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住房政策与健康不平等

Housing Policies and Health Inequalities.

作者信息

Marí-Dell'Olmo Marc, Novoa Ana M, Camprubí Lluís, Peralta Andrés, Vásquez-Vera Hugo, Bosch Jordi, Amat Jordi, Díaz Fernando, Palència Laia, Mehdipanah Roshanak, Rodríguez-Sanz Maica, Malmusi Davide, Borrell Carme

机构信息

1 Agència de Salut Pública de Barcelona, Barcelona, Spain.

2 CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

出版信息

Int J Health Serv. 2017 Apr;47(2):207-232. doi: 10.1177/0020731416684292. Epub 2016 Dec 28.

Abstract

A large body of literature shows the link between inadequate housing conditions and poor physical and mental health. The aim of this paper is to summarize the research on the impact of local housing policies on health inequalities, focusing on the issues of access to housing and fuel poverty as studied in the SOPHIE project. Our case studies in Spain showed that people facing housing insecurity, experienced intense levels of mental distress. We found that access to secure and adequate housing can improve the health of these populations, therefore, public policies that address housing instability and their consequences are urgently needed. Housing conditions related to fuel poverty are associated with poorer health and are unevenly distributed across Europe. We found possible positive effects of façade insulation interventions on cold-related mortality in women living in social housing; but not in men. Policies on housing energy efficiency can reduce the health consequences of fuel poverty, but need to be free to users, target the most vulnerable groups and be adaptable to their needs.

摘要

大量文献表明,住房条件不足与身心健康不佳之间存在联系。本文旨在总结关于地方住房政策对健康不平等影响的研究,重点关注在“苏菲”项目中所研究的住房获取和燃料贫困问题。我们在西班牙的案例研究表明,面临住房不安全的人群经历了高度的精神痛苦。我们发现,获得安全和充足的住房可以改善这些人群的健康状况,因此,迫切需要出台解决住房不稳定及其后果的公共政策。与燃料贫困相关的住房条件与较差的健康状况相关,且在欧洲分布不均。我们发现,外墙保温干预措施可能对社会住房中的女性与寒冷相关的死亡率产生积极影响;但对男性没有影响。住房能源效率政策可以减少燃料贫困对健康的影响,但需要对用户免费,针对最弱势群体,并适应他们的需求。

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