研究发现,提高住房负担能力和稳定性的干预措施能促进更好的健康,这一证据不足
![Summary of Studies of Primary Prevention of Housing Insecurity to Improve Health. Numerals refer to reference numbers corresponding to studies included in this review. We considered the Family Options Study, designated by “32-35,” as a single study described in 4 articles. The horizontal lines distinguish studies finding evidence of benefit, mixed or no evidence of association, and evidence of harm. A study was deemed to have mixed evidence for a given outcome category if the direction and/or significance of the findings differed among outcomes within the same outcome category. For the health care use category, associations with reduced use are depicted in the figure as evidence of benefit, although in some cases more use could reflect a positive change in access to health care. Magnitude of association is not depicted. Credit: JAMA Network Open (2022). DOI: 10.1001/jamanetworkopen.2022.39860 缺乏证据表明,提高住房负担能力和稳定性的干预措施能促进更好的健康](https://scx1.b-cdn.net/csz/news/800a/2022/weak-evidence-that-int.jpg)
研究发现,低确定性证据表明,紧急租金援助、公共住房优先等待名单的法律援助、长期租金补贴和房屋所有权援助等项目会导致积极的健康结果。
众所周知,住房不安全会增加无家可归和无家可归的风险健康状况不佳。但是,预防住房不安全的干预措施能改善健康状况吗?
研究人员调查了26名临床试验而且观察性研究关于减轻住房不安全对弱势群体健康的影响的干预措施。
现有的干预措施可能需要与其他努力相配合,以解决健康的结构性决定因素。
“这项工作是对越来越明确的证据的回应,即住房负担能力和稳定性的困难是普遍的,并且与不良的健康结果有关,甚至在有人无家可归之前,”主要作者凯瑟琳·陈博士说,她是加州大学洛杉矶分校大卫·格芬医学院的健康科学临床讲师,也是加州大学洛杉矶分校菲尔丁公共卫生学院卫生政策和管理的博士候选人。
“随着医疗保健系统和保险公司对越来越多的机会做出反应,将住房作为健康的决定因素,需要进一步研究,以明确住房不安全干预措施应集中在哪里,以实现最有效和公平的健康影响。”
这项研究发表在JAMA网络开放。
更多信息:Katherine L. Chen等人,促进住房负担能力和稳定与改善健康结果的协会,JAMA网络开放(2022)。DOI: 10.1001 / jamanetworkopen.2022.39860