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审视巴勒斯坦社会住房条件与健康结果之间的联系:一项混合方法研究。

Examining the nexus between housing conditions and health outcomes in Palestinian society: a mixed-method investigation.

作者信息

Jabali Oqab, Ayyoub Abed Alkarim, Jabali Shaden, Saeedi Munther

机构信息

Language Center, Faculty of Humanities and Education Sciences, An-Najah National University, Nablus, Palestine.

Psychology and Counseling Department, Faculty of Humanities and Educational Sciences, An Najah National University, Nablus, Palestine.

出版信息

BMC Public Health. 2025 Feb 11;25(1):560. doi: 10.1186/s12889-025-21830-4.

Abstract

BACKGROUND

Palestinian health conditions are exacerbated by high housing density, overcrowding, moisture issues, poor air circulation, poverty, limited health services, and housing insecurity, leading to chronic illnesses and mental health challenges. This study aims to explore the intricate connection between housing conditions and health outcomes, particularly focusing on the psychological, mental, and physical well-being of Palestinians.

METHODS

The study employs a mixed-method approach, combining quantitative surveys and qualitative interviews. A structured questionnaire, developed based on expert discussions and previous research, assesses health indicators across the three domains. Descriptive statistics and Stepwise Multiple Regression techniques are used for data analysis. Additionally, ten structured interviews are conducted to provide qualitative insights into the detrimental impacts of housing conditions on health.

RESULTS

The quantitative analysis reveals significant associations between housing characteristics and health outcomes. Participants residing in smaller households, with higher family incomes, and in private homes report better health across all domains. Urban residents generally exhibit better health outcomes compared to rural or refugee camp dwellers, highlighting disparities in resource accessibility. Moreover, stability in residential environments positively correlates with overall well-being. Qualitative findings underscore the negative impact of cramped living conditions, poor building supplies, and military occupation/ conflict on mental and physical health.

CONCLUSION

The study emphasizes the interconnectedness of socio-demographic factors with health outcomes among Palestinians. It highlights the crucial role of family dynamics, socioeconomic status, housing type, residential environment, and the political situation-particularly its impact on housing security and stress levels-in determining physical, mental, and psychological well-being. Addressing structural inequalities and promoting equitable access to resources and opportunities are essential steps towards improving health outcomes in Palestinian society. The study's findings can inform policy development for Palestinians, addressing structural inequalities and improving healthcare, housing affordability, and socioeconomic opportunities, with future research utilizing longitudinal designs and cross-cultural comparisons.

摘要

背景

高住房密度、过度拥挤、潮湿问题、空气流通不畅、贫困、有限的医疗服务以及住房不安全等因素加剧了巴勒斯坦的健康问题,导致慢性病和心理健康挑战。本研究旨在探讨住房条件与健康结果之间的复杂联系,尤其关注巴勒斯坦人的心理、精神和身体健康。

方法

本研究采用混合方法,将定量调查与定性访谈相结合。基于专家讨论和先前研究制定的结构化问卷评估了三个领域的健康指标。描述性统计和逐步多元回归技术用于数据分析。此外,还进行了十次结构化访谈,以深入了解住房条件对健康的有害影响。

结果

定量分析揭示了住房特征与健康结果之间的显著关联。居住在较小家庭、家庭收入较高且居住在私人住宅中的参与者在所有领域的健康状况都更好。与农村或难民营居民相比,城市居民总体上表现出更好的健康结果,凸显了资源获取方面的差异。此外,居住环境的稳定性与总体幸福感呈正相关。定性研究结果强调了狭窄的生活条件、劣质的建筑材料以及军事占领/冲突对身心健康的负面影响。

结论

该研究强调了社会人口因素与巴勒斯坦人健康结果之间的相互联系。它突出了家庭动态、社会经济地位、住房类型、居住环境和政治局势——特别是其对住房安全和压力水平的影响——在决定身体、精神和心理健康方面的关键作用。解决结构性不平等问题并促进公平获取资源和机会是改善巴勒斯坦社会健康结果的重要步骤。该研究结果可为巴勒斯坦的政策制定提供参考,解决结构性不平等问题,改善医疗保健、住房可负担性和社会经济机会,未来的研究可采用纵向设计和跨文化比较。

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