Housing improvement and self-reported mental distress among council estate residents

Thomas, Richard; Evans, Stephen; Huxley, Peter; Gately, Claire; Rogers, Anne

doi:10.1016/j.socscimed.2004.11.015

Cited by 22 publications

(19 citation statements)

References 21 publications

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“…In the 3 more rigorous studies (grade A), [39][40][41] there was no clear impact on Short Form-36 measures of mental health, whereas in the less rigorous studies, statistically significant positive impacts were reported across a range of measures. [42][43][44][45][46]49 Other illness or symptom impacts. Three studies assessed other types of health or illness impacts.The range of outcomes assessed was diverse; a mix of positive and negative impacts was reported, and there was no clear overall indication of benefit or harm.…”

Section: -4963mentioning

confidence: 99%

“…In 7 studies, authors reported that some houses in the control group had received the intervention. [34][35][36]41,42,51,58 In around half of studies that reported housing conditions at baseline (7 of 15), most of the intervention households reported having no housing problems at baseline. 27,38,40,44,46,50,67 Contamination of the control group and the wide within-study variation in the housing improvements delivered (i.e., in the intervention integrity) probably limited the ability to detect impacts, and this may have led to an underestimate of the efficacy of housing improvement on health.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Although it is likely that measures for improvement of warmth were part of the intervention in each study, only 4 studies specifically reported that the intervention included upgrading or installing heating and energy efficiency measures. 41,42,44,46 Nine studies assessed changes in housing conditions, 6 studies reported improved conditions, and 3 studies reported no change. 43,44,46 Levels of intervention integrity (see the box available as a supplement to the online article at http://www.…”

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confidence: 99%

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The Health Impacts of Housing Improvement: A Systematic Review of Intervention Studies From 1887 to 2007

et al. 2009

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Objectives. We conducted a systematic review of the health impacts of housing improvement. Methods. Forty-two bibliographic databases were searched for housing intervention studies from 1887 to 2007. Studies were appraised independently by H. T. and S. T. or E. S. for sources of bias. The data were tabulated and synthesized narratively, taking into account study quality. Results. Forty-five relevant studies were identified. Improvements in general, respiratory, and mental health were reported following warmth improvement measures, but these health improvements varied across studies. Varied health impacts were reported following housing-led neighborhood renewal. Studies from the developing world suggest that provision of basic housing amenities may lead to reduced illness. There were few reports of adverse health impacts following housing improvement. Some studies reported that the housing improvement was associated with positive impacts on socioeconomic determinants of health. Conclusions. Housing improvements, especially warmth improvements, can generate health improvements; there is little evidence of detrimental health impacts. The potential for health benefits may depend on baseline housing conditions and careful targeting of the intervention. Investigation of socioeconomic impacts associated with housing improvement is needed to investigate the potential for longer-term health impacts.

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Section: -4963mentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

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confidence: 99%

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The Health Impacts of Housing Improvement: A Systematic Review of Intervention Studies From 1887 to 2007

et al. 2009

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“…In one of the more thorough studies using this approach, Thomas et al (2005) identified three psychosocial pathways in or out of mental distress: 'restricted opportunity' or failure to achieve personal goals; powerlessness, loss and humiliation; and new hope or a fresh start on a pathway to better outcomes. Thomas et al concentrated on the first of these in a study of housing improvements in the UK, finding housing improvements to be detrimental to mental health but better mental health to be associated with lower assessments of psychosocial risk.…”

Section: Introductionmentioning

confidence: 99%

“…We have focused on one of the other psychosocial pathways identified by Thomas et al (2005), namely that of a 'fresh start'-in our case moving to a newly constructed home. There have been far fewer studies in the UK of this type of housing intervention compared with those of housing improvements.…”

Section: Introductionmentioning

confidence: 99%