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dc.contributor.supervisor Lix, Lisa (Community Health Sciences) en_US
dc.contributor.author Hinds, Aynslie
dc.date.accessioned 2018-01-10T16:35:17Z
dc.date.available 2018-01-10T16:35:17Z
dc.date.issued 2016-05-26 en_US
dc.identifier.citation Hinds, A. M., Bechtel, B., Distasio, J., Roos, L. L., & Lix, L. M. (2016). Health and social predictors of applications to public housing: A population-based analysis. Journal of Epidemiology & Community Health, 70 (12), 1229-1235; DOI: 10.1136/jech-2015-206845 en_US
dc.identifier.uri http://hdl.handle.net/1993/32773
dc.description.abstract Public housing, a form of low income housing, is owned and managed by government. The goal of this research was to use linked population-based administrative databases to examine the associations among public housing and sociodemographic characteristics, health, healthcare use, and residential mobility. Four related studies were undertaken. The first study determined the factors associated with applying to public housing. A cohort who applied in 2005 and 2006 was matched to a general population cohort. Individuals who applied tended to be in poorer health and were more frequent healthcare users compared to individuals with similar socioeconomic characteristics from the general population. The second study tested the factors associated with moving out of public housing, while accounting for tenancy length. A cohort who moved in 2007 and 2008 was followed for seven years. Three groups were identified; voluntary movers, evicted movers, and non-movers. Socioeconomic characteristics of the cohort were associated with moving out voluntarily. Health and healthcare use were associated with eviction. The third study describes healthcare use patterns in a cohort who moved into public housing in 2009 and 2010. Healthcare use was measured before and after the move-in date and the difference was tested. In general, there was an increase in use approximately three months before the move-in date and a decrease three months after. After this, use returned to pre-move-in levels. The fourth study tested whether changes in healthcare use are unique to public housing residents. A cohort who moved into public housing in 2012 and 2013 was matched to a general population cohort and a move-in date was randomly assigned. Different types of healthcare use were measured before and after the move-in date. The public housing cohort used healthcare services more frequently. For most healthcare measures, changes in use were similar between the two cohorts. This research demonstrates that public housing is used by low income individuals who often have health conditions. This form of housing may represent a social safety net for users. Public housing can be used to deliver programs to improve health and wellness and address issues of housing instability. en_US
dc.publisher BMJ Publishing Group Ltd en_US
dc.rights info:eu-repo/semantics/openAccess
dc.subject Public housing en_US
dc.subject Administrative data en_US
dc.subject Manitoba en_US
dc.subject Health status en_US
dc.subject Health service utilization en_US
dc.subject Record linkage en_US
dc.subject Eviction en_US
dc.subject Residential mobility en_US
dc.subject Longitudinal en_US
dc.title Housing and health outcomes of public housing applicants and residents: a population-based study en_US
dc.type info:eu-repo/semantics/doctoralThesis
dc.type doctoral thesis en_US
dc.degree.discipline Community Health Sciences en_US
dc.contributor.examiningcommittee Roos, Leslie (Community Health Sciences) Distasio, Jino (City Planning) Jorm, Louisa (University of New South Wales) en_US
dc.degree.level Doctor of Philosophy (Ph.D.) en_US
dc.description.note February 2018 en_US
dc.contributor.guestmembers Bechtel, Brian (Alberta Community and Social Services) en_US


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