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Lazo Green K, Tan MMC, Johnson EE, Ahmed N, Eastaugh C, Beyer F, Craig D, Spiers GF, Hanratty B. Interventions for cold homes: a rapid review of the health impacts. Eur J Public Health 2024; 34:682-695. [PMID: 38587096 PMCID: PMC11293810 DOI: 10.1093/eurpub/ckae058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2024] Open
Abstract
BACKGROUND Cold homes are associated with an increased risk of adverse health outcomes for older people. To mitigate this risk, homes need to be heated to an appropriate temperature. This review aims to identify interventions designed to improve heating and temperatures within homes and summarize its impact on health, health service utilization and cost effectiveness. METHODS A rapid review was conducted. Studies assessing the effects of structural, financial, or behavioural interventions designed to improve home temperatures of residents aged 18+ years were eligible. Searches were carried out in four databases. A search for grey literature, and backward and forward citation searching were performed. Data were summarized in a narrative synthesis and mapped using EPPI-Reviewer and EPPI-Mapper software. RESULTS Eighteen studies reported across 19 publications were included. Structural interventions were associated with better mental health and quality of life, a reduction in health service utilization, and improvements in satisfaction with internal home temperature, social interactions and financial difficulties. The impact on physical health outcomes varied by age, gender and long-term conditions. Evidence about the impact of behavioural interventions was inconsistent. CONCLUSION Structural improvements to increase home temperatures may offer the potential to improve some aspects of health. However, the impact on physical health, including which groups are most likely to benefit, is unclear. Key gaps include the lack of evidence about the impact of financial interventions, and the impact of all types of interventions, on quality of life, mortality and costs.
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Affiliation(s)
- Kimberly Lazo Green
- Older People and Frailty Policy Research Unit, National Institute for Health and Care Research, The University of Manchester, Manchester, UK
- Healthy Ageing Research Group, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, UK
| | - Michelle M C Tan
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
| | - Eugenie Evelynne Johnson
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
- Evidence Synthesis Group/Innovation Observatory, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Nisar Ahmed
- Older People and Frailty Policy Research Unit, National Institute for Health and Care Research, The University of Manchester, Manchester, UK
- Healthy Ageing Research Group, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, UK
| | - Claire Eastaugh
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
- Evidence Synthesis Group/Innovation Observatory, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Fiona Beyer
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
- Evidence Synthesis Group/Innovation Observatory, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Dawn Craig
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
- Evidence Synthesis Group/Innovation Observatory, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Gemma F Spiers
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
- Evidence Synthesis Group/Innovation Observatory, Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Barbara Hanratty
- National Institute for Health and Care Research Older People and Frailty Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK
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Deeming S, Lawrence K, Standen JC. The economic evaluation of a housing maintenance project to improve the health of Aboriginal housing tenants in NSW: A scoping literature review and protocol for an economic analysis. Heliyon 2024; 10:e34282. [PMID: 39082020 PMCID: PMC11284360 DOI: 10.1016/j.heliyon.2024.e34282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 11/19/2023] [Accepted: 07/07/2024] [Indexed: 08/02/2024] Open
Abstract
Considerable evidence exists regarding the role housing plays in the determination of health and well-being outcomes. Despite the scale of health concerns arising from housing considerations, there are very few economic analyses of housing programs that seek to improve health outcomes by addressing the physical infrastructure of the living environment. The NSW Housing for Health (HfH) program is an environmental health initiative funded and administered by NSW Health, that addresses health-related hardware in residential accommodation to ensure the home environment supports healthy living practices to ultimately improve health outcomes for residents. This study reviews the economic methods that have been applied to comparable programs and identifies relevant costs and benefits that should be addressed. Founded on the requirement from decision makers, and the insights from the review, the paper outlines a protocol for a cost-benefit analysis that accounts for the disparate health, social, economic and intangible benefits generated from the HfH program and the resources utilised to realise these outcomes.
