Association Between Housing Affordability and Mental Health: A Longitudinal Analysis of a Nationally Representative Household Survey in Australia REPLY

Association Between Housing Affordability and Mental Health: A Longitudinal Analysis of a Nationally Representative Household Survey in Australia REPLY
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DOI:
10.1093/aje/kwr161
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发表时间:
2011-10-01
影响因子:
5
通讯作者:
Kavanagh, Anne M.
Kavanagh, Anne M.
中科院分区:
医学2区
文献类型:
--
作者:
Bentley, Rebecca;Baker, Emma;Kavanagh, Anne M.

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关于负担不起的住房带来的心理健康后果的证据有限。作者调查了住房成本超过家庭收入30%的人是否经历了心理健康恶化(使用简写的36心理成分摘要),而不是其他形式的经济压力。他们假设,这种联系将仅限于低收入家庭,因为高昂的住房成本将降低他们购买其他基本非住房需求(如食品)的能力。作者使用固定效应纵向回归分析了10,047名年龄在25-之间的澳大利亚家庭、收入和劳动力动态(2001年-2007年)调查对象的38,610份回复。被调查者包括连续两次住在经济适用房(参照组)或从经济适用房搬到经济适用房超过两次(对照组)的人。对于居住在中低收入家庭的个人来说,进入负担不起的住房与他们的心理健康得分的小幅下降有关,而与等值家庭收入的变化或搬家无关(平均变化=-1.19,95%可信区间:-1.97,-0.41)。作者没有找到证据支持高收入家庭的关联。他们发现,进入负担不起的住房对居住在中低收入家庭的个人心理健康有害。
Evidence about the mental health consequences of unaffordable housing is limited. The authors investigated whether people whose housing costs were more than 30% of their household income experienced a deterioration in their mental health (using the Short Form 36 Mental Component Summary), over and above other forms of financial stress. They hypothesized that associations would be limited to lower income households as high housing costs would reduce their capacity to purchase other essential nonhousing needs (e.g., food). Using fixed-effects longitudinal regression, the authors analyzed 38,610 responses of 10,047 individuals aged 25-64 years who participated in the Household, Income, and Labour Dynamics in Australia (HILDA) Survey (2001-2007). Respondents included those who remained in affordable housing over 2 consecutive waves (reference group) or had moved from affordable to unaffordable housing over 2 waves (comparison group). For individuals living in low-to-moderate income households, entering unaffordable housing was associated with a small decrease in their mental health score independent of changes in equivalized household income or having moved house (mean change = -1.19, 95% confidence interval: -1.97, -0.41). The authors did not find evidence to support an association for higher income households. They found that entering unaffordable housing is detrimental to the mental health of individuals residing in low-to-moderate income households.