Social Determinants of Health Healthier Housing = Healthier Communities Katie Balderas, MPH Policy Analyst Los Angeles County Department of Public Health January 23, 2017
Factors that Impact Health Outcomes Mortality (50%) Health Outcomes Morbidity (50%) Tobacco use Health behaviors Diet & exercise (30%) Alcohol use Unsafe sex Clinical care Access to care Health Factors (20%) Quality of care Education Employment Social & economic factors Income (40%) Family & social support Programs and Policies Community safety Physical environment Environmental quality (10%) Built environment Slide: J. Valenzuela, N. Vick 1 Content Source: County Health Rankings. http://www.countyhealthrankings.org/our-approach
3 Major Discussion Areas – Unaffordable housing – Housing instability – Quality housing Housing and Health in Los Angeles County. Social Determinants of Health, Issue no.2. Los Angeles: Los Angeles County Department of Public Health; February 2015. 2
DPH Housing Video 3
Impacts of Adequate Housing on Health • Adequate housing: Basic – Protects individuals from harmful exposures Needs Environment – Provides a sense of privacy, security, stability and control – Can make important contributions to health and well-being 1 – Saves money on healthcare, law enforcement, social services Economic & Social Social Relationships Development 4 1) Bashir, S. Home is Where the Harm Is: Inadequate Housing as a Public Health Crisis . AJPH, Vol 92, No. 5, 733-738. 2002; 2) Robert Wood Johnson Foundation. Where We Live Matters for Our Health: The Links Between Housing and Health. Issue Brief Series: Exploring the Social Determinants of Health. May 2011
The Links between Housing and Health 5
The Links between Housing and Health Unaffordable Housing • Inability to cover other expenses • Options limited to unhealthy locations • Negative impacts on mental health • Negative impacts of living far from work 6 Housing and Health in Los Angeles County. Social Determinants of Health, Issue no.2. Los Angeles: Los Angeles County Department of Public Health; February 2015.
Unaffordable Housing • LA County’s lowest-income renters spend 71% of income on rent • Housing wage: $26.88/hour • Min wage = 115 hours/week • Poverty rate: 25.7% Image from thecitymission.org Office of Health Assessment & Epidemiology, LA County DPH. Analyses of 2008-2012 American Community Survey 5-Year Estimates, US Census Bureau. 7
The Links between Housing and Health Housing Unaffordable Instability Housing • Inability to cover other expenses • Increased levels of depression, • Options limited to unhealthy anxiety and stress locations • Negative impacts on children • Negative impacts on mental health • Increases in teen pregnancy, drug • Negative impacts of living far from use and depression in adolescents work • Risk of becoming homeless 8 Housing and Health in Los Angeles County. Social Determinants of Health, Issue no.2. Los Angeles: Los Angeles County Department of Public Health; February 2015.
Housing Instability Poor health can lead to homelessness. Homelessness can lead to poor health. It can be difficult to manage chronic health conditions when homeless. Health Care and Homelessness. National Coalition for the Homeless: http://www.nationalhomeless.org/factsheets/health.html. 9
The Links between Housing and Health Housing Unaffordable Housing Instability Quality Housing • Inability to cover other expenses • Increased levels of depression, • Physical risks associated with • Options limited to unhealthy anxiety and stress exposure to toxins, tobacco locations • Negative impacts on children smoke, and extreme temperatures • Negative impacts on mental health • Increases in teen pregnancy, drug • Lack of access to heat/hot water • Negative impacts of living far from use and depression in adolescents • Respiratory risks associated with work • Risk of becoming homeless mold and pests • Emotional and behavioral problems in kids • Negative impacts on sleep and mental health 10 Housing and Health in Los Angeles County. Social Determinants of Health, Issue no.2. Los Angeles: Los Angeles County Department of Public Health; February 2015.
Housing Quality Among homes with children, 23% of homes in LAC were 14.7% were built before 1978 built before 1978 & have & have peeling or chipping peeling or chipping paint. paint. ≈ 671,000 households ≈ 154,000 households 2011 Los Angeles County Health Survey; Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health. 13
Programmatic Framework for Social Determinants “The 6 Ps” P rogram Inventory P ublish Materials P artnerships P ush P resence on Web P olicy 12
New Contact: Katie Balderas, MPH Office of Equity Manager Long Beach Department of Health & Human Services Katie.Balderas@longbeach.gov 562-570-4333 13
Recommend
More recommend
