Without Affordable, Accessible, and Adequate Housing, Health Has No Foundation

Mehdipanah, Roshanak

doi:10.1111/1468-0009.12626

Cited by 6 publications

(1 citation statement)

References 107 publications

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“…Studies have shown that patients with lower socioeconomic status have less access to rehabilitation services, which are essential for promoting poststroke self-care performance (Isenberg et al, 2023; Kapral et al, 2002; Marshall et al, 2015). Moreover, inadequate income and housing have been identified as critical factors influencing self-care (Mehdipanah, 2023; Stulberg et al, 2021). Occupational therapy practitioners must recognize how a mild stroke survivor’s neighborhood environment affects their self-care performance.…”

Section: Discussionmentioning

confidence: 99%

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Bright,

Baum,

Roberts

2024

OTJR: Occupational Therapy Journal of Research

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Mild stroke survivors seldom receive occupational therapy services as their deficits are assumed to be minor enough to not affect their daily occupations. Yet many mild stroke survivors report deficits in self-care performance and social participation. This study investigates person and environment factors influencing self-care performance and social participation among mild stroke survivors, using the Person–Environment–Occupation–Performance (PEOP) model. A retrospective cohort analysis of 736 mild stroke survivors was conducted using electronic health records. Person factors included demographic characteristics and clinical characteristics, and environment factors included the Social Vulnerability Index. The analysis included logistic regression. Approximately, 10% of patients reported deficits in self-care or social participation. Disability level was the only person factor associated with self-care performance. Person factors affecting social participation included mobility and unemployment. Socioeconomic status was associated with both occupation measures. Occupational therapy practitioners must address the person and environment factors affecting mild stroke survivors’ self-care performance and social participation.

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Section: Discussionmentioning

confidence: 99%

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Bright,

Baum,

Roberts

2024

OTJR: Occupational Therapy Journal of Research

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Typical indicators of neighborhood change used to define gentrification have opposing associations with infant mortality

Murosko,

Passarella,

Montoya-Williams

et al. 2024

Preprint

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Infant mortality (IM), or death prior to the first birthday, is a key public health metric that increases with neighborhood structural inequities. However, neighborhood exposures shift as communities undergo gentrification, a pattern of neighborhood change defined by increasing affluence (in wealth, education, and housing costs). Gentrification has inconsistent associations with infant health outcomes like IM, which may be due to differing relationships between its composite measures and such outcomes. We designed a retrospective cohort analysis of all births and deaths from 2010-2019 across 4 metropolitan areas in Michigan to determine how gentrification and its neighborhood-change components are associated with risk of IM, using multilevel multivariable logistic regression models. Among 672,432 infants, 0.52% died before 1 year. IM was not associated with gentrification. Census tracts with greater increases in income and education had lower rates of IM, but tracts with greater increases in rent costs had higher rates of IM. In unadjusted models, odds of IM were 40% and 15% lower for infants living in tracts in the top quartile increase in household income and college completion, respectively, compared to infants from tracts with the least amount of change. Odds of IM were also increased 29% in infants from tracts with the most increases in rent, though these differences were attenuated when adjusting for individual social factors. Indicators of increasing community affluence have opposing relationships with IM. Policies and interventions that address rising housing costs may reduce IM.

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Residential Relocation of Community-Dwelling Older Adults: The Role of Physical Function and the Housing Environment

Jensen-Battaglia,

Loh,

Wang

et al. 2024

J Aging Health

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Objective Most older adults in the United States (U.S.) prefer to remain in their current housing as they age, but difficulty with mobility (e.g., walking) may make this more challenging. We estimated the association between difficulty with mobility (mobility) and residential relocation in the following year. Methods We included adults aged ≥65 participating in ≥2 rounds (years 2011–2019) of the National Health and Aging Trends Study. Mobility was self-reported and change in permanent address was captured by study staff. We used a prospective cohort design and logistic regression with a clustering correction to estimate adjusted associations. Results We did not find evidence that mobility was associated with relocation versus no relocation in our sample of 26,444 observations from 5699 older adults. However, mobility was positively associated with moves to housing with fewer environmental barriers. Discussion Mobility is associated with relocation to housing that is more accessible and may be an indicator of greater need for supports to age in place.

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Without Affordable, Accessible, and Adequate Housing, Health Has No Foundation

Cited by 6 publications

References 107 publications

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Typical indicators of neighborhood change used to define gentrification have opposing associations with infant mortality

Residential Relocation of Community-Dwelling Older Adults: The Role of Physical Function and the Housing Environment

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