Search Results (26)

While IPV is often studied as a predictor of housing insecurity, few U.S. studies explore how different forms of housing instability may contribute to intimate partner violence (IPV) risk. Using a mixed-methods approach and a cross-sectional design, this study examined the association between four housing instability domains and IPV among a sample of tenants that had either experienced eviction or were at high risk for eviction. Tenants in Harris and Travis counties (Texas, USA) completed an online survey (n = 1085; March–July 2024). Housing instability was assessed across four domains: homelessness, lease violations, utility hardship, and poor housing quality. IPV was measured using the Hurt, Insult, Threaten, Scream Screener. Covariate-adjusted logistic regression models suggest indicators within the four housing instability domains were associated with IPV risk. Within the homelessness domain, experiences with lifetime homelessness (AOR = 1.92, 95%CI 1.61–2.28), in the past 12 months living in unconventional spaces (AOR = 2.10, 95%CI 1.92–2.29), and moving in with others (AOR = 1.20, 95%CI 1.06–1.36) were associated with IPV. Within the lease violations domain, missed rent payments (AOR = 1.69, 95%CI 1.68–1.71) and non-payment lease violations (AOR = 2.50, 95%CI 2.29–2.73) in the past 12 months were associated with IPV. Utility shutoffs (AOR = 1.62, 95%CI 1.37–1.91) and unsafe housing (AOR = 1.65, 95%CI 1.31–2.09) in the past 12 months were associated with IPV. Homelessness, housing-related economic hardships and substandard living conditions predict an elevated risk of IPV. Full article

Background—Against childhood lead poisoning, removing lead exposure is the main measure, but how to do it effectively has not been fully established. Our objective was to determine the impact of several interventions (education, housing remediation, and relocation) on children’s blood lead levels. Methods—A historical cohort of childhood lead poisoning was drawn in Marseille, France, from 2011 to 2018. A generalized mixed model was developed to study the kinetics of blood lead levels. Results—We included 151 children, with 56% living in legal substandard housing and others living in slums. Medical follow-up (median: 612 days) included 492 blood samples. In legal substandard housing, blood lead level decrease was significantly associated with every intervention. In slums, blood lead level decrease was significantly associated with housing relocation and education, although to a lesser extent. Conclusions—Every intervention contributed to reducing blood lead levels in substandard housing. Educational intervention is rapidly implemented. Housing remediation follows a long-lasting but effective legal procedure. Some families get housing relocation, depending on their financial resources or whether they are eligible for social housing. In slums, access to legal housing is the most effective against environmental exposure and education has a wider impact on health literacy. Full article

Occupational exposures in the agricultural industry globally have been associated with heightened risk for several diseases. Reports written in South Africa in the last decade have raised awareness of the harsh occupational conditions and human rights abuses suffered by farmworker communities in the wine industry. Despite receiving “fair trade” labels upon reentry into the global market in the 1990s, the working conditions on wine farms in South Africa have remained unchanged and exploitative for centuries. Farmworkers remain dependent on substandard farm housing, have insecure land tenure rights, are exposed to toxic pesticides, are denied access to benefits and unionization, and endure long working hours in harsh environmental conditions with low pay. These occupational conditions are linked to interacting disease clusters: metabolic syndrome, problematic drinking, and communicable diseases including tuberculosis, HIV, and COVID-19. This milieu of interacting diseases with deleterious outcomes is an under-considered occupational syndemic that will likely worsen given both the lasting impacts of COVID-19 and more recent shifts in global public health funding. Full article

Background: Health and safety are critical pillars of functional higher education systems. In South African universities, recurring incidents have highlighted vulnerabilities, particularly concerning gender-based violence (GBV), student housing conditions, infrastructure safety, and campus crime. Methods: This study employed a document-based qualitative approach, analysing public records, police reports, campus press statements, and national media coverage of incidents reported at South African universities (2015 to 2024). The study is guided by public health and victimology frameworks to examine systemic risk factors and institutional responses. Results: The findings indicate increased reports of GBV, multiple student deaths related to substandard residence conditions, infrastructure-related fatalities, and a lack of consistent institutional safety policies. A pattern of poor infrastructure management, weak inter-institutional communication, and failure to implement recommendations following major incidents emerged across the dataset. Conclusions: South African universities remain exposed to preventable student risks. Targeted interventions, mandatory safety audits, emergency response units, and accountability structures are urgently needed to address systemic failings and protect student welfare. The study supports Sustainable Development Goals 3 and 4 by linking campus safety to student well-being and equitable access to higher education. Full article

