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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Prioritising Housing Maintenance to Improve Health in Indigenous Communities in NSW over 20 years
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Prioritising Housing Maintenance to Improve Health in Indigenous Communities in NSW over 20 years

机译：优先考虑住房维护以改善新南威尔士州土着社区的健康20多年

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Many studies document the relationship between housing quality and health status. Poor housing in Aboriginal communities continues to be linked to the compromised health status of Aboriginal Australians. The New South Wales (NSW) Housing for Health (HfH) program has been assessing and repairing Aboriginal community housing across the state for 20 years using a standardised intervention methodology that aims to improve the health of Aboriginal people in NSW by improving their living environments. Items are tested and repairs are prioritised to maximise safety and health benefits and measured against 11 Critical Healthy Living Priorities (e.g., safety, facilities for washing people and clothes, removing waste and preparing food). Descriptive analysis of data collected pre- and post-intervention from 3670 houses was conducted to determine the effectiveness of the program. Analysis demonstrated statistically significant improvements in the ability of the houses to support safe and healthy living for all critical healthy living priorities post-interventions. Trend analysis demonstrated the magnitude of these improvements increased over 20 years. In 24 communities ( = 802 houses) where projects were repeated (5–17 years later), results indicate sustainability of improvements for 9 of 11 priorities. However, the overall condition of health-related hardware in Aboriginal community housing across NSW pre-intervention has not significantly changed during the program’s 20 years. Results suggest a systematic lack of routine maintenance and quality control continues to be the overwhelming cause for this lack of improvement pre-intervention. Our evaluation of the HfH program demonstrated that fidelity to a standardised housing testing and repair methodology to improve residents’ safety and health can have sustainable effects on housing infrastructure and associated health benefits, such as a 40% reduction in infectious disease hospital separations. Housing and health agencies should collaborate more closely on social housing programs and ensure programs are adequately resourced to address safety and health issues.
机译：许多研究记录了住房质量与健康状况之间的关系。土着社区的贫困住房仍然与土着澳大利亚人的受损健康状况相关联。卫生（HFH）计划的新南威尔士州（NSW）的住房一直在使用标准化干预方法的国家评估和修复全国的原住民社区住房，旨在通过改善其生活环境来改善新南威尔士州土着人民的健康状况。经过测试和物品，优先考虑维修，以最大限度地提高安全性和健康益处，并针对11个关键健康生活优先级（例如，安全，洗涤人和衣服的设施，消除废物和准备食物）。对3670个房屋预先收集的数据的描述性分析是为了确定该计划的有效性。分析表明，在干预后所有批判性健康生活优先级，房屋能够安全和健康生活的能力的统计学意义改善。趋势分析表明，这些改善的幅度增加了20多年。在24个社区（= 802房屋）中（5-17周期），结果表明了11项优先事项的改善的可持续性。然而，在南威尔士州新南威尔士州南威尔士州南威尔士州纳维群岛住房中的健康相关硬件的总体状况并没有在该计划的20年内显着改变。结果表明，系统缺乏日常维护和质量控制仍然是这种缺乏改善预干预的压倒性原因。我们对HFH计划的评估表明，保真于标准化的住房测试和修复方法，以提高居民的安全和健康可以对住房基础设施和相关的健康益处具有可持续的影响，例如传染病医院分离的40％。住房和卫生机构应在社会住房计划上更密切地合作，并确保计划充分资源以解决安全和健康问题。

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