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Affiliation(s)
- Simon Deeming
- Hunter Medical Research Institute, Lot 1, Kookaburra Crescent, New Lambton Heights, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Kerryn Lawrence
- Health Protection NSW, Locked Mail Bag 2030, St Leonards, NSW, 1590, Australia
| | - Jeffrey C. Standen
- Health Protection NSW, Locked Mail Bag 2030, St Leonards, NSW, 1590, Australia
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia
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Koops-Van Hoffen HE, Lenthe van FJ, Poelman MP, Droomers M, Borlée F, Vendrig-De Punder YMR, Jambroes M, Kamphuis CBM. Understanding the mechanisms linking holistic housing renovations to health and well-being of adults in disadvantaged neighbourhoods: A realist review. Health Place 2023; 80:102995. [PMID: 36930992 DOI: 10.1016/j.healthplace.2023.102995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 11/30/2022] [Accepted: 02/17/2023] [Indexed: 03/17/2023]
Abstract
Holistic housing renovations combine physical housing improvements with social and socioeconomic interventions (e.g. referral to social services, debt counselling, involvement in decision-making, promoting social cohesion). This realist review aimed at understanding underlying mechanisms linking holistic housing renovations to health and well-being of adults in disadvantaged neighbourhoods. Following systematic and iterative searching, and relevance and quality appraisals, 18 scientific articles and reports were analysed. We identified three pathways via which physical housing improvements affect health, four pathways via which social and socioeconomic interventions affect health, and two pathways via which both reinforce each other in their health effects. Our findings are theoretically novel, relevant for those conducting holistic housing renovations, and point towards gaps in the literature.
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Affiliation(s)
- H E Koops-Van Hoffen
- Department of Human Geography and Spatial Planning, Utrecht University, P.O. 80115, 3508 TC, Utrecht, the Netherlands.
| | - F J Lenthe van
- Department of Human Geography and Spatial Planning, Utrecht University, P.O. 80115, 3508 TC, Utrecht, the Netherlands; Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, P.O. 2040, 3000 CA, Rotterdam, the Netherlands
| | - M P Poelman
- Chair Group Consumption and Healthy Lifestyles, Wageningen University & Research, P.O. 8130 (route 59), 6700 EW, Wageningen, the Netherlands
| | - M Droomers
- Department of Public Health, Municipality of Utrecht, P.O. 16200, 3500 CE, Utrecht, the Netherlands
| | - F Borlée
- Department of Public Health, Municipality of Utrecht, P.O. 16200, 3500 CE, Utrecht, the Netherlands
| | - Y M R Vendrig-De Punder
- Department of Public Health, Julius Center, University Medical Center, Huispostnummer 6.131 | P.O. 85500, 3508 GA, Utrecht, the Netherlands
| | - M Jambroes
- Department of Public Health, Julius Center, University Medical Center, Huispostnummer 6.131 | P.O. 85500, 3508 GA, Utrecht, the Netherlands
| | - C B M Kamphuis
- Department of Interdisciplinary Social Science, Utrecht University, P.O. 80140, 3584 CH, Utrecht, the Netherlands
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Lawler C, Sherriff G, Brown P, Butler D, Gibbons A, Martin P, Probin M. Homes and health in the Outer Hebrides: A social prescribing framework for addressing fuel poverty and the social determinants of health. Health Place 2023; 79:102926. [PMID: 36442316 DOI: 10.1016/j.healthplace.2022.102926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 08/18/2022] [Accepted: 10/03/2022] [Indexed: 11/27/2022]
Abstract
Health services are increasingly being reshaped with reference to addressing social determinants of health (SDoH), with social prescribing a prominent example. We examine a project in the Outer Hebrides that reshaped and widened the local health service, framing fuel poverty as a social determinant of health and mobilising a cross-sector support pathway to make meaningful and substantive improvements to islanders' living conditions. The 'Moving Together' project provided support to almost 200 households, ranging from giving advice on home energy, finances and other services, to improving the energy efficiency of their homes. In so doing, the project represents an expansion of the remit of social prescribing, in comparison with the majority of services currently provided under this banner, and can be seen as a more systemic approach that engages with the underlying conditions of a population's health. We present a framework through which to understand and shape initiatives to address fuel poverty through a social prescribing approach.
