Health of Older Adults in New York City Public Housing: Part 1, Findings From the New York City Housing Authority Senior Survey

Parton, Hilary; Greene, Ruby; Flatley, Anne Marie; Viswanathan, Nalini; Wilensky, L.; Berman, Jacquelin; Schneider, Amanda E.; Uribe, Ana Cecilia Reyes; Olson, E. Carolyn; Waddell, Elaine; Thorpe, Lilian

doi:10.1891/1521-0987.13.3.134

Cited by 13 publications

(4 citation statements)

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“…Our findings suggested that residents living in public rental and subsidized home ownership flats were less likely to report good SRH than their counterparts living in private housing, consistent with studies carried out in Western cities [61,62]. Literature on the association between housing and health has primarily focused on the environmental or physical aspects of housing, the association between physical and tenure patterns, as well as neighbourhood characteristics [63].…”

Section: Discussionsupporting

confidence: 85%

Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Wong

Woo

2017

IJERPH

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In response to the growing number of older people living in cities, the World Health Organization (WHO) introduced the concept of “Age-Friendly Cities” (AFC) to guide the way in designing physical and social environments to encourage active ageing. Limited research has studied the effects of neighbourhood age-friendliness on elderly health outcomes. Using the example of a highly urbanized city in Asia, this study examined the effects of perceived age-friendliness of neighbourhood environments on self-rated health (SRH) among community-dwelling older Chinese. A multi-stage sampling method was used to collect views of community-dwelling older people from two local districts of Hong Kong. A structured questionnaire covering the WHO’s eight AFC domains was developed to collect information on the perceived neighbourhood environments, SRH and individual characteristics. Age-friendliness of neighbourhood was assessed by mean scores of AFC domains, which was used to predict SRH with adjustment for individual and objective neighbourhood characteristics. Furthermore, 719 respondents aged ≥60 years completed the questionnaire, of which 44.5% reported good SRH. Independent of individual and objective neighbourhood characteristics, multiple logistics regressions showed that higher satisfaction on outdoor spaces and buildings, transportation, housing, social participation, and respect and social inclusion was significantly associated with increased odds of reporting good SRH by more than 20% (p < 0.05). Individuals aged 70–79 years, being female, lower education and residents of public or subsidized housing were less likely to report good SRH, after controlling for individual and neighbourhood characteristics. In addition to age, gender, education and housing type, AFC environments have important contributive influence on SRH, after controlling for individual and objective neighbourhood characteristics.

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Section: Discussionsupporting

confidence: 85%

Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Wong

Woo

2017

IJERPH

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“…Public housing is typically located in economically underserved and under resourced areas and generally characterized as a place of concentrated poverty with physical, social, and economic barriers to prioritizing health behaviors and managing chronic health conditions among residents. The prevalence of chronic illnesses like asthma, obesity, and heart disease among adults living in public housing (and other federally subsidized housing) 5 - 9 are higher than low-income residents not in public housing. Except for an extensive literature on asthma and lead poisoning, chronic conditions among children living in public housing are less frequently examined.…”

Section: Introductionmentioning

confidence: 99%

Chronic pediatric health conditions among youth living in public housing and receiving care in a large hospital system in Bronx, NY

Chambers

Heller

Fiori

et al. 2020

Global Pediatric Health

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This study compared the prevalence of chronic pediatric health conditions for youth in public housing with youth not in public housing using clinical electronic health record (EHR) and housing data. Youth (ages 2-17 years) in a large urban health system were identified and categorized into two housing types—public housing (n = 10 770) and not in public housing (n = 84 883) by age (young childhood, middle childhood, young adolescence). The prevalence of some pediatric conditions was higher in public housing but varied by age. Disparities in health conditions among youth in public housing were more common in early adolescence: asthma (26.4 vs 18.6; P < .001); obesity (28.5 vs 24.6; P < .001); depression/anxiety (19.2 vs 17.3; P = .008); behavioral disorders (8.1 vs 5.3; P < .001). These results show that chronic pediatric conditions like asthma and obesity that lead to significant morbidity into adulthood are more common among youth living in public housing. However, this pattern is not consistent across all chronic conditions.

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“…26 Compared with older adults in New York City overall, attendees at senior centers tend to have both a higher prevalence of chronic conditions and a higher percentage of individuals who report being in poor or fair versus good or excellent general health. 27 …”

Section: Discussionmentioning

confidence: 99%

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

Northridge¹,

Chakraborty²,

Salehabadi³

et al. 2018

Journal of Health Care for the Poor and Underserved

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Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y.). Sociodemographic, health, and health care information were obtained via intake interviews, number of teeth present via clinical dental examinations, and glycemic status via measurement of glycosylated hemoglobin (HbA1c). Complete data on dental insurance coverage status for 785 participants were available for analysis (1,015 after multiple imputation). For participants with no dental insurance and any private/other dental insurance, number of teeth present is less for participants with diabetes than for participants without diabetes; however, for participants with Medicaid coverage only, the relationship is reversed. Potential explanations include the limited range of dental services covered under the Medicaid program, inadequate diabetes screening and monitoring of Medicaid recipients, and the poor oral and general health of Medicaid recipients.

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Health of Older Adults in New York City Public Housing: Part 1, Findings From the New York City Housing Authority Senior Survey

Cited by 13 publications

References 0 publications

Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese

Chronic pediatric health conditions among youth living in public housing and receiving care in a large hospital system in Bronx, NY

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

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