Housing Affordability and Health Among Homeowners and Renters
Housing Affordability and Health Among Homeowners and Renters
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DOI：
10.1016/j.amepre.2010.08.002
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发表时间：
2010-12-01
影响因子：
5.5
通讯作者：
Lynch, Julia
中科院分区：
文献类型：
--
作者：
Pollack, Craig Evan;Griffin, Beth Ann;Lynch, Julia
背景：虽然在美国缺乏负担得起的住房很普遍，研究目的：本研究采用准实验方法，通过控制对社区质量的感知，并确定住房负担能力与健康之间的关系是否因住房使用权而异，来检验住房负担能力是否与一些重要的健康结果有关方法：对来自2008年宾夕法尼亚州东南部家庭健康调查的数据进行分析，该调查是对费城及其周边四个县的10，004名居民进行的基于电话的调查。住房负担能力和健康结果之间的关联进行了评估，使用倾向评分方法比较个人谁报告生活在负担不起的住房情况下，类似的个人生活在负担得起的thes.Results：总体而言，48.4%的人报告难以支付住房费用。生活在负担不起的住房中的人自我评估健康状况不佳的几率增加（AOR=1.75，95% CI=1.33，2.29）;高血压（AOR=1.34，95% CI=1.07，1.69）;关节炎（AOR=1.92，95% CI=1.56，2.35）;成本相关的医疗不依从性（AOR=2.94，95% CI=2.04，4.25）;和成本相关的处方不依从性（AOR=2.68，95% CI=1.95，3.70）。住房负担能力与心脏病、糖尿病、哮喘、精神病、无保险、过去一年的急诊、肥胖和目前吸烟者之间没有显著关联。租房而不是拥有一套房子，加剧了负担不起的住房和自我评估的健康之间的联系。（租房者的AOR=2.55，95% CI=1.93，3.37，在房主中不显著）和成本相关的医疗不依从性（AOR=4.74，95%CI =3.05，7.35对于租房者和AOR=1.99，95%CI =1.15，3.46对于房主）。结论：负担不起的住房的财务压力与可能损害健康的权衡有关。针对租房者和房主的住房负担能力的计划可能是改善健康的重要手段。(Am J Prev Med 2010;39（6）：515-521）（C）2010年美国预防医学杂志
Background: Although lack of affordable housing is common in the U.S., few studies have examined the association between housing affordability and health.Purpose: Using quasi-experimental methods, the aim of this study was to examine whether housing affordability is linked to a number of important health outcomes, controlling for perceptions of neighborhood quality, and determining whether this association differs by housing tenure (renting versus owning).Methods: Data from the 2008 Southeastern Pennsylvania Household Health Survey, a telephone-based survey of 10,004 residents of Philadelphia and its four surrounding counties, were analyzed. The association between housing affordability and health outcomes was assessed using propensity score methods to compare individuals who reported living in unaffordable housing situations to similar individuals living in affordable ones.Results: Overall, 48.4% reported difficulty paying housing costs. People living in unaffordable housing had increased odds of poor self-rated health (AOR=1.75, 95% CI=1.33, 2.29); hypertension (AOR=1.34, 95% CI=1.07, 1.69); arthritis (AOR=1.92, 95% CI=1.56, 2.35); cost-related healthcare nonadherence (AOR=2.94, 95% CI=2.04, 4.25); and cost-related prescription nonadherence (AOR=2.68, 95% CI=1.95, 3.70). There were no significant associations between housing affordability and heart disease, diabetes, asthma, psychiatric conditions, being uninsured, emergency department visits in the past year, obesity, and being a current smoker. Renting rather than owning a home heightened the association between unaffordable housing and self-rated health (AOR=2.55, 95% CI=1.93, 3.37 for renters and not significant among homeowners) and cost-related healthcare nonadherence (AOR=4.74, 95% CI=3.05, 7.35 for renters and AOR=1.99, 95% CI=1.15, 3.46 for homeowners).Conclusions: The financial strain of unaffordable housing is associated with trade-offs that may harm health. Programs that target housing affordability for both renters and homeowners may be an important means for improving health. (Am J Prev Med 2010;39(6): 515-521) (C) 2010 American Journal of Preventive Medicine