Department of Civil Building and Environmental Engineering, Sapienza University of Rome, Italy.
Ann Ig. 2020 Sep-Oct;32(5 Supple 1):17-26. doi: 10.7416/ai.2020.3391.
Living environment, and especially dwellings, affect directly and indirectly health in several ways end represent one of the key social determinants of health. The relationship between health and housing has long been recognized and, in the last decades, researchers developed several conceptual models to put in relation the numerous housing factors able to impact on inhabitants' health. For some authors, factors linked to housing and neighborhood conditions that influence health, can be grouped into four broad categories: first considers the health impacts of not having a stable home (residential instability); second, the financial burdens resulting from high-cost housing (affordability); third, the health impacts of conditions inside the home (the housing' safety and quality); lastly, the health impacts of neighborhoods, including both the environmental and social characteristics of where people live (neighborhood). It is evident that the theme of "housing and health" nowadays needs to be assessed with a multidisciplinary approach, because of the complexity and wideness of its components. Moreover it is today clear that to guarantee good health standards it is indispensable to direct political and administrative choices to improve the overall conditions of the neighborhood and of the buildings, and, At the same time, to dispose of a clear and updated regulatory system, since key factor to ensure Public Health protection and social justice.
居住环境,尤其是住宅,以多种方式直接或间接地影响健康,是健康的关键社会决定因素之一。健康与住房之间的关系由来已久,在过去几十年中,研究人员开发了几种概念模型,将能够影响居民健康的众多住房因素联系起来。对于一些作者来说,影响健康的与住房和邻里条件相关的因素可以分为四大类:第一类考虑没有稳定住所(居住不稳定)对健康的影响;第二类是高成本住房带来的经济负担(负担能力);第三类是家庭内部条件(住房安全和质量)对健康的影响;最后一类是邻里对健康的影响,包括人们居住的环境和社会特征(邻里)。显然,由于其组成部分的复杂性和广泛性,当今“住房与健康”这一主题需要采用多学科方法来评估。此外,今天人们清楚地认识到,要保证良好的健康标准,就必须将政治和行政决策导向改善邻里和建筑物的整体状况,同时,必须制定明确和更新的监管制度,因为这是确保公共卫生保护和社会正义的关键因素。