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Affiliation(s)
- Cormac Lawler
- Salford Social Prescribing Hub, School of Health & Society, University of Salford, Salford, M6 6PU, UK.
| | - Graeme Sherriff
- Sustainable Housing & Urban Studies Unit (SHUSU), School of Health & Society, University of Salford, Salford, M6 6PU, UK.
| | - Philip Brown
- School of Human and Health Sciences, University of Huddersfield, HD1 3DH, UK.
| | - Danielle Butler
- National Energy Action, West One, Forth Banks, Newcastle upon Tyne, NE1 3PA, UK.
| | - Andrea Gibbons
- Sustainable Housing & Urban Studies Unit (SHUSU), School of Health & Society, University of Salford, Salford, M6 6PU, UK.
| | - Philip Martin
- Sustainable Housing & Urban Studies Unit (SHUSU), School of Health & Society, University of Salford, Salford, M6 6PU, UK.
| | - Margaret Probin
- Sustainable Housing & Urban Studies Unit (SHUSU), School of Health & Society, University of Salford, Salford, M6 6PU, UK.
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Home-built environment interventions and inflammation biomarkers: a systematic review and meta-analysis protocol. BJGP Open 2022; 6:BJGPO.2022.0104. [PMID: 36137647 PMCID: PMC9904785 DOI: 10.3399/bjgpo.2022.0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/15/2022] [Accepted: 09/20/2022] [Indexed: 10/31/2022] Open
Abstract
BACKGROUND Inflammation control is a fundamental part of chronic care in patients with a history of cancer and comorbidity. As the risk-benefit profile of anti-inflammatory drugs is unclear in survivors of cancer, GPs and patients could benefit from alternative non-pharmacological treatment options for dysregulated inflammation. There is a potential for home-built environment (H-BE) interventions to modulate inflammation; however, discrepancies exist between studies. AIM To evaluate the effectiveness of H-BE interventions on cancer-associated inflammation biomarkers. DESIGN & SETTING A systematic review and meta-analysis of randomised and non-randomised trials in community-dwelling adults. METHOD PubMed and MEDLINE, Embase, Web of Science, and Google Scholar will be searched for clinical trials published in January 2000 onwards. The study will include H-BE interventions modifying air quality, thermal comfort, non-ionising radiation, noise, nature, and water. No restrictions to study population will be applied to allow deriving expectations for effects of the interventions in cancer survivors from available source populations. Outcome measures will be inflammatory biomarkers clinically and physiologically relevant to cancer. The first reviewer will independently screen articles together with GPs and extract data that will be verified by a second reviewer. The quality of studies will be assessed using the Cochrane risk-of-bias tools. Depending on the clinical and methodological homogeneity of populations, interventions, and outcomes, a meta-analysis will be conducted using random-effects models. CONCLUSION Findings will determine the effectiveness of H-BE interventions on inflammatory parameters, guide future directions for its provision in community-dwelling survivors of cancer and support GPs with safer anti-inflammatory treatment options in high-risk patients for clinical complications.
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Tang J, Chen N, Liang H, Gao X. The Effect of Built Environment on Physical Health and Mental Health of Adults: A Nationwide Cross-Sectional Study in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116492. [PMID: 35682074 PMCID: PMC9180406 DOI: 10.3390/ijerph19116492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Revised: 05/20/2022] [Accepted: 05/25/2022] [Indexed: 11/16/2022]
Abstract
At present, there is a lack of research examining the relationships between the built environment and health status from a social epidemiological perspective. With this in mind, the present study aimed to explore the construct validity of housing/neighborhood conditions and evaluate the associations between the built environment and self-rated health among Chinese residents. To conduct the analysis, data from 4906 participants were derived from the 2016 China Labor-force Dynamics Survey (CLDS). Specifically, we used exploratory factor analysis to identify construct of housing/neighborhood factors and performed principal component regression (PCR) to assess the relationship between the built environment and both self-rated physical health and mental health. This process identified five common factors that corresponded to the built environment, including housing affordability, housing quality, neighborhood services, neighborhood physical environment, and perceived environment. The regression results suggested that housing affordability was negatively related to health status. Meanwhile, the services, physical environment, and perceived environment of neighborhoods were related to positive health outcomes. The influence of housing on health exhibits group heterogeneity: respondents in the 41 to 65 age group were most vulnerable to poor built environments. Whilst the results indicated that housing factors and neighborhood conditions were related to health outcomes, their influence varied across different age groups. Future interventions should be intentionally designed to target housing affordability and neighborhood factors, which may include the provision of housing assistance programs and planning layouts.
