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The health of older New Zealanders in relation to housing tenure: analysis of pooled data from three consecutive, annual New Zealand Health Surveys

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Authors:
Summary:

These researchers pooled data from a total of 15,626 older adults (aged ≥55 years) who participated in the 2013/14, 2014/15 and 2015/16 rounds of the New Zealand Health Survey (NZHS), for this investigation into relationships between the housing tenure of this cohort and their health-related behaviours, physical and mental health. The study researchers compared owner-occupiers, private renters and public renters. The majority of the study sample were owner-occupiers (83.2%); private and public renters comprised 12.4% and 4.5% of the study sample, respectively. Compared with owner-occupiers, renters were more likely to be living alone and living on lower annual incomes. Moreover, the study researchers identified a health gradient for overall measures of physical and mental health, with public renters in the poorest health and owner-occupiers in the best health. Rates of renting were higher amongst females aged ≥75 years, Māori and Pacific people. The paper points out that these groups are particularly vulnerable to any negative impact of renting on health. It also notes that over time, the proportion of older renters has been increasing, which will have important implications for future health and housing policy.

Comment:
Possible reasons for these findings include unstable tenure, with a high turnover of rentals in Aotearoa compared with other nations, and limited ability to make changes for health reasons (such as ramp installation, adequate heating/cooling, which are more likely to impact on independence and wellbeing as we age). Māori are also more likely to experience racism when looking for housing, creating further disadvantage when renting.
Reference: Aust N Z J Public Health 2019;43(2):182-9
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.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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