct and JSTOR in May 2019 and selected articles published from 1960 onwards, with no geographical limit and no design restrictions. Retrieved articles underwent three sequential screening phases. The results were described through a narrative synthesis of the evidence. Results Of the 2560 articles identified, we selected 25 full-text articles analysing 77 experiences. All of them were conducted in high-income countries. Ten studies analysed the impact of cohousing on physical and mental health or quality of life and wellbeing. Eight of the 10 studies found a positive association. In addition, 22 studies analysed one or more psychosocial determinants of health (such as social support, sense of community and physical, emotional and economic security) and most found a positive association. Through these determinants, quality of life, wellbeing and health could be improved. However, the quality of the evidence was low. Discussion The cohousing model could enhance health and wellbeing mediated by psychosocial determinants of health. However, extreme caution should be exercised in drawing any conclusions due to the dearth of data identified and the designs used in the included studies, with most being cross-sectional or qualitative studies, which precluded causal-based interpretations. Because housing is a major social determinant of health, more evidence is needed on the impact of this model on health through both psychosocial and material pathways.

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Section: Discussionmentioning

confidence: 99%

The effects of cohousing model on people’s health and wellbeing: a scoping review

et al. 2020

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“…Nonetheless, the effects of these events persist, and with every new wave of economic adversity, declining housing values threaten to perpetuate these inequities [ 4 ]. Therefore, in order to promote equity in homeownership and health, policies and interventions should implement strategies to recover and preserve housing values in neighborhoods most vulnerable to economic decline [ 4 , 46 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

“…This relation also plays a role in the selection of indicators used to study inequities in homeownership and health. For example, in Spain, studies have focused on social class as the inequity dimension shaped by the economic and political context that has influenced associations between homeownership and health [ 46 ]. The historical and political contexts of the DMA, described below, are relevant to this study of race-based inequities shaping the homeownership and health relationship [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Context, Homeownership and Home Value: An Ecological Analysis of Implications for Health

Mehdipanah

Schulz

Israel

et al. 2017

IJERPH

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While homeownership has been linked to positive health outcomes there is limited evidence regarding the conditions under which it may be health protective. We present a conceptual model linking homeownership to health, highlighting key potential pathways. Using the Detroit Metropolitan Area as a case study, and data from the American Community Survey (2009–2013; 5-years estimates) and Michigan Department of Community Health, we tested the following questions: (1) Is neighborhood percentage non-Hispanic Black (NHB) associated with homeownership? (2) Is neighborhood percentage NHB associated with health? (3) Is the association between percentage NHB and health mediated by homeownership? (4) Does neighborhood housing value modify associations between percentage NHB and health, or between homeownership and health? Percentage NHB was associated with homeownership and health outcomes; Associations between percentage NHB and mortality, but not disability, were partially mediated by neighborhood homeownership. Neighborhood housing value modified associations between neighborhood homeownership and both disability and mortality, but not between percentage NHB and health outcomes. Findings are consistent with the thesis that health-promoting effects of homeownership may be contingent upon house values. These results add to a limited body of evidence suggesting that variations in homeownership may contribute to persistent racial and socioeconomic health inequities.

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“…Moreover, housing is interconnected with the surrounding built and social environment (basic services, amenities, community). Housing deprivation and the lack of an adequate urban environment have diverse and substantial health consequences 16,17 .…”

Section: Definition Of Deprivation Its Dimensions In the Ecuadorian mentioning

confidence: 99%

Developing a deprivation index to study geographical health inequalities in Ecuador

et al. 2019

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OBJECTIVES: To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas. METHODS: We performed principal component analyses of available indicators of the 221 cantons of Ecuador. A set of 41 sociodemographic, social capital, and subjective well-being variables were obtained from the 2010 National Population Census and the National Living Conditions Survey 2013–2014. To explore the application of the index in public health, the association between the index and standardised mortality ratios was estimated through a Poisson regression model. RESULTS: The final index was constructed with 17 indicators. The first component explained 51.8% of the total variance of the data. A geographic pattern and a positive association of the index with the standardised mortality ratios of the cantons were observed in both men and women. CONCLUSIONS: We constructed a deprivation index that can identify disadvantaged areas in Ecuador. This index could be a valuable tool for the detection of vulnerabilised populations and the development of interventions and policies adapted to local needs.

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Housing Policies and Health Inequalities

Cited by 55 publications

References 53 publications

The effects of cohousing model on people’s health and wellbeing: a scoping review

The effects of cohousing model on people’s health and wellbeing: a scoping review

Neighborhood Context, Homeownership and Home Value: An Ecological Analysis of Implications for Health

Developing a deprivation index to study geographical health inequalities in Ecuador

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