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Affiliation(s)
- Jie Tang
- School of Public Administration and Policy, Renmin University of China, Beijing 100872, China; (J.T.); (N.C.)
| | - Nanqian Chen
- School of Public Administration and Policy, Renmin University of China, Beijing 100872, China; (J.T.); (N.C.)
| | - Hailun Liang
- School of Public Administration and Policy, Renmin University of China, Beijing 100872, China; (J.T.); (N.C.)
- Correspondence: (H.L.); (X.G.)
| | - Xu Gao
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing 100871, China
- Correspondence: (H.L.); (X.G.)
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An Assessment of the Key Performance Indicators (KPIs) of Energy Efficient Retrofits to Existing Residential Buildings. ENERGIES 2022. [DOI: 10.3390/en15010334] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Quantifying the wider benefits of energy efficient building retrofits is crucial to incentivise householder retrofit investments. This research recognises the value of key performance indicators (KPIs) for assessing and demonstrating retrofitting benefits and provides an assessment of KPIs for evaluating retrofits. An integrated framework for evaluating retrofits using a set of economic, social, and environmental KPIs is proposed. This KPI framework is then applied in a pre- and post-retrofit assessment of five case study dwellings located in Ireland, revealing its usefulness in demonstrating the wider benefits of retrofitting to householders, with a view to driving retrofit investment. Three of these case study dwellings had state-of-the-art retrofit technologies installed as part of the works, including heat pumps and solar PV systems. In addition to demonstrating the wider benefits of retrofitting, the framework allowed for the identification of potential causes for differences in performance of these technologies across households, as well as patterns of underperformance. Such insights are useful for the future design of these technologies and retrofit packages, as well as policy measures, which support householders in the adoption and use of these measures. The results demonstrate that householders experience various benefits from retrofitting. Showcasing the different benefits that householders receive from retrofitting, and their satisfaction with the retrofit works, can serve to de-risk retrofit investments, and inspire others to seek similar benefits through retrofitting. Applying the developed framework to a larger, comparable sample size, can distinguish the retrofit packages, which perform best across the KPIs and various household profiles. Furthermore, the application of the developed framework can serve as an evidence base for retrofit designers, contractors, and policy makers in the design of retrofit packages and policy measures that will maximise the benefit for householders.
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Hernandez-Garcia E, Chrysikou E, Kalea AZ. The Interplay between Housing Environmental Attributes and Design Exposures and Psychoneuroimmunology Profile-An Exploratory Review and Analysis Paper in the Cancer Survivors' Mental Health Morbidity Context. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10891. [PMID: 34682637 PMCID: PMC8536084 DOI: 10.3390/ijerph182010891] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 10/08/2021] [Accepted: 10/14/2021] [Indexed: 12/11/2022]
Abstract
Adult cancer survivors have an increased prevalence of mental health comorbidities and other adverse late-effects interdependent with mental illness outcomes compared with the general population. Coronavirus Disease 2019 (COVID-19) heralds an era of renewed call for actions to identify sustainable modalities to facilitate the constructs of cancer survivorship care and health care delivery through physiological supportive domestic spaces. Building on the concept of therapeutic architecture, psychoneuroimmunology (PNI) indicators-with the central role in low-grade systemic inflammation-are associated with major psychiatric disorders and late effects of post-cancer treatment. Immune disturbances might mediate the effects of environmental determinants on behaviour and mental disorders. Whilst attention is paid to the non-objective measurements for examining the home environmental domains and mental health outcomes, little is gathered about the multidimensional effects on physiological responses. This exploratory review presents a first analysis of how addressing the PNI outcomes serves as a catalyst for therapeutic housing research. We argue the crucial component of housing in supporting the sustainable primary care and public health-based cancer survivorship care model, particularly in the psychopathology context. Ultimately, we illustrate a series of interventions aiming at how housing environmental attributes can trigger PNI profile changes and discuss the potential implications in the non-pharmacological treatment of cancer survivors and patients with mental morbidities.
