Institute of Space and Earth Information Science, The Chinese University of Hong Kong, Hong Kong, China.
Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen 518057, China.
Int J Environ Res Public Health. 2018 May 31;15(6):1132. doi: 10.3390/ijerph15061132.
With decades of urbanization, housing and community problems (e.g., poor ventilation and lack of open public spaces) have become important social determinants of health that require increasing attention worldwide. Knowledge regarding the link between health and these problems can provide crucial evidence for building healthy communities. However, this link has heretofore not been identified in Hong Kong, and few studies have compared the health impact of housing and community conditions across different income groups. To overcome this gap, we hypothesize that the health impact of housing and community problems may vary across income groups and across health dimensions. We tested these hypotheses using cross-sectional survey data from Hong Kong. Several health outcomes, e.g., chronic diseases and the SF-12 v. 2 mental component summary scores, were correlated with a few types of housing and community problems, while other outcomes, such as the DASS-21⁻Stress scores, were sensitive to a broader range of problems. The middle- and low-income group was more severely affected by poor built environments. These results can be used to identify significant problems in the local built environment, especially amongst the middle- and low-income group.
经过几十年的城市化进程，住房和社区问题（如通风不良和缺乏开放公共空间）已成为全球范围内需要日益关注的重要社会健康决定因素。了解健康与这些问题之间的联系可为建设健康社区提供重要证据。然而，迄今为止，香港尚未确定这种联系，而且很少有研究比较不同收入群体住房和社区条件对健康的影响。为了克服这一差距，我们假设住房和社区问题的健康影响可能因收入群体和健康维度而异。我们使用来自香港的横断面调查数据检验了这些假设。几种健康结果，如慢性病和 SF-12 v.2 精神成分综合评分，与几种类型的住房和社区问题相关，而其他结果，如 DASS-21⁻Stress 评分，则对更广泛的问题敏感。中低收入群体受较差的建成环境影响更为严重。这些结果可用于识别当地建成环境中的重大问题，特别是在中低收入群体中。
