Howell Embry, Harris Laura E, Popkin Susan J
The Urban Institute, Washington, DC, USA.
J Health Care Poor Underserved. 2005 May;16(2):273-85. doi: 10.1353/hpu.2005.0036.
The purpose of this study is to provide new data on the relationship between housing quality and health status for people in five HOPE VI public housing developments around the country. HOPE VI is a federal program to replace or redevelop some of the poorest quality public housing in the country. A special survey of residents of these developments was conducted while they lived in HOPE VI housing before its redevelopment. Data for these individuals provides a profile of the quality of housing and the health status of people in HOPE VI housing before its renovation, of residents of publicly assisted housing across the nation, of other people living below the federal poverty level, and of non-poor people. Previously, the lack of data sets that included both housing quality and health status measures has prevented such an analysis. We examined two indicators of health status-perceived overall health status and medically diagnosed asthma. The health status of HOPE VI residents is decidedly worse than that of others in assisted housing and other poor people, despite their similarity in terms of economic deprivation. The difference in the level of asthma prevalence, a condition that has been tied to various measures of housing quality, is especially pronounced. Our analysis indicates that one major benefit of improving housing quality may be improved health status.
本研究的目的是为全国五个希望六号公共住房开发区的居民提供有关住房质量与健康状况之间关系的新数据。希望六号是一项联邦计划,旨在替换或重新开发该国一些质量最差的公共住房。在这些开发区的居民入住希望六号住房且尚未进行重新开发之前,对他们进行了一次特别调查。这些人的数据提供了希望六号住房翻新前的住房质量概况以及居民的健康状况,也提供了全国公共辅助住房居民、其他生活在联邦贫困线以下的人群以及非贫困人口的情况。此前,由于缺乏同时包含住房质量和健康状况衡量指标的数据集,无法进行此类分析。我们研究了两个健康状况指标——自我感知的总体健康状况和医学诊断的哮喘。尽管希望六号居民在经济贫困程度上与公共辅助住房中的其他居民以及其他贫困人口相似,但他们的健康状况明显更差。在哮喘患病率方面的差异尤为明显,哮喘这种疾病与多种住房质量指标相关。我们的分析表明,改善住房质量的一个主要好处可能是健康状况的改善。