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首页> 美国卫生研究院文献>SSM - Population Health >The impact of housing payment problems on health status during economic recession: A comparative analysis of longitudinal EU SILC data of 27 European states 2008–2010
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The impact of housing payment problems on health status during economic recession: A comparative analysis of longitudinal EU SILC data of 27 European states 2008–2010

机译：经济衰退期间住房支付问题对健康状况的影响：2008-2010年欧洲27个欧洲州的欧盟SILC纵向数据的比较分析

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Although the recent Great Recession had its origins in the housing sector, the short-term health impact of the housing crisis is not well understood. We used longitudinal data to evaluate the impact of housing payment problems on health status among home-owners and renters in 27 European states. Multi-level and fixed-effects models were applied to a retrospective cohort drawn from the EU Statistics on Income and Living Conditions survey of employed persons, comprising those without housing arrears in the base year 2008 and followed through to 2010 (n=45,457 persons, 136,371 person-years). Multi-variate models tested the impact of transitioning into housing payment arrears on self-reported health (0-worst to 4-best), adjusting for confounders including age, sex, baseline health, and individual fixed effects. Transitioning into housing arrears was associated with a significant deterioration in the health of renters (−0.09 units, 95% CI −0.05 to −0.13), but not owners (0.00, 95% CI −0.05 to 0.06), after adjusting for individual fixed effects. This effect was independent of and greater than the impact of job loss for the full sample (−0.05, 95% CI −0.002 to −0.09). The magnitude of this association varied across countries; the largest adverse associations were observed for renters in Belgium, Austria, and Italy. There was no observed protective association of differing categories of social protection or of the housing regulatory structure for renters. Women aged 30 and over who rented appeared to have worse self-reported health when transitioning into arrears than other groups. Renters also fared worse in those countries where house prices were escalating. We therefore find that housing payment problems are a significant risk factor for worse-self reported health in persons who are renting their homes. Future research is needed to understand potential sources of health resilience among renters, especially at a time when housing prices are rising in many European states.
机译：尽管最近的经济大萧条起源于住房部门，但住房危机对健康的短期影响尚不十分清楚。我们使用纵向数据评估了欧洲27个州的房屋付款问题对房主和房客健康状况的影响。从欧盟收入和生活状况统计调查得出的回顾性队列中采用了多层次和固定效应模型，该调查包括在基准年2008年至2010年（n = 45,457， 136,371人年。多元模型测试了过渡到住房欠款对自我报告的健康状况（0分至4分最差）的影响，并调整了混杂因素，包括年龄，性别，基线健康状况和个人固定效应。调整个别固定费用后，过渡为拖欠住房款会导致租房者的健康状况显着恶化（-0.09个单位，95％CI -0.05至-0.13），而不是所有者（0.00，95％CI -0.05至0.06）。效果。对于整个样本，此影响独立于并且大于失业的影响（-0.05，95％CI -0.002至-0.09）。该协会的规模因国家而异。比利时，奥地利和意大利的租房者观察到最大的不利关联。没有观察到不同类别的社会保护或房客住房监管结构的保护性联系。与其他群体相比，租住的30岁及30岁以上的女性自我报告的健康状况较差。在房价不断上涨的国家，租房者的情况也更糟。因此，我们发现住房付款问题是租房者自我报告健康状况恶化的重要风险因素。需要进一步的研究来了解租房者潜在的健康复原力来源，尤其是在欧洲许多州房价上涨的时候。

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