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HERO ID
6793321
Reference Type
Journal Article
Title
Housing as a determinant of health equity: A conceptual model
Author(s)
Swope, CB; Hernandez, D; ,
Year
2019
Is Peer Reviewed?
1
Journal
Social Science & Medicine
ISSN:
0277-9536
EISSN:
1873-5347
Publisher
PERGAMON-ELSEVIER SCIENCE LTD
Location
OXFORD
Volume
243
PMID
31675514
DOI
10.1016/j.socscimed.2019.112571
Web of Science Id
WOS:000500365400001
URL
http://
://WOS:000500365400001
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Abstract
Housing is a major pathway through which health disparities emerge and are sustained over time. However, no existing unified conceptual model has comprehensively elucidated the relationship between housing and health equity with attention to the full range of harmful exposures, their cumulative burden and their historical production. We synthesized literature from a diverse array of disciplines to explore the varied aspects of the relationship between housing and health and developed an original conceptual model highlighting these complexities. This holistic conceptual model of the impact of housing on health disparities illustrates how structural inequalities shape unequal distribution of access to health-promoting housing factors, which span four pillars: 1) cost (housing affordability); 2) conditions (housing quality); 3) consistency (residential stability); and 4) context (neighborhood opportunity). We further demonstrate that these four pillars can lead to cumulative burden by interacting with one another and with other structurally-rooted inequalities to produce and reify health disparities. We conclude by offering a comprehensive vision for healthy housing that situates housing's impact on health through a historical and social justice lens, which can help to better design policies and interventions that use housing to promote health equity.
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