Housing related difficulties, housing tenure and variations in health status: evidence from older people in Wales.

This study aimed to examine housing-related difficulties, the relationship with housing tenure and the subsequent influences on health status in a population sample of older people in Wales. Comparisons with health status normative data were undertaken to determine any geographical differences. A random sample of respondents were interviewed in their own homes (N=423). Data included demographic information, self-reported health status, housing problems, tenure and factors relating to energy efficiency. Univariate analysis found that owner occupiers reported the least housing difficulties and the best health status. Those in public rented properties experienced the most difficulties and the poorest health. The health status of the sample was generally poorer than the norms. Multivariate analysis found that housing difficulties, being cold with current heating and hours spent at home predicted poorer health status. This suggests that characteristics of the home environment may help to explain the differences between tenure and health. Considerable financial outlay may be required to meet policy initiatives that support older people remaining independent, autonomous and able to 'age in place'.

[1]  M. Petticrew,et al.  Housing improvement and health gain: a summary and systematic review , 2002 .

[2]  E Murphy,et al.  With respect to old age , 1999, BMJ.

[3]  Paul Kind,et al.  UK population norms for EQ-5D , 1999 .

[4]  S. Harrisson,et al.  Respiratory conditions: effect of housing and other factors. , 1985, Journal of epidemiology and community health.

[5]  J. Birtchnell,et al.  Depression and the Physical Environment , 1988, British Journal of Psychiatry.

[6]  E. Raedene Combs,et al.  User Input in Housing Design: The Interdisciplinary Challenge , 1991 .

[7]  S. Stewart-Brown,et al.  Damp housing and adult health: results from a lifestyle study in Worcester, England. , 1994, Journal of epidemiology and community health.

[8]  M. Prince,et al.  Quality of accommodation and risk of depression in later life: An analysis of prospective data from the Gospel Oak Project , 2002, International journal of geriatric psychiatry.

[9]  Catherine Hill,et al.  Social Focus on Older People , 1999 .

[10]  A N Exton-Smith,et al.  Effects of age on body temperature and blood pressure in cold environments. , 1985, Clinical science.

[11]  M. Sidell.  Health in old age : myth, mystery and management , 1995 .

[12]  Stephen M. Golant,et al.  The Effects of Residential and Activity Behaviors on Old People’s Environmental Experiences , 1984 .

[13]  Edward E. Cureton,et al.  The upper and lower twenty-seven per cent rule , 1957 .

[14]  G. Der,et al.  Do housing tenure and car access predict health because they are simply markers of income or self esteem? A Scottish study. , 1998, Journal of epidemiology and community health.

[15]  Christopher A. Cooper,et al.  Money Well Spent? , 2004 .

[16]  P. Heslop,et al.  Home Sweet Home?: The impact of poor housing on health , 1999 .

[17]  R. Brooks.  EuroQol: the current state of play. , 1996, Health policy.

[18]  L. Cronbach.  Coefficient alpha and the internal structure of tests , 1951 .

[19]  H. Wahl,et al.  The daily life of elderly Germans: activity patterns, personal control, and functional health. , 1990, Journal of gerontology.

[20]  D. Strachan,et al.  Relationship between respiratory morbidity in children and the home environment. , 1986, Family practice.

[21]  P. Leather,et al.  Papering over the cracks: Housing conditions and the Nation's health , 1994 .

[22]  Blair H. Smith,et al.  The impact of chronic pain in the community. , 2001, Family practice.

[23]  H. Filakti,et al.  Differences in mortality by housing tenure and by car access from the OPCS Longitudinal Study. , 1995, Population trends.

[24]  K. Collins,et al.  Low indoor temperatures and morbidity in the elderly. , 1986, Age and ageing.

[25]  S. Hunt,et al.  Housing conditions and mental health in a disadvantaged area in Scotland. , 1996, Journal of epidemiology and community health.

[26]  Collins Kj.  Effects of cold on old people. , 1987, British journal of hospital medicine.

[27]  D. Ormandy,et al.  Unhealthy Housing: Research, remedies and reform , 1993 .

[28]  A. Ellaway,et al.  Does housing tenure predict health in the UK because it exposes people to different levels of housing related hazards in the home or its surroundings? , 1998, Health & place.

[29]  C Cryer,et al.  Preventing falls and subsequent injury in older people. , 1996, Quality in health care : QHC.