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Article: Housing affordability effects on physical and mental health: Household survey in a population with the world's greatest housing affordability stress

TitleHousing affordability effects on physical and mental health: Household survey in a population with the world's greatest housing affordability stress
Authors
Keywordshousing
Deprivation
health inequalities
poverty
Issue Date2020
Citation
Journal of Epidemiology and Community Health, 2020, v. 74 n. 2, p. 164-172 How to Cite?
AbstractBackground: We examined the association of housing affordability with physical and mental health in Hong Kong, where there is a lack of related research despite having the worst housing affordability problem in the world, considering potential mediating effect of deprivation. Methods: A stratified random sample of 1978 Hong Kong adults were surveyed. Housing affordability was defined using the residual-income (after housing costs) approach. Health-related quality of life was assessed by the Short-Form Health Survey version 2 (SF-12v2), from which the physical component summary (PCS) and mental component summary (MCS) measures were derived. Multivariable linear regressions were performed to assess associations of housing affordability with PCS and MCS scores, adjusting for sociodemographic, socioeconomic and lifestyle factors. Mediation analyses were also conducted to assess the mediating role of deprivation on the effect of housing affordability on PCS or MCS. Results: Dose-response relationships were observed between housing affordability and mean PCS score (β (95% CI) compared with the highest affordable fourth quartile:-2.53 (-4.05 to-1.01),-2.23 (-3.54 to-0.92),-0.64 (-1.80 to 0.51) for the first, second and third quartiles, respectively) and mean MCS score (β (95% CI):-3.87 (-5.30 to-2.45),-2.35 (-3.59 to-1.11),-1.28 (-2.40 to-0.17) for the first, second and third quartiles, respectively). Deprivation mediated 34.3% of the impact of housing unaffordability on PCS and 15.8% of that on MCS. Conclusions: Housing affordability affects physical and mental health, partially through deprivation, suggesting that housing policies targeting deprived individuals may help reduce health inequality in addition to targeting the housing affordability problem.
Persistent Identifierhttp://hdl.handle.net/10722/298334
ISSN
2023 Impact Factor: 4.9
2023 SCImago Journal Rankings: 2.091
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChung, Roger Yat Nork-
dc.contributor.authorChung, Gary Ka Ki-
dc.contributor.authorGordon, David-
dc.contributor.authorMak, Jonathan Ka Long-
dc.contributor.authorZhang, Ling Fei-
dc.contributor.authorChan, Dicken-
dc.contributor.authorLai, Francisco Tsz Tsun-
dc.contributor.authorWong, Hung-
dc.contributor.authorWong, Samuel Yeung Shan-
dc.date.accessioned2021-04-08T03:08:10Z-
dc.date.available2021-04-08T03:08:10Z-
dc.date.issued2020-
dc.identifier.citationJournal of Epidemiology and Community Health, 2020, v. 74 n. 2, p. 164-172-
dc.identifier.issn0143-005X-
dc.identifier.urihttp://hdl.handle.net/10722/298334-
dc.description.abstractBackground: We examined the association of housing affordability with physical and mental health in Hong Kong, where there is a lack of related research despite having the worst housing affordability problem in the world, considering potential mediating effect of deprivation. Methods: A stratified random sample of 1978 Hong Kong adults were surveyed. Housing affordability was defined using the residual-income (after housing costs) approach. Health-related quality of life was assessed by the Short-Form Health Survey version 2 (SF-12v2), from which the physical component summary (PCS) and mental component summary (MCS) measures were derived. Multivariable linear regressions were performed to assess associations of housing affordability with PCS and MCS scores, adjusting for sociodemographic, socioeconomic and lifestyle factors. Mediation analyses were also conducted to assess the mediating role of deprivation on the effect of housing affordability on PCS or MCS. Results: Dose-response relationships were observed between housing affordability and mean PCS score (β (95% CI) compared with the highest affordable fourth quartile:-2.53 (-4.05 to-1.01),-2.23 (-3.54 to-0.92),-0.64 (-1.80 to 0.51) for the first, second and third quartiles, respectively) and mean MCS score (β (95% CI):-3.87 (-5.30 to-2.45),-2.35 (-3.59 to-1.11),-1.28 (-2.40 to-0.17) for the first, second and third quartiles, respectively). Deprivation mediated 34.3% of the impact of housing unaffordability on PCS and 15.8% of that on MCS. Conclusions: Housing affordability affects physical and mental health, partially through deprivation, suggesting that housing policies targeting deprived individuals may help reduce health inequality in addition to targeting the housing affordability problem.-
dc.languageeng-
dc.relation.ispartofJournal of Epidemiology and Community Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjecthousing-
dc.subjectDeprivation-
dc.subjecthealth inequalities-
dc.subjectpoverty-
dc.titleHousing affordability effects on physical and mental health: Household survey in a population with the world's greatest housing affordability stress-
dc.typeArticle-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1136/jech-2019-212286-
dc.identifier.pmid31690588-
dc.identifier.pmcidPMC6993018-
dc.identifier.scopuseid_2-s2.0-85074769785-
dc.identifier.volume74-
dc.identifier.issue2-
dc.identifier.spage164-
dc.identifier.epage172-
dc.identifier.eissn1470-2738-
dc.identifier.isiWOS:000507911300011-
dc.identifier.issnl0143-005X-

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