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Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene
BACKGROUND AND AIM: Housing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact of this approach was assessed on three potentially important housing-related influences on child health at the community level: (1) crow...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BMJ Group
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071088/ https://www.ncbi.nlm.nih.gov/pubmed/20466712 http://dx.doi.org/10.1136/jech.2009.091637 |
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author | Bailie, Ross S McDonald, Elizabeth L Stevens, Matthew Guthridge, Steven Brewster, David R |
author_facet | Bailie, Ross S McDonald, Elizabeth L Stevens, Matthew Guthridge, Steven Brewster, David R |
author_sort | Bailie, Ross S |
collection | PubMed |
description | BACKGROUND AND AIM: Housing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact of this approach was assessed on three potentially important housing-related influences on child health at the community level: (1) crowding, (2) the functional state of the house infrastructure and (3) the hygienic condition of the houses. METHODS: A before-and-after study, including house infrastructure surveys and structured interviews with the main householder, was conducted in all homes of young children in 10 remote Australian indigenous communities. RESULTS: Compared with baseline, follow-up surveys showed (1) a small non-significant decrease in the mean number of people per bedroom in the house on the night before the survey (3.4, 95% CI 3.1 to 3.6 at baseline vs 3.2, 95% CI 2.9 to 3.4 at follow-up; natural logarithm transformed t test, t=1.3, p=0.102); (2) a marginally significant overall improvement in infrastructure function scores (Kruskal–Wallis test, χ(2)=3.9, p=0.047); and (3) no clear overall improvement in hygiene (Kruskal–Wallis test, χ(2)=0.3, p=0.605). CONCLUSION: Housing programmes of this scale that focus on the provision of infrastructure alone appear unlikely to lead to more hygienic general living environments, at least in this study context. A broader ecological approach to housing programmes delivered in these communities is needed if potential health benefits are to be maximised. This ecological approach would require a balanced programme of improving access to health hardware, hygiene promotion and creating a broader enabling environment in communities. |
format | Text |
id | pubmed-3071088 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BMJ Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-30710882011-04-14 Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene Bailie, Ross S McDonald, Elizabeth L Stevens, Matthew Guthridge, Steven Brewster, David R J Epidemiol Community Health Research Report BACKGROUND AND AIM: Housing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact of this approach was assessed on three potentially important housing-related influences on child health at the community level: (1) crowding, (2) the functional state of the house infrastructure and (3) the hygienic condition of the houses. METHODS: A before-and-after study, including house infrastructure surveys and structured interviews with the main householder, was conducted in all homes of young children in 10 remote Australian indigenous communities. RESULTS: Compared with baseline, follow-up surveys showed (1) a small non-significant decrease in the mean number of people per bedroom in the house on the night before the survey (3.4, 95% CI 3.1 to 3.6 at baseline vs 3.2, 95% CI 2.9 to 3.4 at follow-up; natural logarithm transformed t test, t=1.3, p=0.102); (2) a marginally significant overall improvement in infrastructure function scores (Kruskal–Wallis test, χ(2)=3.9, p=0.047); and (3) no clear overall improvement in hygiene (Kruskal–Wallis test, χ(2)=0.3, p=0.605). CONCLUSION: Housing programmes of this scale that focus on the provision of infrastructure alone appear unlikely to lead to more hygienic general living environments, at least in this study context. A broader ecological approach to housing programmes delivered in these communities is needed if potential health benefits are to be maximised. This ecological approach would require a balanced programme of improving access to health hardware, hygiene promotion and creating a broader enabling environment in communities. BMJ Group 2010-05-12 2011-05 /pmc/articles/PMC3071088/ /pubmed/20466712 http://dx.doi.org/10.1136/jech.2009.091637 Text en © 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode. |
spellingShingle | Research Report Bailie, Ross S McDonald, Elizabeth L Stevens, Matthew Guthridge, Steven Brewster, David R Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title | Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title_full | Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title_fullStr | Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title_full_unstemmed | Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title_short | Evaluation of an Australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
title_sort | evaluation of an australian indigenous housing programme: community level impact on crowding, infrastructure function and hygiene |
topic | Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071088/ https://www.ncbi.nlm.nih.gov/pubmed/20466712 http://dx.doi.org/10.1136/jech.2009.091637 |
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