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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >'Home is where the health is': Housing quality and adult health outcomes in the Survey of Income and Program Participation
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'Home is where the health is': Housing quality and adult health outcomes in the Survey of Income and Program Participation

机译：“家是健康的地方”：收入和方案参与调查中的住房质量和成人健康结果

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Nearly a quarter of the homes in the United States were considered unhealthy or inadequate, but whether these housing characteristics have direct effects on health or whether they are driven by other contextual housing and neighborhood characteristics remains unclear. The purpose of this study was to quantify the independent associations between poor housing quality and adult health outcomes, adjusting for socioeconomic factors (e.g. income to poverty ratio, food insecurity) and other contextual housing characteristics (e.g. rental status, number of people per household, unsafe neighborhood). Using in-person household interview data from wave 1 of the 2014 Survey of Income and Program Participation (SIPP), a secondary analysis was performed using a series of logistic regression models. The 2014 SIPP sample is a multistage stratified sample of 53,070 housing units designed to represent the civilian, noninstitutionalized population of the United States (N = 55,281 adults ages 18 and older). Our results indicate that each additional poor housing characteristic was associated with poorer health status (OR: 1.17, CI [1.11, 1.23]), higher medical utilization (OR: 1.11 CI: [1.06, 1.16]), and a higher likelihood of hospitalization (OR: 1.07, CI [1.02, 1.12]). Non-housing-related government assistance, food security, and safe neighborhoods only partially explained associations between housing quality and health outcomes. Evaluating current local, state, and federal policy on housing quality standards may help determine if these standards decrease the number of Americans residing in inadequate homes or result in improvements in health and reductions in healthcare costs. Simply put, the home is where [we suggest] the health is.
机译：美国近四分之一的家庭被认为是不健康或不充分的，但这些住房特征是否对健康有直接影响或者是否被其他上下文住房和邻里特征仍然不清楚。本研究的目的是量化住房质量和成人健康成果之间的独立协会，调整社会经济因素（例如收入贫困比例，粮食不安全）和其他上下文住房特征（例如租赁地位，每家人数，不安全的邻居）。使用来自2014年收入和计划参与调查（SIPP）的Wave 1的亲自家庭访谈数据，使用一系列逻辑回归模型进行二次分析。 2014年SIPP样本是一款53,070个住房单位的多级分层样本，旨在代表美国的平民，不稳定的人口（N = 55,281岁及以上的成年人）。我们的结果表明，每个额外的差的住房特性与较差的健康状况有关（或：1.17，CI [1.11,11.23]），更高的医疗利用率（或：1.11 CI：[1.06,1116]），以及住院的可能性更高（或：1.07，CI [1.02,1.12]）。非住宿区政府援助，粮食安全和安全社区仅部分地解释了住房质量和健康结果之间的协会。评估当前的本地，国家和联邦政府质量标准的政策可能有助于确定这些标准是否会降低居住在房屋不足的美国人数量或导致健康和减少医疗费用的改善。简单地说，家是[我们建议]健康的地方。

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