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Affiliation(s)
- Eva Hernandez-Garcia
- The Bartlett Real Estate Institute, The Bartlett School of Sustainable Construction, University College London, London WC1E 6BT, UK;
| | - Evangelia Chrysikou
- The Bartlett Real Estate Institute, The Bartlett School of Sustainable Construction, University College London, London WC1E 6BT, UK;
- Clinic of Social and Family Medicine, Department of Social Medicine, University of Crete, 700 13 Heraklion, Greece
| | - Anastasia Z. Kalea
- Division of Medicine, University College London, London WC1E 6JF, UK;
- Institute of Cardiovascular Science, University College London, London WC1E 6HX, UK
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Ferreira AJF, Pescarini J, Sanchez M, Flores-Ortiz RJ, Teixeira CS, Fiaccone R, Ichihara MY, Oliveira R, Aquino EML, Smeeth L, Craig P, Ali S, Leyland AH, Barreto ML, Ribeiro RDC, Katikireddi SV. 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 2021; 11:e041722. [PMID: 33649053 PMCID: PMC8098948 DOI: 10.1136/bmjopen-2020-041722] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 12/03/2020] [Accepted: 01/22/2021] [Indexed: 01/02/2023] Open
Abstract
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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Affiliation(s)
- Andrêa J F Ferreira
- Public Health Institute, Federal University of Bahia, Salvador, Brazil
- Centro de Integração de Dados e Conhecimentos Para Saúde (Cidacs), Fiocruz Bahia, Salvador, Brazil
| | - Julia Pescarini
- Centro de Integração de Dados e Conhecimentos Para Saúde (Cidacs), Fundação Oswaldo Cruz, Salvador, Brazil
| | - Mauro Sanchez
- Public Health, Universidade de Brasília, Brasilia, Brazil
| | - Renzo Joel Flores-Ortiz
- Center for Integration of Data and Health Knowledge (Cidacs), Fiocruz Bahia, Salvador, Brazil
| | | | - Rosemeire Fiaccone
- Mathematics and Statistics, Universidade Federal da Bahia, Salvador, Brazil
| | | | | | - Estela M L Aquino
- Public Health Institute, Federal University of Bahia, Salvador, Brazil
| | - Liam Smeeth
- Epidemiology and Population Health, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK
| | - Peter Craig
- Public Health Sciences Unit, University of Glasgow MRC/CSO Social and Public Health Sciences Unit, Glasgow, UK
| | - Sanni Ali
- Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Alastair H Leyland
- Public Health Sciences Unit, University of Glasgow MRC/CSO Social and Public Health Sciences Unit, Glasgow, UK
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Kim M, Woo B, Kim HJ, Yi E, Hong S. Examining Housing Environments and Health Status of Older Adults with Physical Disabilities in South Korea. J Aging Soc Policy 2021; 33:725-739. [PMID: 33563145 DOI: 10.1080/08959420.2020.1851350] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The present study examined the relationships between housing environments and health and well-being among older adults with physical disabilities in South Korea. Data are from the 2014 National Survey on Persons with Disabilities. We modelled four health and well-being outcomes - perceived stress, depressive symptoms, suicidal ideation, and life satisfaction - by various housing environments among 2,077 older adults with physical disabilities. The results illustrate that home ownership and perceived house accessibility are associated with health and well-being. Findings indicate that efforts to promote the health of older adults with physical disabilities need to be accompanied by improvements in their housing environment.
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Affiliation(s)
- Miok Kim
- Department of Social Welfare, Jeonbuk National University, JeonJu, South Korea
| | - Bongki Woo
- College of Social Work, University of South Carolina, Columbia, South Carolina, USA
| | - Hyun-Jun Kim
- School of Social Work, University of Washington, Seattle, Washington, USA
| | - Eunsil Yi
- National Pension Service, National Pension Research Institute, JeonJu, South Korea
| | - Seunghye Hong
- Myron B. Thompson School of Social Work, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA
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