Individual and Interactive Effects of Housing and Neighborhood Quality on Mental Health in Hong Kong

A Retrospective Cohort Study

Datos Bibliográficos

ID12472253
AutoresCorine Sau Man Wong (0000-0003-3363-1004, University of Hong Kong, autor de correspondencia), Wai Chi Chan (0000-0002-7324-0553, Chinese University of Hong Kong), Natalie Chu (0000-0002-2391-4820, University of Hong Kong), Natalie Wing Tung Chu, Wing Yan Law (Chinese University of Hong Kong), Harriet Wing Yu Tang (Chinese University of Hong Kong), Ting Yat Wong (0000-0003-4356-1978, Education University of Hong Kong), Eric Yu Hai Chen, Eric Chen (0000-0002-5247-3593, Nanyang Technological University), Linda Lam (0000-0002-7252-970X, Chinese University of Hong Kong), Linda Chiu Wa Lam
Año2024
Volumen101
Número4
Páginas804-814
Fecha de publicación2024-05-08
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Urban Health (JOURNAL)
Identificadores de la revistaISSN: 1099-3460 • E-ISSN: 1468-2869
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11524-024-00869-5
PMID38720144
OpenAlexW4396720129
IdiomaEN
Citas recibidas1
Referencias citadas32

Existing literature has widely explored the individual roles of housing and neighborhood quality, and there is limited research examining their interactive effects on mental health. This 3-year cohort study utilized a longitudinal design to investigate the individual and interactive effects of housing and neighborhood quality on mental health among 962 community-dwelling adults in Hong Kong. Participants were asked to rate their residential qualities over the 3-year period. Mental health outcomes, including levels of psychological distress and common mental disorders (CMD), were assessed using the Revised Clinical Interview Schedule (CIS-R). Logistic regression and generalized linear models were used to examine the association between housing and neighborhood quality and CMD/psychological distress, adjusting for sociodemographic and residential characteristics and baseline mental disorders. Housing quality was associated with the 3-year CMD (adjusted OR 0.95; 95% CI 0.91 to 0.98). Likewise, neighborhood quality was associated with CMD over 3 years (adjusted OR 0.92; 95% CI 0.87 to 0.96). In a separate model including both quality measures, the effect of housing quality on CMD was attenuated, whereas the neighborhood impact remained significant (adjusted OR 0.92; 95% CI 0.87 to 0.98). Generalized linear models indicated that for participants residing in substandard housing, those with high neighborhood quality had lower CIS-R scores at follow-up compared to those with low neighborhood quality (p = 0.041). Better neighborhood quality alleviated the detrimental effects of poor housing quality on mental health. Planning for an enhanced neighborhood would improve population mental health in an urban environment

Cohort · Cohort study · Environmental health · Generalized estimating equation · Logistic regression · Longitudinal study · Mental distress · Mental health · Population · Psychiatry · Quality (philosophy · Sociology · Demography · Health disparities and outcomes · Medicine · Psychology · Urban Green Space and Health · Urban Transport and Accessibility · Gerontology