How substandard dwellings and housing affordability problems are associated with poor health in a vulnerable population during the economic recession of the late 2000s

International Journal for Equity in Health

Research

Ana M. Novoa¹  Davide Malmusi²  Carme Borrell³  Carme Trilla⁴  Mercè Darnell⁴  Fernando Díaz⁴  Julia Ward⁵  Jordi Bosch⁶ 

[1] Agència de Salut Pública de Barcelona, Barcelona, Spain;Institut d’Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain;Agència de Salut Pública de Barcelona, Barcelona, Spain;Institut d’Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain;CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain;Agència de Salut Pública de Barcelona, Barcelona, Spain;Institut d’Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain;CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain;Universitat Pompeu Fabra, Barcelona, Spain;Cáritas Diocesana de Barcelona, Barcelona, Spain;Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA;Universitat Pompeu Fabra, Barcelona, Spain;

关键词: Perceived health;    Mental health;    Housing affordability;    Economic recession;   

DOI  :  10.1186/s12939-015-0238-z

 received in 2015-06-08, accepted in 2015-10-07,  发布年份 2015

来源: Springer

【 摘 要 】

IntroductionGiven the increasing number of people in Spain struggling to pay housing-related costs during the economic recession, it is important to assess the health status of these communities as compared to the general population and to better understand the different housing dimensions that are related with poor mental health. This study aims to describe the housing conditions and health status of a sample of people assisted by Caritas Barcelona (Spain) and living in inadequate housing and/or struggling to pay their rent or mortgage, to compare the health outcomes of this population with those of the overall population of Barcelona, and to analyze the association between housing dimensions and mental health.MethodsWe used a cross-sectional design. The participating adults (n = 320) and children (n = 177) were those living in the dioceses of Barcelona, Sant Feliu and Terrassa (Spain) in 2012 and assisted by Cáritas. They were asked to answer to three questionnaires on housing and health conditions. Eight health related variables were used to compare participants with Barcelona’s residents and associations between housing conditions and poor mental health were examined with multivariate logistic regression models.ResultsIn Barcelona, people seeking Caritas’s help and facing serious housing problems had a much poorer health status than the general population, even when compared to those belonging to the most deprived social classes. For example, 69.4 % of adult participants had poor mental health compared to 11.5 % male and 15.2 % female Barcelona residents. Moreover, housing conditions were associated with poor mental health.ConclusionsThis study has shown how, in a country hit by the financial recession, those people facing housing problems have much worse health compared to the general population.

【 授权许可】

CC BY   
© Novoa et al. 2015