Agència de Salut Pública de Barcelona, Plaça Lesseps 1, ES-08023, Barcelona, Spain.
Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Int J Equity Health. 2019 Mar 27;18(1):52. doi: 10.1186/s12939-019-0943-0.
While the negative effects of housing insecurity on health are well known, the mechanisms and mediators of these effects have been less well studied. The aim of this study is to identify perceived mediators involved in the relationship between housing insecurity and health.
We used a participatory action research approach, the Photovoice methodology. It promotes a reflective process where participants critically discuss housing insecurity and human health and make recommendations to find solutions for the issues identified. This study was conducted with 18 members of the Platform for People Affected by Mortgages who were living in a situation of housing insecurity in Barcelona during the first half of 2017.
Participants took 990 photographs, of which 147 were printed for analysis in discussion sessions. 109 of these photographs were then selected for categorization by the participants. 11 major categories emerged, representing various factors related to housing insecurity and health. Most categories were acknowledged as possible mediators of the housing/health problem, including: psychological changes; housing-related material aspects; health-related behaviors; eviction; harassment by financial institutions; and family, neighbors and social network. Others were considered as modifiers that could alter the effects of housing insecurity on health. Co-existing determinants may interact with housing insecurity, thereby increasing negative effects on health.
Through this participatory approach, the Photovoice project gives insight into the mechanisms underlying the relationship between housing insecurity and human health, and provides valuable recommendations to combat this serious public health issue.
尽管住房无保障对健康的负面影响已广为人知，但这些影响的机制和中介因素却研究得较少。本研究旨在确定住房无保障与健康之间关系所涉及的感知中介因素。
我们使用了参与式行动研究方法，即影像照见证法。它促进了一个反思过程，参与者在这个过程中批判性地讨论住房无保障和人类健康问题，并提出建议，以找到解决所确定问题的办法。本研究于 2017 年上半年在巴塞罗那对居住在住房无保障状况下的 18 名受抵押贷款影响者平台成员进行。
参与者拍摄了 990 张照片，其中 147 张照片用于讨论会上的分析。然后，这些照片中有 109 张由参与者进行了分类选择。出现了 11 个主要类别，代表了与住房无保障和健康相关的各种因素。大多数类别被认为是住房/健康问题的可能中介因素，包括：心理变化；与住房相关的物质方面；与健康相关的行为；驱逐；金融机构的骚扰；家庭、邻居和社交网络。其他类别则被认为是可能改变住房无保障对健康影响的修饰因素。共存的决定因素可能与住房无保障相互作用，从而增加对健康的负面影响。
通过这种参与式方法，影像照见证项目深入了解了住房无保障与人类健康之间关系的机制，并为解决这一严重的公共卫生问题提供了宝贵的建议。
