ArticleBMC public health2017
Social and health outcomes following upgrades to a national housing standard: a multilevel analysis of a five-wave repeated cross-sectional survey.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Associations between Energy Use, Fuel Poverty, Energy Efficiency Improvements and Health.International journal of environmental research and public health · 2022Pooled it
- Article
- Multidimensional energy poverty and its effects on household consumption and savings: Evidence from Nepal.Heliyon · 2024Article
- Considering Residents' Health and Well-Being in the Process of Social Housing Redevelopment: A Rapid Scoping Literature Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Interventions for cold homes: a rapid review of the health impacts.European journal of public health · 2024Review
- Effectiveness of financial support interventions to reduce adverse health outcomes among households in fuel poverty in the United Kingdom.Public health in practice (Oxford, England) · 2024Review
- A happy home? Socio-economic inequalities in depressive symptoms and the role of housing quality in nine European countries.BMC public health · 2023Article
- Can Homes Affect Well-Being? A Scoping Review among Housing Conditions, Indoor Environmental Quality, and Mental Health Outcomes.International journal of environmental research and public health · 2022Article
- Evaluation of the Victorian Healthy Homes Program: protocol for a randomised controlled trial.BMJ open · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile existing research indicates that housing improvements are associated with health improvements, less is known about the wider social and health benefits of meeting national housing standards, as well as those of their specific constituent measures. This study evaluates the impacts of a managed housing upgrade programme through a repeated cross-sectional survey design.
methodsA five-wave repeated cross-sectional survey was conducted over a seven-year period from 2009 to 2016 (n = 2075; n = 2219; n = 2015; n = 1991; and n = 1709, respectively). The study followed a managed upgrade programme designed to meet a national social housing standard over an extended period. The data were analysed from a multilevel perspective to take account of the time-dependent nature of the observations and differences in socio-demographic composition.
resultsThe installation of the majority of individual housing measures (new windows and doors; boilers; kitchens; bathrooms; electrics; loft insulation; and cavity/external wall insulation) were associated with improvements in several social (housing suitability, satisfaction, and quality; thermal comfort and household finances) and health (mental, respiratory and general health) outcomes; and analyses showed relationships between the number of measures installed and the total amount invested on the one hand and the social and health outcomes on the other. There were however a few exceptions. Most notably, the installation of cavity wall insulation was associated with poorer health outcomes, and did not lead to better social outcomes. Also, no association was found between the number of measures installed and respiratory health.
conclusionsThe study suggests that substantial housing investments through a managed upgrade programme may result in better social and health outcomes, and that the size of the improvements are proportionate to the number of measures installed and amount invested. However, there may be risks associated with specific measures; and more attention is needed for mechanical ventilation when upgrading energy efficiency of houses through fabric work. In addition to providing new evidence regarding the wider social and health outcomes, the study provides an analytical approach to evaluate upgrade programmes that are delivered over multiple years.
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