Renting Poorer Housing: Ecological Relationships between Tenure, Dwelling Condition, and Income and Housing-Sensitive Hospitalizations in a Developed Country

Autor/inn/en	Telfar Barnard, Lucy; Howden-Chapman, Philippa; Pierse, Nevil
Titel	Renting Poorer Housing: Ecological Relationships between Tenure, Dwelling Condition, and Income and Housing-Sensitive Hospitalizations in a Developed Country
Quelle	In: Health Education & Behavior, 47 (2020) 6, S.816-824 (9 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Telfar Barnard, Lucy) ORCID (Howden-Chapman, Philippa) ORCID (Pierse, Nevil)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198120945923
Schlagwörter	Housing; Public Health; Time; Income; Correlation; Hospitals; Neighborhoods; Socioeconomic Status; Foreign Countries; Buildings; Weather; Climate; Age Differences; Population Distribution; At Risk Persons; New Zealand + Suchen Sie Ihr Suchwort? Unterkunft; Gesundheitswesen; Zeit; Einkommen; Korrelation; Krankengymnast; Krankenhaus; Neighbourhoods; Nachbarschaft; Socio-economic status; Sozioökonomischer Status; Ausland; Building; Gebäude; Wetter; Klima; Age; Difference; Age difference; Altersunterschied; Demographical distribution; Bevölkerungsverteilung; Risikogruppe; Neuseeland
Abstract	Background: Previous research has shown two-way associations between rental tenure, poorer housing quality, and health outcomes, but little research has looked at relative housing contributions to health outcomes. Aims: We investigated whether tenure and/or dwelling condition were associated with housing-sensitive hospitalizations and whether any association differed by income. Method: Using a data set of housing characteristics matched to hospitalization records, rental tenure data, and income quintiles, we modeled differences in housing-sensitive hospitalization rates by ecological-level tenure and housing condition, controlling for age-group and mean temperatures. Results: There were clear associations between income, tenure, and house condition, and winter-associated hospitalization risk. In the adjusted model, the largest risk differences were associated with neighborhoods with low income (risk ratio [RR] = 1.48) and high rental tenure (RR = 1.41). There was a nonsignificant difference for housing condition (RR = 1.04). Discussion: Rental tenure and poor housing condition were risks for housing-sensitive hospitalization, but the association with income was stronger. Higher income households may be better able to offset quality and tenure-related health risks. This research illustrates the inverse housing law: Those most vulnerable, with most need for good-quality housing, are least likely to have it. Income inequity is inbuilt in tenure, quality, and health burden relationships. Conclusion: These findings suggest that measures to address health inequities should include improvements to both tenure security and housing quality, particularly in low-income areas. However, policymakers aiming to reduce overall hospitalization rates should focus their efforts on reducing fuel poverty and improving the affordability of quality housing. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01