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Social inequality, population health, and housing: a study of two Vancouver neighborhoods

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  • Dunn, James R.
  • Hayes, Michael V.

Abstract

An emerging 'population health' framework for understanding inequalities in health identifies the structure of social relations as a crucial factor in shaping human health and well-being. However, there remain many unanswered questions about the mechanisms through which social relations might shape the health status of individuals and populations. Housing plays a central role in routinized, everyday life and is fundamentally bound up in one's sense of control over life circumstances. Housing and property markets are significant in the distribution of wealth and are an important arena for the exercise of power relations. Housing circumstance is crucial in the production and reproduction of social identity and social status. Yet little has been written on the influence of inequalities generated by housing and housing markets on the differential distribution of health status. This paper reports the findings of an empirical study of relationships between socioeconomic status, material and meaningful dimensions of housing and home, and health status. Our objective is to investigate ways in which material and meaningful factors related to housing, in conjunction with other dimensions of the social environment, could operate to produce systematic inequalities in health status across social strata. The data for this study were obtained through a mailed survey of residents in the Mount Pleasant (n=322) and Sunset (n=206) neighborhoods of Vancouver, Canada. They suggest that, in concert with commonly used measures of socioeconomic status, both material and meaningful dimensions of housing and home are associated with health status in a direction consistent with expectations following from our analytical model.

Suggested Citation

  • Dunn, James R. & Hayes, Michael V., 2000. "Social inequality, population health, and housing: a study of two Vancouver neighborhoods," Social Science & Medicine, Elsevier, vol. 51(4), pages 563-587, August.
    • Handle: RePEc:eee:socmed:v:51:y:2000:i:4:p:563-587
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    Cited by:

    1. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    2. Tae-Hoon Lee & Eun-Cheol Park & Woorim Kim & Juyeong Kim & Jaeyong Shin & Tae Hyun Kim, 2016. "Depressive symptoms of house-poor persons: Korean panel data evidence," International Journal of Social Psychiatry, , vol. 62(6), pages 569-577, September.
    3. Keene, Danya E. & Guo, Monica & Murillo, Sascha, 2018. "“That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults," Social Science & Medicine, Elsevier, vol. 197(C), pages 71-77.
    4. Waldbrook, Natalie, 2015. "Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 128(C), pages 126-133.
    5. Janet Currie & Erdal Tekin, 2015. "Is There a Link between Foreclosure and Health?," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 63-94, February.
    6. Yang Hu & Rory Coulter, 2017. "Living space and psychological well-being in urban China: Differentiated relationships across socio-economic gradients," Environment and Planning A, , vol. 49(4), pages 911-929, April.
    7. Low, Chien-Tat & Lai, Poh-Chin & Tse, Wing-Sze Cindy & Tsui, Chung-Kan & Lee, Herman & Hui, Pak-Kwan, 2013. "Exploring tuberculosis by types of housing development," Social Science & Medicine, Elsevier, vol. 87(C), pages 77-83.
    8. Isaac Luginaah & Godwin Arku & Philip Baiden, 2010. "Housing and Health in Ghana: The Psychosocial Impacts of Renting a Home," IJERPH, MDPI, vol. 7(2), pages 1-18, February.
    9. Erin Mifflin & Robert Wilton, 2005. "No Place like Home: Rooming Houses in Contemporary Urban Context," Environment and Planning A, , vol. 37(3), pages 403-421, March.
    10. Khansa Ahmad & Sebhat Erqou & Nishant Shah & Umair Nazir & Alan R Morrison & Gaurav Choudhary & Wen-Chih Wu, 2020. "Association of poor housing conditions with COVID-19 incidence and mortality across US counties," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-13, November.
    11. Cahuas, Madelaine C. & Wakefield, Sarah & Peng, Yun, 2015. "Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities," Social Science & Medicine, Elsevier, vol. 133(C), pages 366-373.
    12. Matheson, Flora I. & Moineddin, Rahim & Dunn, James R. & Creatore, Maria Isabella & Gozdyra, Piotr & Glazier, Richard H., 2006. "Urban neighborhoods, chronic stress, gender and depression," Social Science & Medicine, Elsevier, vol. 63(10), pages 2604-2616, November.
    13. Roshanak Mehdipanah & Margaret Dewar & Alexa Eisenberg, 2021. "Threats to and Opportunities for Low-Income Homeownership, Housing Stability, and Health: Protocol for the Detroit 2017 Make-It-Home Evaluation Study," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    14. John Emmanuel Ogbeba & Ercan Hoskara, 2019. "The Evaluation of Single-Family Detached Housing Units in terms of Integrated Photovoltaic Shading Devices: The Case of Northern Cyprus," Sustainability, MDPI, vol. 11(3), pages 1-19, January.
    15. Amy Clair, 2019. "Housing: an Under-Explored Influence on Children’s Well-Being and Becoming," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(2), pages 609-626, April.
    16. Jens Kandt & Shu-Sen Chang & Paul Yip & Ricky Burdett, 2017. "The spatial pattern of premature mortality in Hong Kong: How does it relate to public housing?," Urban Studies, Urban Studies Journal Limited, vol. 54(5), pages 1211-1234, April.

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