Andersen Melanie J, Williamson Anna B, Fernando Peter, Wright Darryl, Redman Sally
School of Public Health and Community Medicine, The University of New South Wales, Sydney, 2052, Australia.
The Sax Institute, 235 Jones St, Haymarket, Sydney, 2007, Australia.
BMC Public Health. 2017 Aug 1;18(1):70. doi: 10.1186/s12889-017-4607-y.
Housing is a key determinant of the poor health of Aboriginal Australians. Most Aboriginal people live in cities and large towns, yet research into housing conditions has largely focused on those living in remote areas. This paper measures the prevalence of housing problems amongst participants in a study of urban Aboriginal families in New South Wales, Australia, and examines the relationship between tenure type and exposure to housing problems.
Cross-sectional survey data was provided by 600 caregivers of 1406 Aboriginal children aged 0-17 years participating in Phase One of the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). Regression modelling of the associations between tenure type (own/mortgage, private rental or social housing) and housing problems was conducted, adjusting for sociodemographic factors.
The majority (60%) of SEARCH households lived in social housing, 21% rented privately and 19% either owned their home outright or were paying a mortgage ("owned"). Housing problems were common, particularly structural problems, damp and mildew, vermin, crowding and unaffordability. Physical dwelling problems were most prevalent for those living in social housing, who were more likely to report three or more physical dwelling problems than those in owned (PR 3.19, 95%CI 1.97, 5.73) or privately rented homes (PR 1.49, 1.11, 2.08). However, those in social housing were the least likely to report affordability problems. Those in private rental moved home most frequently; children in private rental were more than three times as likely to have lived in four or more homes since birth than those in owned homes (PR 3.19, 95%CI 1.97, 5.73). Those in social housing were almost half as likely as those in private rental to have lived in four or more homes since birth (PR 0.56, 95%CI 0.14, 0.77). Crowding did not vary significantly by tenure type.
The high prevalence of housing problems amongst study participants suggests that urban Aboriginal housing requires further attention as part of efforts to reduce the social and health disadvantage experienced by Aboriginal Australians. Particular attention should be directed to the needs of those renting in the private and social housing sectors, who are experiencing the poorest dwelling conditions.
住房是澳大利亚原住民健康状况不佳的关键决定因素。大多数原住民生活在城市和大城镇,但对住房条件的研究主要集中在偏远地区的居民。本文测量了澳大利亚新南威尔士州一项城市原住民家庭研究中参与者住房问题的患病率,并研究了权属类型与住房问题暴露之间的关系。
参与原住民适应力与儿童健康环境研究(SEARCH)第一阶段的1406名0至17岁原住民儿童的600名照料者提供了横断面调查数据。对权属类型(自有/抵押、私人租赁或社会住房)与住房问题之间的关联进行回归建模,并对社会人口学因素进行调整。
SEARCH研究中的大多数家庭(60%)居住在社会住房中,21%为私人租赁,19%为自有住房(即直接拥有住房或正在偿还抵押贷款)。住房问题很常见,尤其是结构问题、潮湿发霉、虫害、拥挤和支付能力不足。居住在社会住房中的人身体居住问题最为普遍,他们报告三个或更多身体居住问题的可能性比自有住房(PR 3.19,95%CI 1.97,5.73)或私人租赁住房中的人更高(PR 1.49,1.11,2.08)。然而,居住在社会住房中的人报告支付能力问题的可能性最小。私人租赁住房的人搬家最频繁;私人租赁住房中的儿童自出生以来居住在四个或更多家庭的可能性是自有住房中儿童的三倍多(PR 3.19,95%CI 1.97,5.73)。自出生以来居住在四个或更多家庭的可能性,社会住房中的人几乎只有私人租赁住房中的人的一半(PR 0.56,95%CI 0.14,0.77)。拥挤程度在权属类型之间没有显著差异。
研究参与者中住房问题的高患病率表明,城市原住民住房需要作为减少澳大利亚原住民所经历的社会和健康劣势的努力的一部分而得到进一步关注。应特别关注私人和社会住房部门租房者的需求,他们居住条件最差。