Title |
Costs and outcomes of improving population health through better social housing: a cohort study and economic analysis
|
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Published in |
International Journal of Public Health, June 2017
|
DOI | 10.1007/s00038-017-0989-y |
Pubmed ID | |
Authors |
Nathan Bray, Paul Burns, Alice Jones, Eira Winrow, Rhiannon Tudor Edwards |
Abstract |
We sought to determine the impact of warmth-related housing improvements on the health, well-being, and quality of life of families living in social housing. An historical cohort study design was used. Households were recruited by Gentoo, a social housing contractor in North East England. Recruited households were asked to complete a quality of life, well-being, and health service use questionnaire before receiving housing improvements (new energy-efficient boiler and double-glazing) and again 12 months afterwards. Data were collected from 228 households. The average intervention cost was £3725. At 12-month post-intervention, a 16% reduction (-£94.79) in household 6-month health service use was found. Statistically significant positive improvements were observed in main tenant and household health status (p < 0.001; p = 0.009, respectively), main tenant satisfaction with financial situation (p = 0.020), number of rooms left unheated per household (p < 0.001), frequency of household outpatient appointments (p = 0.001), and accident/emergency department attendance (p < 0.012). Warmth-related housing improvements may be a cost-effective means of improving the health of social housing tenants and reducing health service expenditure, particularly in older populations. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 11 | 38% |
Ireland | 2 | 7% |
Argentina | 1 | 3% |
United States | 1 | 3% |
Australia | 1 | 3% |
Switzerland | 1 | 3% |
Unknown | 12 | 41% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 20 | 69% |
Practitioners (doctors, other healthcare professionals) | 6 | 21% |
Scientists | 2 | 7% |
Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 63 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 10 | 16% |
Student > Master | 7 | 11% |
Student > Bachelor | 6 | 10% |
Student > Doctoral Student | 5 | 8% |
Student > Ph. D. Student | 5 | 8% |
Other | 9 | 14% |
Unknown | 21 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 12 | 19% |
Social Sciences | 10 | 16% |
Medicine and Dentistry | 5 | 8% |
Engineering | 4 | 6% |
Economics, Econometrics and Finance | 2 | 3% |
Other | 7 | 11% |
Unknown | 23 | 37% |