Impact Of Housing On Perceptions Of Health And Well Being

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Housing discrimination is a common problem experienced by disadvantaged groups in Torontos private housing markets, including newcomers. As a result, distribution of the burden of affordable housing shortage is skewed against members of the affected groups, exacerbating their vulnerabilities and exposing them to ill-health. Using one-on-one research interviews, my research investigated newcomers perceptions on how their experiences with housing discrimination related to their health. It began by exploring newcomers experiences with differential impact housing discrimination in Torontos private rental housing market: landlords/ housing providers application of various rules on disadvantaged house-seekers without making necessary accommodations to level the playing field for them, which aggravates their position of disadvantage. To contextualize newcomers experiences with differential impact housing discrimination, I examined the environment in which it was experienced, including, other forms of discrimination that may have intersected with and compounded its impact; as well as factors that enabled such discrimination to occur despite legislation against it. The research revealed widespread experiences with differential impact housing discrimination among newcomers, such as landlords requirement for possession of proof of employment, Canadian credit history in order to qualify for private rental housing. Demands by some landlords for payment of illegal large deposits and key money, were also revealed. Real and perceived forms of housing discrimination based on race, ethnicity and gender, practiced alongside differential impact housing discrimination were also exposed: differential treatment housing discrimination by definition. While racialized newcomers experienced these different forms of housing discrimination, their white counterparts did not. Affected newcomers reported experiencing health problems such as stress, anxiety, hypertension, and asthma while they were experiencing housing discrimination and after. They blamed their experiences with housing discrimination for aggravating their situations and contributing to the negative health outcomes.

This book investigates critical urban issues related to socio-spatial segregation, housing, daily travel, mobility of the elderly, etc. from the perspective of wellbeing. This is a collection of the latest research works by frontline researchers working in the fields of geography, urban studies, transport, and sociology. Drawing on theoretical and empirical explorations, collected chapters in this book connect mobility and wellbeing, bridge geography and health, and analyze the implications of mobility disadvantages on urban marginal groups’ wellbeing. Research findings presented in the book are also highly relevant for practitioners and policy makers in the pursuit of improving urban livability since wellbeing, or quality of life, is increasingly considered as an important criteria alternative to income growth to evaluate economic, social and urban development.

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.

While family life has conspicuously changed in the past fifty years, it would be a mistake to conclude that family routines and rituals have lost their meaning. In this book Barbara H. Fiese, a clinical and developmental psychologist, examines how the practices of diverse family routines and the meanings created through rituals have evolved to meet the demands of today’s busy families. She discusses and integrates various research literatures and draws on her own studies to show how family routines and rituals influence physical and mental health, translate cultural values, and may even be used therapeutically. Looking at a range of family activities from bedtime stories to special holiday meals, Fiese relates such occasions to significant issues including parenting competence, child adjustment, and relational well-being. She concludes by underscoring the importance of flexible approaches to family time to promote healthier families and communities.

As interest in social capital has grown over the past decade—particularly in public health —so has the lack of consensus on exactly what it is and what makes it worth studying. Ichiro Kawachi, a widely respected leader in the field, and 21 contributors (including physicians, economists, and public health experts) discuss the theoretical origins of social capital, the strengths and limitations of current methodologies of measuring it, and salient examples of social capital concepts informing public health practice. Among the highlights: Measurement methods: survey, sociometric, ethnographic, experimental The relationship between social capital and physical health and health behaviors: smoking, substance abuse, physical activity, sexual activity Social capital and mental health: early findings Social capital and the aging community Social capital and disaster preparedness Social Capital and Health is certain to inspire a new generation of research on this topic, and will be of interest to researchers and advanced students in public health, health behavior, and social epidemiology.