Park Gum-Ryeong, Haseeb Saud, Namkung Eun Ha
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Health, Aging & Society, McMaster University, Hamilton, Ontario, Canada.
Department of Health, Aging & Society, McMaster University, Hamilton, Ontario, Canada.
Disabil Health J. 2025 Jul;18(3S):101712. doi: 10.1016/j.dhjo.2024.101712. Epub 2024 Oct 5.
Poor housing conditions pose significant risks to the health of persons with disabilities. However, it is not well understood how and for whom the relationship between housing conditions and health is more pronounced.
This study aims to estimate the association between poor housing conditions and psychological health, and to explore whether residential characteristics, such as residence type and proximity to community resources, mitigate these risks for community-dwelling adults with disabilities.
Data were obtained from three waves of the Disability and Life Dynamic Panel (n = 5,058), a nationally representative study of individuals with disabilities in Korea. Our sample were limited to those aged 20 or older for the purpose of this study. Individual-level fixed effect analyses were conducted to assess the longitudinal association between poor housing conditions and depressive symptoms, accounting for individual-level heterogeneity. We also tested the moderating effects of the residential characteristics, including proximity to community resources and residence type.
Poor housing conditions, characterized by structural unsafety and inadequate ventilation, lighting, and noise protection, were associated with increased depressive symptoms among adults with disabilities. The negative impact of poor housing conditions on depressive symptoms was less pronounced for those living close to community services or in apartment complexes where housing conditions are professionally managed.
The study indicates that the quality of housing and neighborhood environments affect the psychological health of adults with disabilities. These findings support for the need for place-based interventions aimed at improving the residential environments of community-dwelling adults with disabilities.
恶劣的住房条件对残疾人的健康构成重大风险。然而，人们对住房条件与健康之间的关系如何以及对哪些人更为显著并不十分了解。
本研究旨在估计恶劣住房条件与心理健康之间的关联，并探讨居住特征，如居住类型和与社区资源的接近程度，是否能减轻社区居住的成年残疾人面临的这些风险。
数据来自三波残疾与生活动态面板研究（n = 5,058），这是一项对韩国残疾人进行的具有全国代表性的研究。为了本研究的目的，我们的样本仅限于20岁及以上的人群。进行个体水平的固定效应分析，以评估恶劣住房条件与抑郁症状之间的纵向关联，同时考虑个体水平的异质性。我们还测试了居住特征的调节作用，包括与社区资源的接近程度和居住类型。
以结构不安全、通风、采光和噪音防护不足为特征的恶劣住房条件，与成年残疾人抑郁症状的增加有关。对于居住在靠近社区服务的地方或居住在住房条件由专业管理的公寓楼中的人来说，恶劣住房条件对抑郁症状的负面影响不太明显。
该研究表明，住房和邻里环境的质量会影响成年残疾人的心理健康。这些发现支持了针对改善社区居住成年残疾人居住环境的基于地点的干预措施的必要性。
