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Collaborating with a social housing provider supports a large cohort study of the health effects of housing conditions

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Summary:

The Social Housing Outcomes Worth (SHOW) study was established in 2003 in collaboration with Housing New Zealand Corporation to assess the relationship between housing conditions and health, particularly between household crowding and infectious diseases. The SHOW study measures health outcomes using linked anonymised hospitalisation and mortality records provided by the New Zealand Ministry of Health. By December 2011, the study population consisted of 11,196 applicants and 196,612 tenants. Half were aged <21 years. About two-thirds identified as Māori or Pacific ethnicity. Household incomes were low. Of tenant households, 44% contained ≥1 smokers compared with 33% for New Zealand as a whole. Whereas about 10% of New Zealanders are exposed to household crowding, as measured by a deficit of one or more bedrooms, about 52% of housing applicants and 38% of tenants were living in households with this level of household crowding.

Comment:
Comment (RJ): I guess not surprising results but importantly the ‘evidence’ must be used in ways to improve the wellbeing of whānau living in social housing. In primary care, tenants should be supported to quit smoking. At a political level we could advocate for housing that is affordable as well as healthy for people and the environment.
Reference: BMC Public Health. 2016;16(1):159
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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