Renting Poorer Housing
Ecological Relationships Between Tenure, Dwelling Condition, and Income and Housing-Sensitive Hospitalizations in a Developed Country
Bibliographic Data
| ID | 21650722 |
|---|---|
| Authors | Lucy Frances Telfar Barnard (0000-0002-5246-4873, University of Otago, Wellington, New Zealand, corresponding author), Philippa Howden-Chapman (0000-0002-1529-6735, University of Otago, Wellington, New Zealand), Nevil Pierse (0000-0002-2726-8141, University of Otago, Wellington, New Zealand) |
| Year | 2020 |
| Volume | 47 |
| Issue | 6 |
| Pages | 816-824 |
| Publication date | 2020-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Education & Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-1981 • E-ISSN: 1552-6127 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/1090198120945923 |
| PMID | 33148039 |
| OpenAlex | W3096049160 |
| Language | EN |
| Citations received | 5 |
| References cited | 36 |
Background Previous research has shown two-way associations between rental tenure, poorer housing quality, and health outcomes, but little research has looked at relative housing contributions to health outcomes. Aims We investigated whether tenure and/or dwelling condition were associated with housing-sensitive hospitalizations and whether any association differed by income. Method Using a data set of housing characteristics matched to hospitalization records, rental tenure data, and income quintiles, we modeled differences in housing-sensitive hospitalization rates by ecological-level tenure and housing condition, controlling for age-group and mean temperatures. Results There were clear associations between income, tenure, and house condition, and winter-associated hospitalization risk. In the adjusted model, the largest risk differences were associated with neighborhoods with low income (risk ratio [ RR] = 1.48) and high rental tenure ( RR = 1.41). There was a nonsignificant difference for housing condition ( RR = 1.04). Discussion Rental tenure and poor housing condition were risks for housing-sensitive hospitalization, but the association with income was stronger. Higher income households may be better able to offset quality and tenure-related health risks. This research illustrates the inverse housing law: Those most vulnerable, with most need for good-quality housing, are least likely to have it. Income inequity is inbuilt in tenure, quality, and health burden relationships. Conclusion These findings suggest that measures to address health inequities should include improvements to both tenure security and housing quality, particularly in low-income areas. However, policymakers aiming to reduce overall hospitalization rates should focus their efforts on reducing fuel poverty and improving the affordability of quality housing
Business · Demographic economics · Economic growth · Economics · Environmental health · Housing tenure · Political science · Poverty · Public housing · Renting · Socioeconomics · Child Nutrition and Water Access · Health disparities and outcomes · Medicine · Urban and Rural Development Challenges
Effect of insulating existing houses on health inequality
The effect of housing on the mental health of older people
Novel use of three administrative datasets to establish a cohort for environmental health research
Housing and health inequalities
What features of the home and the area might help to explain observed relationships between housing tenure and health? Evidence from the west of Scotland
Does housing tenure predict health in the UK because it exposes people to different levels of housing related hazards in the home or its surroundings
Examining ethnic inequalities in health and tenure in England
Assessing housing quality and its impact on health, safety and sustainability
Housing and respiratory health at older ages
The “inverse housing law” and respiratory health
Seasonal patterns of mortality in relation to social factors
Is changing status through housing tenure associated with changes in mental health? Results from the British Household Panel Survey
Does the home environment influence inequalities in unintentional injury in early childhood? Findings from the UK Millennium Cohort Study
Do housing tenure and car access predict health because they are simply markers of income or self esteem? A Scottish study
Housing standards and excess winter mortality
Reduced acute hospitalisation with the healthy housing programme
Housing and Health
The Mental Health Effects of Housing Tenure
Residents and Residence
The Effect of Rent Control on Housing Quality Change
Indicators of socio-economic position and their relation to mortality in Sweden
Social class, assets, organizational control and the prevalence of common groups of psychiatric disorders
Housing tenure and affordability and mental health following disability acquisition in adulthood
Understanding health inequalities
| Unique citing works | 5 |
|---|---|
| Citations per year | 1,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |