Faculty of Public Health, Medical and Health Science Centre, University of Debrecen, Debrecen, Hungary.
Health Place. 2010 Nov;16(6):1240-7. doi: 10.1016/j.healthplace.2010.08.011. Epub 2010 Aug 13.
An outstanding feature of marginalized Roma communities is their severely substandard living conditions, which contribute to their worse health status compared to the majority. However, health consequences of international and local-level housing initiatives in most cases fail to be assessed prospectively or evaluated after implementation. This paper summarizes the result of a retrospective health impact assessment of a Roma housing project in Hungary in comparison with the outcome evaluation of the same project. Positive impacts on education, in- and outdoor conditions were noted, but negative impacts on social networks, housing expenses and maintenance, neighbourhood satisfaction and no sustained change in health status or employment were identified. Recommendations are made to improve efficiency and sustainability of housing development initiatives among disadvantaged populations.
被边缘化的罗姆人社区的一个显著特点是其生活条件极差，这导致他们的健康状况比多数人更差。然而，在大多数情况下，国际和地方一级住房倡议的健康后果没有得到前瞻性评估，也没有在实施后进行评估。本文总结了匈牙利一个罗姆人住房项目的回顾性健康影响评估的结果，并与同一项目的结果评估进行了比较。研究结果表明，该项目对教育、室内外环境产生了积极影响，但对社会网络、住房支出和维护、邻里满意度以及健康状况或就业没有持续改善产生了负面影响。本文还提出了一些建议，以提高住房发展举措在弱势群体中的效率和可持续性。
