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Does receipt of social housing impact mental health? Results of a quasi-experimental study in the Greater Toronto Area

Author

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  • Dunn, James R.
  • Smith, Katherine L.W.
  • Smith, Paula
  • Moineddin, Rahim
  • Matheson, Flora I.
  • Hwang, Stephen W.
  • Muntaner, Carles
  • Janus, Magdalena
  • O'Campo, Patricia

Abstract

Affordable housing is commonly described as an important determinant of health, but there are relatively few intervention studies of the effects of housing on health. In this paper, we describe the results of a quasi-experimental, longitudinal study investigating the impacts of receiving social housing among a cohort of 502 people on waitlists for social housing in the Greater Toronto Area, Canada. Specifically, we sought to determine if adults who received housing were more likely than a control group to show improvements in depression, psychological distress, and self-rated mental health 6, 12 and 18 months after moving to housing. Amongst the participants, 137 received social housing and completed at least one follow-up interview; 304 participants did not receive housing and completed at least one follow-up interview and were treated as a control group (47 people provided data to both groups). The difference-in-differences technique was used to estimate the effect of receiving housing by comparing changes in the outcomes over time in the housed (intervention) group and the group that remained on the waitlist for social housing (control group). Adjusted mixed effects linear models showed that receiving housing resulted in significant decreases in psychological distress and self-rated mental health between the groups. Improvements in self-rated mental health between the groups were observed 6, 12 and 18 months after receiving housing (6 months, +2.9, p < 0.05; 12 months, +2.6, p < 0.05; 18 months, +3.0, p < 0.05). Reductions in psychological distress (−1.4, p < 0.05) were observed 12 months after receiving housing. Overall findings suggest that receiving subsidized housing improves mental health over a 6-to-18-month time horizon. This has policy and funding implications suggesting a need to reduce wait times and expand access to subsidized housing.

Suggested Citation

  • Dunn, James R. & Smith, Katherine L.W. & Smith, Paula & Moineddin, Rahim & Matheson, Flora I. & Hwang, Stephen W. & Muntaner, Carles & Janus, Magdalena & O'Campo, Patricia, 2024. "Does receipt of social housing impact mental health? Results of a quasi-experimental study in the Greater Toronto Area," Social Science & Medicine, Elsevier, vol. 362(C).
  • Handle: RePEc:eee:socmed:v:362:y:2024:i:c:s0277953624008177
    DOI: 10.1016/j.socscimed.2024.117363
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    1. Graetz, Nick & Gershenson, Carl & Porter, Sonya R. & Sandler, Danielle H. & Lemmerman, Emily & Desmond, Matthew, 2024. "The impacts of rent burden and eviction on mortality in the United States, 2000–2019," Social Science & Medicine, Elsevier, vol. 340(C).
    2. Rebecca Schapiro & Kim Blankenship & Alana Rosenberg & Danya Keene, 2022. "The Effects of Rental Assistance on Housing Stability, Quality, Autonomy, and Affordability," Housing Policy Debate, Taylor & Francis Journals, vol. 32(3), pages 456-472, May.
    3. Hilary Thomson & Siân Thomas & Eva Sellström & Mark Petticrew, 2013. "Housing Improvements for Health and Associated Socio‐Economic Outcomes: A Systematic Review," Campbell Systematic Reviews, John Wiley & Sons, vol. 9(1), pages 1-348.
    4. Swope, Carolyn B. & Hernández, Diana, 2019. "Housing as a determinant of health equity: A conceptual model," Social Science & Medicine, Elsevier, vol. 243(C).
    5. Howden-Chapman, P. & Crane, J. & Matheson, A. & Viggers, H. & Cunningham, M. & Blakely, T. & O'Dea, D. & Cunningham, C. & Woodward, A. & Saville-Smith, K. & Baker, M. & Waipara, N., 2005. "Retrofitting houses with insulation to reduce health inequalities: Aims and methods of a clustered, randomised community-based trial," Social Science & Medicine, Elsevier, vol. 61(12), pages 2600-2610, December.
    6. Denary, Whitney & Fenelon, Andrew & Schlesinger, Penelope & Purtle, Jonathan & Blankenship, Kim M. & Keene, Danya E., 2021. "Does rental assistance improve mental health? Insights from a longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 282(C).
    7. Micere Keels & Greg Duncan & Stefanie Deluca & Ruby Mendenhall & James Rosenbaum, 2005. "Fifteen years later: Can residential mobility programs provide a long-term escape from neighborhood segregation, crime, and poverty," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 51-73, February.
    8. Digenis-Bury, E.C. & Brooks, D.R. & Chen, L. & Ostrem, M. & Horsburgh, C.R., 2008. "Use of a population-based survey to describe the health of boston public housing residents," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 85-91.
    9. repec:aph:ajpbhl:10.2105/ajph.2016.303649_3 is not listed on IDEAS
    10. Rebecca J. Bentley & David Pevalin & Emma Baker & Kate Mason & Aaron Reeves & Andrew Beer, 2016. "Housing affordability, tenure and mental health in Australia and the United Kingdom: a comparative panel analysis," Housing Studies, Taylor & Francis Journals, vol. 31(2), pages 208-222, March.
    11. Ecob, Russell & Davey Smith, George, 1999. "Income and health: what is the nature of the relationship?," Social Science & Medicine, Elsevier, vol. 48(5), pages 693-705, March.
    12. Lucie Kalousová & Michael Evangelist, 2019. "Rent assistance and health: findings from Detroit," Housing Studies, Taylor & Francis Journals, vol. 34(1), pages 111-141, January.
    13. Michelle Wood & Jennifer Turnham & Gregory Mills, 2008. "Housing affordability and family well‐being: Results from the housing voucher evaluation," Housing Policy Debate, Taylor & Francis Journals, vol. 19(2), pages 367-412, January.
    14. Fenelon, A. & Mayne, P. & Simon, A.E. & Rossen, L.M. & Helms, V. & Lloyd, P. & Sperling, J. & Steffen, B.L., 2017. "Housing assistance programs and adult health in the United States," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 571-578.
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