Costs and outcomes of improving population health through better social housing: a cohort study and economic analysis.

Abstract:

OBJECTIVES:We sought to determine the impact of warmth-related housing improvements on the health, well-being, and quality of life of families living in social housing. METHODS:An historical cohort study design was used. Households were recruited by Gentoo, a social housing contractor in North East England. Recruited households were asked to complete a quality of life, well-being, and health service use questionnaire before receiving housing improvements (new energy-efficient boiler and double-glazing) and again 12 months afterwards. RESULTS:Data were collected from 228 households. The average intervention cost was £3725. At 12-month post-intervention, a 16% reduction (-£94.79) in household 6-month health service use was found. Statistically significant positive improvements were observed in main tenant and household health status (p < 0.001; p = 0.009, respectively), main tenant satisfaction with financial situation (p = 0.020), number of rooms left unheated per household (p < 0.001), frequency of household outpatient appointments (p = 0.001), and accident/emergency department attendance (p < 0.012). CONCLUSIONS:Warmth-related housing improvements may be a cost-effective means of improving the health of social housing tenants and reducing health service expenditure, particularly in older populations.

journal_name

Int J Public Health

authors

Bray N,Burns P,Jones A,Winrow E,Edwards RT

doi

10.1007/s00038-017-0989-y

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1039-1050

issue

9

eissn

1661-8556

issn

1661-8564

pii

10.1007/s00038-017-0989-y

journal_volume

62

pub_type

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