ArticleFrontiers in public health2016
Housing as a Social Determinant of Health in Singapore and Its Association with Readmission Risk and Increased Utilization of Hospital Services.
Article in Frontiers in public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of health status, health seeking behaviour and healthcare utilisation of low socioeconomic status populations in urban Singapore.International journal for equity in health · 2018Pooled it
- Associations between housing tenure and unscheduled hospital use in people of working age with multiple physical and mental long-term conditions: a retrospective cohort study using linked data from London.BMC health services research · 2026Article
- Role of social determinants, lifestyle and clinical factors in the development of diabetic peripheral neuropathy among a multiethnic Asian population in Singapore: a retrospective analysis.BMJ public health · 2026Article
- Singapore Housing Index and prevalence of serious bacterial infections among febrile infants.Frontiers in pediatrics · 2026Article
- Establishment of a large-scale oral disease registry (NDCS-ODR) in a national specialty center.PloS one · 2026Article
- Psychosocial factors associated with engagement and efficacy of mindfulness intervention in the classroom.PloS one · 2026Article
- Observational
- Strategizing towards the future hospital: a systems thinking approach.Health research policy and systems · 2025Article
- Diagnostic errors in patients admitted directly from new outpatient visits.Diagnosis (Berlin, Germany) · 2025Article
- Development and validation of the Health Segment Classification of Population Encompassed within Singapore (HealthSCOPES) framework.PloS one · 2025Article
- Model-based estimation of individual-level social determinants of health and its applications in All of Us.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- When do patients with retinitis pigmentosa present to ophthalmologists? A multi-centre retrospective study.Eye (London, England) · 2024Article
- A state-level analysis of macro-level factors associated with hospital readmissions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Incorporating AI into cardiovascular diseases prevention-insights from Singapore.The Lancet regional health. Western Pacific · 2024Review
- Comorbidity patterns in cardiovascular diseases: the role of life-stage and socioeconomic status.Frontiers in cardiovascular medicine · 2024Article
- Evaluating the internalisation of the intrinsic role of health advocacy of student pharmacists in a new integrated Bachelor of Pharmacy curriculum: a mixed-methods study.BMC medical education · 2023Article
- Homeowner perspectives on the implementation of the Community Homes for Opportunity (CHO) program: an ethnographic group homes study in Southwestern Ontario Canada.BMC public health · 2023Article
- Family Resilience and Psychological Responses to COVID-19: A Study of Concordance and Dyadic Effects in Singapore Households.Frontiers in psychology · 2022Article
- Article
- Data, Social Determinants, and Better Decision-making for Health: the 3-D Commission.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResidence in public rental housing is an area-level measure of socioeconomic status, but its impact as a social determinant of health in Singapore has not been studied. We therefore aimed to examine the association of public rental housing with readmission risk and increased utilization of hospital services in Singapore.
methodsWe conducted a retrospective cohort study using retrospective 2014 data from Singapore General Hospital's electronic health records. Variables known to affect readmission risk and health-care utilization were identified a priori and include patient demographics, comorbidities, health-care utilization in the preceding 1 year and clinical variables from the index admission in 2014. Multivariate logistic regression was used to evaluate public rental housing as an independent risk factor for admission risk, emergency department (ED), and specialist outpatient clinic attendances.
resultsA total of 14,457 unique patients were analyzed, and 2,163 patients (15.0%) were rental housing residents. Rental housing patients were significantly more likely to be male; required financial assistance; have chronic obstructive pulmonary disease; usage of anti-depressant and anti-psychotic medications; longer length of hospital stay during the index admission; and higher Charlson Comorbidity Index scores. After adjusting for demographics and clinical variables, staying in public rental housing remained an independent risk factor for readmission within 15 and 30 days, frequent hospital admissions and ED attendances in Singapore.
conclusionOur study showed an association between public rental housing with readmission risk and increased utilization of hospital services in Singapore. A deeper understanding of the residents' social circumstances and health seeking behavior would be insightful.
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