ArticleJournal of epidemiology and community health2011
Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene.
Article in Journal of epidemiology and community health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Outcomes reported in evaluations of programs designed to improve health in Indigenous people.Health services research · 2021Pooled it
- Intersectoral action for health equity: a rapid systematic review.BMC public health · 2013Pooled it
- Housing improvements for health and associated socio-economic outcomes.The Cochrane database of systematic reviews · 2013Pooled it
- Access to Food Within Homes Located in Very Remote Communities in Western Australia-An Observational Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Observational
- A retrospective cross-sectional analysis of the economic impact of environmental risk factors on inpatient hospital separations in the Northern Territory.The Medical journal of Australia · 2025Article
- Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies.International journal of environmental research and public health · 2023Review
- Overcrowding and Hazardous Dwelling Condition Characteristics: A Systematic Search and Scoping Review of Relevance for Health.International journal of environmental research and public health · 2022Article
- Article
- Relocating to a new or pre-existing social housing unit: significant health improvements for Inuit adults in Nunavik and Nunavut.Canadian journal of public health = Revue canadienne de sante publique · 2020Observational
- Pregnancy intentions in a group of remote-dwelling Australian Aboriginal women: a qualitative exploration of formation, expression and implications for clinical practice.BMC public health · 2019Article
- The 'invisible homeless' - challenges faced by families bringing up their children in a remote Australian Aboriginal community.BMC public health · 2018Article
- Soil-Transmitted Helminths in Children in a Remote Aboriginal Community in the Northern Territory: Hookworm is Rare but Strongyloides stercoralis and Trichuris trichiura Persist.Tropical medicine and infectious disease · 2017Article
- Evaluating a handwashing with soap program in Australian remote Aboriginal communities: a pre and post intervention study design.BMC public health · 2015Article
- Impact of housing improvement and the socio-physical environment on the mental health of children's carers: a cohort study in Australian Aboriginal communities.BMC public health · 2014Article
- A review of programs that targeted environmental determinants of Aboriginal and Torres Strait Islander health.International journal of environmental research and public health · 2013Review
- Impact of ethnicity and socio-economic status on Staphylococcus aureus bacteremia incidence and mortality: a heavy burden in Indigenous Australians.BMC infectious diseases · 2012Article
- Socioeconomic disparities in the mental health of Indigenous children in Western Australia.BMC public health · 2012Article
- The impact of housing improvement and socio-environmental factors on common childhood illnesses: a cohort study in Indigenous Australian communities.Journal of epidemiology and community health · 2012Article
- Gambling, housing conditions, community contexts and child health in remote indigenous communities in the Northern Territory, Australia.BMC public health · 2012Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimHousing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact of this approach was assessed on three potentially important housing-related influences on child health at the community level: (1) crowding, (2) the functional state of the house infrastructure and (3) the hygienic condition of the houses.
methodsA before-and-after study, including house infrastructure surveys and structured interviews with the main householder, was conducted in all homes of young children in 10 remote Australian indigenous communities.
resultsCompared with baseline, follow-up surveys showed (1) a small non-significant decrease in the mean number of people per bedroom in the house on the night before the survey (3.4, 95% CI 3.1 to 3.6 at baseline vs 3.2, 95% CI 2.9 to 3.4 at follow-up; natural logarithm transformed t test, t=1.3, p=0.102); (2) a marginally significant overall improvement in infrastructure function scores (Kruskal-Wallis test, χ(2)=3.9, p=0.047); and (3) no clear overall improvement in hygiene (Kruskal-Wallis test, χ(2)=0.3, p=0.605).
conclusionHousing programmes of this scale that focus on the provision of infrastructure alone appear unlikely to lead to more hygienic general living environments, at least in this study context. A broader ecological approach to housing programmes delivered in these communities is needed if potential health benefits are to be maximised. This ecological approach would require a balanced programme of improving access to health hardware, hygiene promotion and creating a broader enabling environment in communities.
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