Housing Insecurity and Mental Health: the Effect of Housing Tenure and the Coexistence of Life Insecurities

被引:0
作者
Juli Carrere
Hugo Vásquez-Vera
Alba Pérez-Luna
Ana M. Novoa
Carme Borrell
机构
[1] Agència de Salut Pública de Barcelona,Departament de Ciències Experimentals i de la Salut, Facultat de Ciències de la Salut i de la Vida
[2] Universitat Pompeu Fabra,undefined
[3] Institut d’Investigació Biomèdica (IIB Sant Pau),undefined
[4] Consorci Sanitari de Barcelona (Servei Català de La Salut),undefined
[5] CIBER Epidemiología y Salud Pública (CIBERESP),undefined
来源
Journal of Urban Health | 2022年 / 99卷
关键词
Mental health; Housing; Health inequalities;
D O I
暂无
中图分类号
学科分类号
摘要
While the adverse effects of housing insecurity on mental health are known, much less is known about the modifiers underlying these effects. The aim of this study was to analyze the mental health of people with housing insecurity by housing tenure and considering the coexistence of other life insecurities (energy poverty and food insecurity). We conducted a cross-sectional study through a survey performed in all people attending the Platform for People Affected by Mortgages or the Alliance against Energy Poverty of Barcelona for the first time between June 2017 and December 2019 and who reported housing insecurity. The dependent variables were the risk of poor mental health, self-reported anxiety and/or depression, and the use of psychotropic drugs. We fitted age-adjusted robust Poisson regression models for each dependent variable and estimated adjusted prevalence ratios (aPR). The study included 256 women and 104 men. The prevalence of poor mental health was 89% in women and 85.3% in men, which was much higher than that in the general population of Barcelona (19.5% and 14.5%, respectively). Among women, mental health was worse in those living in a squat (aPR 1.16; 95% CI: 1.02–1.31) and in those with food insecurity (aPR 1.11; 95% CI: 1.01–1.21). The number of coexisting insecurities showed a gradient effect (3 insecurities: aPR 1.21; 95% CI: 1.01–1.45). Among men, the results showed no clear pattern. Poor mental health was highly prevalent in people with housing insecurity and was exacerbated by the coexistence of life insecurities. Public policymakers should consider the complexity of persons with housing insecurity.
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页码:268 / 276
页数:8
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[1]  
Escribà-Agüir V(2014)Crisis económica y condiciones de empleo: diferencias de género y respuesta de las políticas sociales de empleo. Informe SESPAS 2014 Gac Sanit 28 37-43
[2]  
Fons-Martínez J(2011)The ETHOS definition and classification of homelessness: an analysis Eur J Homeless 5 19-37
[3]  
Amore K(2016)The health effects of the foreclosure crisis and unaffordable housing: a systematic review and explanation of evidence Soc Sci Med 162 88-96
[4]  
Baker M(2015)Home foreclosure, health, and mental health: a systematic review of individual, aggregate, and contextual associations PLoS ONE 10 1-18
[5]  
Howden-Chapmna P(2017)The threat of home eviction and its effects on health through the equity lens: a systematic review Soc Sci Med 175 199-208
[6]  
Downing J(2016)Foreclosure and health in Southern Europe: results from the platform for people affected by mortgages J Urban Health 93 312-330
[7]  
Tsai A(2015)How substandard dwellings and housing affordability problems are associated with poor health in a vulnerable population during the economic recession of the late 2000s Int J equity Health 14 120-10
[8]  
Vásquez-Vera H(2016)The health of adults undergoing an eviction process Gac Sanit 30 4-174
[9]  
Palència L(2004)Home ownership, mortgages and psychological distress Hous Stud 19 161-525
[10]  
Magna I(2003)Housing as health capital: how health trajectories and housing paths are linked J Soc Issues 59 501-1036