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The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries

Background: Many EU nations experienced a significant housing crisis during the Great Recession of 2008–10. We evaluated the consequences of housing payment problems for people’s self-reported overall health. Methods: We used longitudinal data from the EU Statistics on Income and Living Conditions s...

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Autores principales: Clair, Amy, Reeves, Aaron, Loopstra, Rachel, McKee, Martin, Dorling, Danny, Stuckler, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054274/
https://www.ncbi.nlm.nih.gov/pubmed/27221606
http://dx.doi.org/10.1093/eurpub/ckw071
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author Clair, Amy
Reeves, Aaron
Loopstra, Rachel
McKee, Martin
Dorling, Danny
Stuckler, David
author_facet Clair, Amy
Reeves, Aaron
Loopstra, Rachel
McKee, Martin
Dorling, Danny
Stuckler, David
author_sort Clair, Amy
collection PubMed
description Background: Many EU nations experienced a significant housing crisis during the Great Recession of 2008–10. We evaluated the consequences of housing payment problems for people’s self-reported overall health. Methods: We used longitudinal data from the EU Statistics on Income and Living Conditions survey covering 27 countries from 2008 to 2010 to follow a baseline sample of persons who did not have housing debt and who were employed (45 457 persons, 136 371 person–years). Multivariate linear regression and multilevel models were used to evaluate the impact of transitions into housing arrears on self-reported health, correcting for the presence of chronic illness, health limitations, and other potential socio-demographic confounders. Results: Persons who transitioned into housing arrears experienced a significant deterioration in self-reported overall health by − 0.03 U (95% CI − 0.01 to − 0.04), even after correcting for chronic illness, disposable income and employment status, and individual fixed effects. This association was independent and similar in magnitude to that for job loss (−0.02, 95% CI: −0.01 to − 0.04). We also found that the impact of housing arrears was significantly worse among renters, corresponding to a mean 0.11 unit additional drop in health as compared with owner-occupiers. These adverse associations were only evident in persons below the 75th percentile of disposable income. Discussion: Our analysis demonstrates that persons who suffer housing arrears experience increased risk of worsening self-reported health, especially among those who rent. Future research is needed to understand the role of alternative housing support systems and available strategies for preventing the health consequences of housing insecurity.
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spelling pubmed-50542742016-10-11 The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries Clair, Amy Reeves, Aaron Loopstra, Rachel McKee, Martin Dorling, Danny Stuckler, David Eur J Public Health Economic Recession and Health Background: Many EU nations experienced a significant housing crisis during the Great Recession of 2008–10. We evaluated the consequences of housing payment problems for people’s self-reported overall health. Methods: We used longitudinal data from the EU Statistics on Income and Living Conditions survey covering 27 countries from 2008 to 2010 to follow a baseline sample of persons who did not have housing debt and who were employed (45 457 persons, 136 371 person–years). Multivariate linear regression and multilevel models were used to evaluate the impact of transitions into housing arrears on self-reported health, correcting for the presence of chronic illness, health limitations, and other potential socio-demographic confounders. Results: Persons who transitioned into housing arrears experienced a significant deterioration in self-reported overall health by − 0.03 U (95% CI − 0.01 to − 0.04), even after correcting for chronic illness, disposable income and employment status, and individual fixed effects. This association was independent and similar in magnitude to that for job loss (−0.02, 95% CI: −0.01 to − 0.04). We also found that the impact of housing arrears was significantly worse among renters, corresponding to a mean 0.11 unit additional drop in health as compared with owner-occupiers. These adverse associations were only evident in persons below the 75th percentile of disposable income. Discussion: Our analysis demonstrates that persons who suffer housing arrears experience increased risk of worsening self-reported health, especially among those who rent. Future research is needed to understand the role of alternative housing support systems and available strategies for preventing the health consequences of housing insecurity. Oxford University Press 2016-10 2016-05-23 /pmc/articles/PMC5054274/ /pubmed/27221606 http://dx.doi.org/10.1093/eurpub/ckw071 Text en © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Economic Recession and Health
Clair, Amy
Reeves, Aaron
Loopstra, Rachel
McKee, Martin
Dorling, Danny
Stuckler, David
The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title_full The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title_fullStr The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title_full_unstemmed The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title_short The impact of the housing crisis on self-reported health in Europe: multilevel longitudinal modelling of 27 EU countries
title_sort impact of the housing crisis on self-reported health in europe: multilevel longitudinal modelling of 27 eu countries
topic Economic Recession and Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054274/
https://www.ncbi.nlm.nih.gov/pubmed/27221606
http://dx.doi.org/10.1093/eurpub/ckw071
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