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. 2003 Jan;57(1):11–16. doi: 10.1136/jech.57.1.11

Health impact assessment of housing improvements: incorporating research evidence

H Thomson 1, M Petticrew 1, M Douglas 1
PMCID: PMC1732281  PMID: 12490642

Abstract

Methods, results, and conclusions: A recent systematic review of housing intervention studies found a lack of research. The authors recommended that a broader evidence base would be needed to support HIA. In response to consultation with policymakers and HIA practitioners this paper presents a way in which research can be used to inform HIA. Based on the systematic review, the authors have developed a table of synthesised findings indicating the expected health effects of specific housing improvements. The authors also reviewed observational data of housing associated health risks to highlight the key impacts to consider when doing a housing HIA. The findings are presented and the authors discuss how they should be used to inform evidence based housing HIA. In addition to considering the existing research, HIA must consider the local relevance of research. Consultation with local stakeholders also needs to be incorporated to the final assessment. The lack of data and the difficulties in gathering and reviewing data mean that not all HIAs will be able to be informed by research evidence. Well conducted prospective validation of HIAs would contribute to the development of healthy housing investment by informing future housing HIA.

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Selected References

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  1. Blackman T., Harvey J., Lawrence M., Simon A. Neighbourhood renewal and health: evidence from a local case study. Health Place. 2001 Jun;7(2):93–103. doi: 10.1016/s1353-8292(01)00003-x. [DOI] [PubMed] [Google Scholar]
  2. Carp F. M. Impact of improved housing on morale and life satisfaction. Gerontologist. 1975 Dec;15(6):511–515. doi: 10.1093/geront/15.6.511. [DOI] [PubMed] [Google Scholar]
  3. Carp F. M. Impact of improved living environment on health and life expectancy. Gerontologist. 1977 Jun;17(3):242–249. doi: 10.1093/geront/17.3.242. [DOI] [PubMed] [Google Scholar]
  4. Cole O., Farries J. S. Rehousing on medical grounds--assessment of its effectiveness. Public Health. 1986 Jul;100(4):229–235. doi: 10.1016/s0033-3506(86)80072-5. [DOI] [PubMed] [Google Scholar]
  5. Dedman D. J., Gunnell D., Davey Smith G., Frankel S. Childhood housing conditions and later mortality in the Boyd Orr cohort. J Epidemiol Community Health. 2001 Jan;55(1):10–15. doi: 10.1136/jech.55.1.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DiGuiseppi C., Higgins J. P. Systematic review of controlled trials of interventions to promote smoke alarms. Arch Dis Child. 2000 May;82(5):341–348. doi: 10.1136/adc.82.5.341. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gemmell I. Indoor heating, house conditions, and health. J Epidemiol Community Health. 2001 Dec;55(12):928–929. doi: 10.1136/jech.55.12.928. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gemmell I., McLoone P., Boddy F. A., Dickinson G. J., Watt G. C. Seasonal variation in mortality in Scotland. Int J Epidemiol. 2000 Apr;29(2):274–279. doi: 10.1093/ije/29.2.274. [DOI] [PubMed] [Google Scholar]
  9. Hannay D. R. Mental health and high flats. J Chronic Dis. 1981;34(9-10):431–432. doi: 10.1016/0021-9681(81)90001-1. [DOI] [PubMed] [Google Scholar]
  10. Hooper D., Ineichen B. Adjustment to moving: a follow-up study of the mental health of young families in new housing. Soc Sci Med. 1979 Nov;13D(3):163–168. doi: 10.1016/0160-8002(79)90003-0. [DOI] [PubMed] [Google Scholar]
  11. Macintyre S., Petticrew M. Good intentions and received wisdom are not enough. J Epidemiol Community Health. 2000 Nov;54(11):802–803. doi: 10.1136/jech.54.11.802. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Meyers A., Frank D. A., Roos N., Peterson K. E., Casey V. A., Cupples L. A., Levenson S. M. Housing subsidies and pediatric undernutrition. Arch Pediatr Adolesc Med. 1995 Oct;149(10):1079–1084. doi: 10.1001/archpedi.1995.02170230033004. [DOI] [PubMed] [Google Scholar]
  13. Mindell J., Hansell A., Morrison D., Douglas M., Joffe M., Quantifiable HIA Discussion Group What do we need for robust, quantitative health impact assessment? J Public Health Med. 2001 Sep;23(3):173–178. doi: 10.1093/pubmed/23.3.173. [DOI] [PubMed] [Google Scholar]
  14. Morrison D. S., Petticrew M., Thomson H. Health Impact Assessment--and beyond. J Epidemiol Community Health. 2001 Apr;55(4):219–220. doi: 10.1136/jech.55.4.219. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Omenn G. S., Goodman G. E., Thornquist M. D., Balmes J., Cullen M. R., Glass A., Keogh J. P., Meyskens F. L., Valanis B., Williams J. H. Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N Engl J Med. 1996 May 2;334(18):1150–1155. doi: 10.1056/NEJM199605023341802. [DOI] [PubMed] [Google Scholar]
  16. Parry J., Stevens A. Prospective health impact assessment: pitfalls, problems, and possible ways forward. BMJ. 2001 Nov 17;323(7322):1177–1182. doi: 10.1136/bmj.323.7322.1177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Peat J. K., Dickerson J., Li J. Effects of damp and mould in the home on respiratory health: a review of the literature. Allergy. 1998 Feb;53(2):120–128. doi: 10.1111/j.1398-9995.1998.tb03859.x. [DOI] [PubMed] [Google Scholar]
  18. Pickett K. E., Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001 Feb;55(2):111–122. doi: 10.1136/jech.55.2.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Somerville M., Mackenzie I., Owen P., Miles D. Housing and health: does installing heating in their homes improve the health of children with asthma? Public Health. 2000 Nov;114(6):434–439. doi: 10.1038/sj.ph.1900687. [DOI] [PubMed] [Google Scholar]
  20. Thomson H., Petticrew M., Morrison D. Health effects of housing improvement: systematic review of intervention studies. BMJ. 2001 Jul 28;323(7306):187–190. doi: 10.1136/bmj.323.7306.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. WILNER D. M., WALKLEY R. P., GLASSER M. N., TAYBACK M. The effects of housing quality on morbidity; preliminary findings of the Johns Hopkins longitudinal study. Am J Public Health Nations Health. 1958 Dec;48(12):1607–1615. doi: 10.2105/ajph.48.12.1607. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. WILNER D. M., WALKLEY R. P., SCHRAM J. M., PINKERTON T. C., TAYBACK M. Housing as an environmental factor in mental health: the Johsn Hopkins longitudinal study. Am J Public Health Nations Health. 1960 Jan;50:55–63. doi: 10.2105/ajph.50.1.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Wambem D. B., Piland N. F. Effects of improved housing on health in South Dos Palos, Calif. Health Serv Rep. 1973 Jan;88(1):47–58. [PMC free article] [PubMed] [Google Scholar]

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