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Reyes A, Macaya Munell I, Borrell C, Carmezim Correia JP, Fernández A, Vásquez-Vera C, Pérez K, Carrere J, Daví L, Novoa AM. Cooperative housing under a grant-of-use in Catalonia and health: pre-post analysis. BMC Public Health 2024; 24:1835. [PMID: 38982448 PMCID: PMC11234659 DOI: 10.1186/s12889-024-19214-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2023] [Accepted: 06/20/2024] [Indexed: 07/11/2024] Open
Abstract
BACKGROUND Housing is considered a social determinant of health. In Catalonia and Spain, ensuring affordable housing is challenging and cooperative housing under a grant-of-use emerges as an alternative, challenging traditional housing models. This study aims to quantify its impact on health before and after moving to the cooperative house. METHODS A longitudinal study of individuals in cooperative housing projects in Catalonia (July 2018-April 2023) was conducted. Data, including sociodemographic, housing information, and health-related details, were collected through baseline and follow-up surveys. RESULTS Seventy participants (42 women, 28 men) showed positive changes in housing conditions during follow-up. Improved perceptions of health, mental health, and social support were observed. Despite limitations in sample size and short follow-up, initial findings suggest improvements in health. CONCLUSIONS Cooperative housing under a grant-of-use in Catalonia appears promising for improving health and living conditions. Further research is warranted to explore its full potential as an alternative amid housing challenges in the region.
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Affiliation(s)
- Alexia Reyes
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain.
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, Barcelona, 08003, Spain.
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain.
| | - Irene Macaya Munell
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, Barcelona, 08003, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, Barcelona, 08003, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
- Dinamo Fundació, C. d'en Blanco 73, bx, Barcelona, 08028, Spain
| | - Joao Pedro Carmezim Correia
- Biostatistics Support and Research Unit, Germans Trias i Pujol Research Institute and Hospital (IGTP), Barcelona, Catalonia, Spain
| | - Ana Fernández
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
| | - Constanza Vásquez-Vera
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, Barcelona, 08003, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
| | - Katherine Pérez
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
| | - Juli Carrere
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
| | - Lali Daví
- Dinamo Fundació, C. d'en Blanco 73, bx, Barcelona, 08028, Spain
- LaCol Arquitectura Cooperativa, C. Riera d'Escuder, 38, nau 2 Planta 1, Barcelona, 08028, Spain
| | - Ana M Novoa
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, Barcelona, 08023, Spain
- Institut de Recerca Sant Pau (IR SANT PAU), C. Sant Quintí 77, Barcelona, 08041, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos 3-5, Pabellón 11. Planta 0, Madrid, 28029, Spain
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Murphy M, Grundy EMD. Housing tenure and disability in the UK: trends and projections 2004-2030. Front Public Health 2024; 11:1248909. [PMID: 38239788 PMCID: PMC10795505 DOI: 10.3389/fpubh.2023.1248909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 12/08/2023] [Indexed: 01/22/2024] Open
Abstract
Introduction Housing is a major influence on health. Housing tenure is associated with housing conditions, affordability, and security and is an important dimension of housing. In the UK there have been profound changes in both housing conditions and the distribution of households by tenure over the past century, that is during the lifetimes of the current population. Methods We firstly reviewed and summarise changes in housing conditions, housing policy and tenure distribution as they provide a context to possible explanations for health variations by housing tenure, including health related selection into different tenure types. We then use 2015-2021 data from a large nationally representative UK survey to analyse associations between housing tenure and self-reported disability among those aged 40-69 controlling for other socio-demographic factors also associated with health. We additionally examine changes in the association between housing tenure and self-reported disability in the population aged 25 and over in the first two decades of the 21st century and project trends forward to 2030. Results Results show that associations between housing tenure and disability by tenure were stronger than for any other indicator of socio-economic position considered with owner-occupiers having the best, and social renters the worst, health. Differences were particularly marked in reported mental health conditions and in economic activity, with 28% of social renters being economically inactive due to health problems, compared with 4% of owner-occupiers. Rates of disability have increased over time, and become increasingly polarised by tenure. By 2020 the age standardised disability rate among tenants of social housing was over twice as high as that for owner occupiers, with projections indicating further increases in both levels, and differentials in, disability by 2030. Discussion These results have substantial implications for housing providers, local authorities and for public health.
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Affiliation(s)
- Michael Murphy
- Department of Social Policy, London School of Economics and Political Science, London, United Kingdom
- Population Research Unit, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
| | - Emily M. D. Grundy
- Institute for Economic and Social Research, University of Essex, Essex, United Kingdom
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Sevik I, Ciceklioglu M. Healthcare Access Worsened for Women in Precarious Housing During the COVID-19 Pandemic: A Qualitative Study. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2024; 61:469580241246478. [PMID: 38602064 PMCID: PMC11008088 DOI: 10.1177/00469580241246478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 03/21/2024] [Accepted: 03/22/2024] [Indexed: 04/12/2024]
Abstract
This research aims to gain an in-depth understanding of precariously housed women's experiences related to health and access to health care during the COVID-19 pandemic using a grounded theory approach. Qualitative data were obtained through interviews with 17 precariously housed women from Izmir, Turkey. Poor health among most participants was primarily attributed to unfavorable living conditions and weakened community networks. The COVID-19 pandemic exacerbated existing health issues due to barriers in accessing basic needs. Food insecurity was widespread during the pandemic and the critical role of aid and the inadequacy of social assistance in securing food were emphasized. Women's health perceptions were significantly shaped by gender, and gendered caregiving duties have restricted women's healthcare access. Access to healthcare was also limited by financial challenges, with health insurance being a crucial determinant. Longer waiting times, often exacerbated by the appointment system, and language were significant barriers to healthcare access. The findings propose that the participants were precarized by the blindness of COVID-19 measures to vulnerabilities, which resulted in deeper inequalities in housing, food, employment, and healthcare access. This research addresses the political, commercial, and social determinants of precariously housed women's health. Improving precariously housed women's health and wellbeing requires implementation of public policies targeting to improve housing quality, provide targeted assistance to food insecurity, promote gender inclusiveness, and foster gender empowerment.
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Affiliation(s)
- Irem Sevik
- Department of Public Health, Ege University Medical Faculty, Izmir, Turkey
| | - Meltem Ciceklioglu
- Department of Public Health, Ege University Medical Faculty, Izmir, Turkey
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