Making the Case for “Whole System” Approaches: Integrating Public Health and Housing
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Housing conditions have been an enduring focus for public health activity throughout the modern public health era. However, the nature of the housing and health challenge has changed in response to an evolution in the understanding of the diverse factors influencing public health. Today, the traditional public health emphasis on the type and quality of housing merges with other wider determinants of health. These include the neighbourhood, community, and “place” where a house is located, but also the policies which make access to a healthy house possible and affordable for everyone. Encouragingly, these approaches to policy and action on housing have the potential to contribute to the “triple win” of health and well-being, equity, and environmental sustainability. However, more effective housing policies (and in public health in general) that adopt more systemic approaches to addressing the complex interactions between health, housing, and wider environment are needed. This paper illustrates some of the key components of the housing and health challenge in developed countries, and presents a conceptual model to co-ordinate activities that can deliver the “triple win.” This is achieved by offering a perspective on how to navigate more effectively, inclusively and across sectors when identifying sustainable housing interventions.
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Enforcing legislation, particularly with regard to rental housing, often lacks adequate scrutiny from planning and building control agencies, particularly for low-income households with significant social deprivation.
“Enforcing legislation, particularly with regard to rental housing, often lacks adequate scrutiny from planning and building control agencies, particularly for low-income households with significant social deprivation (150).”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [150]
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Review of the Impact of Housing Quality on Inequalities in Health and Well-Being
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“…2020) These include settlement and precinct flooding, (Cooperative Research Centre for Water Sensitive Cities, 2018) housing quality and density, (Sharpe et al., 2018) drainage, solid/hard waste, urban agriculture, (Robb et al., 2017) and land tenure, (Corburn et al., 2019) which shape exposure…”
Background
- Authors
- Sharpe, R. A., Taylor, T., Fleming, L. E., Morrissey, K., Morris, G., & Wigglesworth, R.
- Affiliations
- University of Exeter (GB)
- Cornwall Council (GB)
- Corresponding author
- Sharpe, Richard A.
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-10-24
- Volume
- 15
- Issue
- 11
- Pages
- 2345
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC6267345
- OpenAlex
- W2898438316
- Cited by
- 63
- References
- 143
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 10 · 2023: 9 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 8 · 2018: 1
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion)
- Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
- Funders
- London School of Hygiene and Tropical Medicine
- Eaga Charitable Trust
- National Institute for Health Research Health Protection Research Unit
- National Institute for Health and Care Research
- University of Exeter
- University College London
- European Commission (667364)
- Met Office
- Public Health England
- Oxford Academic Health Science Network
- European Regional Development Fund (SZ07660)
- Topics
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Keywords
- housing and health, whole systems approach, housing policy, health determinants, health equity, environmental sustainability, triple win, intersectoral collaboration, conceptual model
- MeSH terms
- Housing, Humans, Models, Theoretical, Public Health
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