Emergency hospital admissions associated with a non-randomised housing intervention meeting national housing quality standards: a longitudinal data linkage study
| Autor: | Sarah Rodgers, Wouter Poortinga, Damon Berridge, Simon Charles Lannon, Robert Smith, Rowena Bailey, Rhodri Johnson, Ronan A Lyons |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Research Report
Adult Male medicine.medical_specialty Critical Care Epidemiology Information Storage and Retrieval morbidity Health Promotion Rate ratio 03 medical and health sciences Young Adult 0302 clinical medicine Environmental health Intervention (counseling) 11. Sustainability Health care Medicine longitudinal studies Humans 030212 general & internal medicine health services Aged Receipt Aged 80 and over Health Services Needs and Demand 030505 public health business.industry Public health public health Public Health Environmental and Occupational Health Repeated measures design Cardiorespiratory fitness Middle Aged Hospitalization Cohort Housing Female 0305 other medical science business |
| Zdroj: | JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH Journal of Epidemiology and Community Health |
| ISSN: | 0143-005X |
| Popis: | BackgroundWe investigated tenant healthcare utilisation associated with upgrading 8558 council houses to a national quality standard. Homes received multiple internal and external improvements and were analysed using repeated measures of healthcare utilisation.MethodsThe primary outcome was emergency hospital admissions for cardiorespiratory conditions and injuries for residents aged 60 years and over. Secondary outcomes included each of the separate conditions, for tenants aged 60 and over, and for all ages. Council home address and intervention records for eight housing cointerventions were anonymously linked to demographic data, hospital admissions and deaths for individuals in a dynamic cohort. Counts of health events were analysed using multilevel regression models to investigate associations between receipt of each housing improvement, adjusting for potential confounding factors and regional trends.ResultsResidents aged 60 years and over living in homes when improvements were made were associated with up to 39% fewer admissions compared with those living in homes that were not upgraded (incidence rate ratio=0.61, 95% CI 0.53 to 0.72). Reduced admissions were associated with electrical systems, windows and doors, wall insulation, and garden paths. There were small non-significant reductions for the primary outcome associated with upgrading heating, adequate loft insulation, new kitchens and new bathrooms.ConclusionResults suggest that hospital admissions can be avoided through improving whole home quality standards. This is the first large-scale longitudinal evaluation of a whole home intervention that has evaluated multiple improvement elements using individual-level objective routine health data. |
| Databáze: | OpenAIRE |
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