Health In All Policies: The Role Of The US Department Of Housing And Urban Development And Present And Future Challenges

Bostic, Raphael W.; Thornton, Rachel L. J.; Rudd, Elizabeth; Sternthal, Michelle J.

doi:10.1377/hlthaff.2011.1014

Cited by 37 publications

(14 citation statements)

References 21 publications

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“…58 Similarly, the Department of Housing and Urban Development has adopted a "health in all policies" approach, which emphasizes the intersection between the physical environment and health. 59 …”

Section: Discussionmentioning

confidence: 99%

Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma

et al. 2014

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Local agencies that enforce housing policies can partner with the health care system to target pediatric asthma care. These agencies retain data that can be used to pinpoint potential clusters of high asthma morbidity. We sought to assess whether the density of housing code violations in census tracts—the in-tract asthma-relevant violations (such as the presence of mold or cockroaches) divided by the number of housing units—was associated with population-level asthma morbidity and could be used to predict a hospitalized patient’s risk of subsequent morbidity. We found that increased density in housing code violations was associated with population-level morbidity independent of poverty, and that the density explained 22 percent of the variation in rates of asthma-related emergency department visits and hospitalizations. Children who had been hospitalized for asthma had 1.84 greater odds of a revisit to the emergency department or a rehospitalization within twelve months if they lived in the highest quartile of housing code violation tracts, compared to those living in the lowest quartile. Integrating housing and health data could highlight at-risk areas and patients for targeted interventions.

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Section: Discussionmentioning

confidence: 99%

Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma

et al. 2014

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“…( 33,34 ) For example, lead abatement and indoor air quality improvement interventions have reduced childhood lead poisoning and asthma morbidity, respectively. ( 35,36 ) Though not originally designed to evaluate health outcomes, housing mobility programs that are intended to increase low-income families’ access to economic opportunity and safer neighborhoods have also demonstrated potential health impacts.…”

Section: Surveying the Evidence On Social Determinant-focused Intervementioning

confidence: 99%

Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health

et al. 2016

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Research reveals that the opportunities for healthy choices in homes, neighborhoods, schools, and workplaces can have decisive impacts on health. This article reviews scientific evidence from promising interventions focused on the social determinants of health, and describes ways in which they can improve population health and reduce health disparities. We show that there is sufficient evidence to support policy interventions targeted at education and early childhood; urban planning and community development; housing; income enhancements and supplements; and employment. When available, cost-effectiveness evaluations show that these interventions lead to long-term societal savings; however, more routine attention to cost considerations is needed for these interventions. We also discuss challenges to implementation, including the need for long-term financing in order to scale-up effective interventions for implementation at the local, state, or national level. Although we know enough to act, questions remain about how to optimally scale-up these interventions and maximize their benefits for the most vulnerable populations.

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“…The Department of Housing and Urban Development has adopted a "health in all policies" approach that promotes collaborations with health organizations, the use of health metrics, and the inclusion of health and social services into its goals and programs. 51 Local housing authorities and housing developers could benefit by following suit.…”

Section: Discussionmentioning

confidence: 99%

San Francisco Children Living In Redeveloped Public Housing Used Acute Services Less Than Children In Older Public Housing

et al. 2014

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Understanding the links between housing and health is increasingly important. Poor housing quality is a predictor of poor health and developmental problems in low-income children. We examined associations between public housing type and recurrent pediatric emergency and urgent care hospital visits. Children ages 0-18 with public insurance who sought emergency care from any of three large medical systems in San Francisco were categorized by whether they lived in public housing redeveloped through the federal HOPE VI program, nonredeveloped public housing, or nonpublic housing in a census tract that also contained public housing. After we adjusted for potential confounding characteristics, we found that children living in nonredeveloped public housing were 39 percent more likely to have one or more repeat visits within one year for acute health care services unrelated to the initial visit, compared to children who lived in redeveloped HOPE VI housing. We observed no differences in repeat visits between children in redeveloped HOPE VI housing and those in nonpublic housing. These findings support the continued redevelopment of public housing as a means of both improving the health of vulnerable high-risk children from low-income neighborhoods and reducing health care costs.

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Health In All Policies: The Role Of The US Department Of Housing And Urban Development And Present And Future Challenges

Cited by 37 publications

References 21 publications

Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma

Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma

Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health

San Francisco Children Living In Redeveloped Public Housing Used Acute Services Less Than Children In Older Public Housing

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