Social Determinants of Health Healthier Housing = Healthier - - PowerPoint PPT Presentation

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

1 Health Factors Health Outcomes Programs and Policies

Mortality (50%) Morbidity (50%)

Physical environment (10%) Social & economic factors (40%) Health behaviors (30%) Clinical care (20%) Unsafe sex Alcohol use Diet & exercise Tobacco use Access to care Quality of care Community safety Education Family & social support Employment Income Built environment Environmental quality

Slide: J. Valenzuela, N. Vick Content Source: County Health Rankings. http://www.countyhealthrankings.org/our-approach

3 Major Discussion Areas

– Unaffordable housing – Housing instability – Quality housing

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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.

DPH Housing Video

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Impacts of Adequate Housing on Health

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Basic Needs Environment Economic & Social Development Social Relationships

• Adequate housing:

– Protects individuals from harmful exposures – Provides a sense of privacy, security, stability and control – Can make important contributions to health and well-being1 – Saves money on healthcare, law enforcement, social services

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

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The Links between Housing and Health

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Unaffordable 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.

• Inability to cover other expenses
• Options limited to unhealthy

locations

• Negative impacts on mental health
• Negative impacts of living far from

work

Unaffordable Housing

• LA County’s lowest-income

renters spend 71% of income

• n rent
• Housing wage: $26.88/hour
• Min wage = 115 hours/week
• Poverty rate: 25.7%

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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.

The Links between Housing and Health

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Unaffordable Housing Housing Instability

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.

• Inability to cover other expenses
• Options limited to unhealthy

locations

• Negative impacts on mental health
• Negative impacts of living far from

work

• Increased levels of depression,

anxiety and stress

• Negative impacts on children
• Increases in teen pregnancy, drug

use and depression in adolescents

• Risk of becoming homeless

Housing Instability

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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.

The Links between Housing and Health

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Unaffordable Housing Housing Instability Housing Quality

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.

• Inability to cover other expenses
• Options limited to unhealthy

locations

• Negative impacts on mental health
• Negative impacts of living far from

work

• Increased levels of depression,

anxiety and stress

• Negative impacts on children
• Increases in teen pregnancy, drug

use and depression in adolescents

• Risk of becoming homeless
• Physical risks associated with

exposure to toxins, tobacco smoke, and extreme temperatures

• Lack of access to heat/hot water
• Respiratory risks associated with

mold and pests

• Emotional and behavioral

problems in kids

• Negative impacts on sleep and

mental health

Housing Quality

≈ 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.

23% of homes in LAC were built before 1978 & have peeling or chipping paint.

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Among homes with children, 14.7% were built before 1978 & have peeling or chipping paint.

Programmatic Framework for Social Determinants “The 6 Ps”

Program Inventory Publish Materials Partnerships Push Presence on Web Policy

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New Contact:

Katie Balderas, MPH

Office of Equity Manager Long Beach Department of Health & Human Services Katie.Balderas@longbeach.gov 562-570-4333