National Center for Healthy Housing, Columbia, Maryland 21044, USA.
J Public Health Manag Pract. 2010 Sep-Oct;16(5 Suppl):S5-10. doi: 10.1097/PHH.0b013e3181e31d09.
Subject matter experts systematically reviewed evidence on the effectiveness of specific housing interventions in improving health. The panelists reviewed housing interventions associated with exposure to biological and chemical agents, structural injury hazards, and community-level interventions. Intervention studies were grouped together according to recommendations in the Guide to Community Preventive Services, which identifies similarities in the type of intervention, its delivery and setting, and the target population. Review panelists found that 11 interventions had sufficient evidence of effectiveness, 15 required more field evaluation, 19 needed formative research, and 7 either had no evidence of effectiveness or were ineffective. Although many housing conditions are associated with adverse health outcomes, sufficient evidence now shows that specific housing interventions can improve certain health outcomes. The results of these evidence reviews can inform a robust agenda for widespread implementation and further research. This article highlights the project's research methods and summary findings, and its companion articles detail the evidence reviews for specific housing interventions.
主题专家系统地审查了特定住房干预措施在改善健康方面的有效性的证据。小组成员审查了与接触生物和化学制剂、结构伤害危险以及社区一级干预措施有关的住房干预措施。干预研究根据《社区预防服务指南》的建议进行分组,该指南确定了干预措施的类型、提供方式和设置以及目标人群的相似性。审查小组成员发现,有 11 项干预措施具有足够的有效性证据,15 项需要更多的现场评估,19 项需要形成性研究,7 项要么没有有效性证据,要么无效。尽管许多住房条件与不良健康结果有关,但现在有充分的证据表明,特定的住房干预措施可以改善某些健康结果。这些证据审查的结果可以为广泛实施和进一步研究提供一个强有力的议程。本文重点介绍了该项目的研究方法和总结性发现,其配套文章详细介绍了特定住房干预措施的证据审查。