How does employment status influence the effects of residential insecurity on health?


Por: Reyes, A, Vasquez-Vera, H, Novoa, A, Gonzalez-Marin, P, Puig-Barrachina, V, Borrell, C

Publicada: 1 ene 2021 Ahead of Print: 13 nov 2019
Resumen:
Objective: This study aims to analyse the effects of housing insecurity on health and whether they are modified by employment status of people belonging to the Treball als Barris programme in Barcelona (Spain) between 2015 and 2016. Method: We conducted a longitudinal study using a survey which included sociodemographic, employment and housing status information. This was administered to 469 individuals at baseline and after one year of follow-up. We then carried out a descriptive analysis and fitted regression models to estimate the effects of housing insecurity and employment status on health, and the interaction between them. Results: Among women, we found negative effects of housing insecurity on health (the prevalence ratio [PR] of poor self-reported health among women with housing insecurity was 2.29, with a 95% confidence interval [95%CI] of 1.36-3.84, compared to those in secure housing), while, among men, the main effects on health were due to employment status (PR of poor self-reported health among men who were unemployed without subsidy was 3.16 [95%CI: 1.02-6.15] compared to those who were employed after follow-up). In addition, the results suggest an interaction between housing and employment status on mental health among men. Conclusion: Housing insecurity rates have increased in recent years. It produces negative effects on health and can interact with other social determinants such as employment, mainly on men's mental health. (c) 2019 SESPAS. Published by Elsevier Espana, S.L.U.

Filiaciones:
Reyes, A:
 Univ Pompeu Fabra, Fac Ciencias Salud & Vida, Dept Ciencias Experiment & Salud, Barcelona, Spain

 Agencia Salud Publ, Barcelona, Spain

Vasquez-Vera, H:
 Univ Pompeu Fabra, Fac Ciencias Salud & Vida, Dept Ciencias Experiment & Salud, Barcelona, Spain

 Agencia Salud Publ, Barcelona, Spain

 Inst Invest Biomed St Pau IIB St Pau, Barcelona, Spain

 Univ La Frontera, Dept Salud Publ, Temuco, Chile

Novoa, A:
 Agencia Salud Publ, Barcelona, Spain

 Inst Invest Biomed St Pau IIB St Pau, Barcelona, Spain

Gonzalez-Marin, P:
 Agencia Salud Publ, Barcelona, Spain

Puig-Barrachina, V:
 Agencia Salud Publ, Barcelona, Spain

Borrell, C:
 Univ Pompeu Fabra, Fac Ciencias Salud & Vida, Dept Ciencias Experiment & Salud, Barcelona, Spain

 Agencia Salud Publ, Barcelona, Spain

 Inst Invest Biomed St Pau IIB St Pau, Barcelona, Spain

 CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
ISSN: 02139111
Editorial
ELSEVIER, 685 ROUTE 202-206, BRIDGEWATER, NJ 08807 USA, España
Tipo de documento: Article
Volumen: 35 Número: 1
Páginas: 60-66
WOS Id: 000608525400009
ID de PubMed: 31732187
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