Approximately 3% of home-owners in Flanders (Belgium) are “locked-in”, residing in substandard dwellings with limited financial means for improvement. Under the European Urban Innovative Actions project ICCARus, 84 dwellings of locked-in home-owners in Ghent (Belgium) underwent renovations with an average budget of EUR 29,000. Their impact on housing quality, energy performance, indoor environmental quality (IEQ), and user satisfaction was assessed. The housing quality was evaluated using the Flemish Housing Code, and energy performance was calculated. A monitoring campaign in selected dwellings evaluated the IEQ. Interviews documented home-owners’ satisfaction. The results revealed a significant enhancement in housing quality, with post-renovation compliance reaching 83%. Energy performance notably improved, from a pre-renovation F-label prevalence (31% of the cases) to a post-renovation majority achieving a C-label (55%). The average indoor temperature in all rooms increased after renovation. A moderate correlation between enhancement in the living room and bathroom temperature and budget for energy performance measures was noted. The CO₂ concentration in the majority of the homes remained unchanged. A total of 61% of the participants reported increased satisfaction with their dwelling post-renovation, with more pronounced improvement in winter. This enhanced satisfaction was correlated with improved energy performance. Full article

Background: Knowledge of how different social groups in South Africa are affected by air quality is important for informing air quality regulations and determining the integrated social–environmental approach to adopt. This systematic review evaluates the impact of air pollution on these groups, investigates socio-economic factors that increase exposure, and assesses mitigation measures. Methods: The review followed the PRISMA guidelines and analyzed quantitative studies conducted in South Africa, which were published between 2014 and 2024. The studies’ sources included databases such as Google Scholar, PubMed, and Scopus. Data from 47 eligible studies were analyzed using descriptive statistics. Results: Results show that women, children, and low-income communities tend to bear the brunt of poor air quality. Children are the most affected by poor air quality, with significant respiratory issues. Pregnant women are vulnerable to adverse birth outcomes. The results indicate that of the 47 studies reviewed, 51% focused on the effects of air pollution on children, whilst fewer studies (26%) focused on women. This may point to a gap in research on the specific impacts of air pollution on women. Low-income communities face increased exposure due to proximity to pollutant sources and substandard housing. The results further indicated that of the health impacts experienced by vulnerable populations, general health issues (96%) and respiratory health issues (89%) are the most prominent health impacts. Conclusions: The study underscores the need for stricter air quality regulations, public education, and an integrated social–environmental approach to mitigate exposure in vulnerable populations. Full article

This paper explores the feasibility of floating urban development in Italy, given its extensive coastline and inland hydrographic network. The key drivers for floating urban development, as an adaptive approach in low-lying waterfront areas, include the increasing threats posed by rising sea levels and flooding and the shortage of land for urban expansion. However, as not all waterfront areas are suitable for floating urban development, a geographical analysis based on a thorough evaluation of multiple factors, including urban–economic parameters and climate-related variables, led to the identification of a specific area of the Lazio coast, the river Tiber Delta. A comprehensive urban mapping process provided a multifaceted geo-referenced information layer, including several climatic, urban, anthropic, and environmental parameters. Within the GIS environment, it is possible to extract and perform statistical analyses crucial for assessing the impact of flood and sea-level rise hazards, particularly regarding buildings and land cover. This process provides a robust framework for understanding the spatial dimensions of flood and sea-level rise impacts and supporting informed design-making. A research-by-design phase follows the simulation research and mapping process. Several design scenarios are developed aimed at regenerating this vulnerable area. These scenarios seek to transform its susceptibility to flooding into a resilient, adaptive, urban identity, offering climate-resilient housing solutions for a population currently residing in unauthorized, substandard housing within high flood-risk zones. This paper proposes a comprehensive analytical methodology for supporting the design process of floating urban development, given the highly determinant role of site-specificity in such a challenging and new urban development approach. Full article

An increasing body of literature has investigated the implications of housing quality on health, confirming the negative consequences of poor housing quality on physical and mental health. Despite this increased focus on the salutogenic impacts of housing, the relationship between housing quality and cognitive health remains understudied. This study examined how the housing quality in urban informal settlements, where living conditions are often substandard, affects women’s cognitive functioning, with a specific focus on executive function (EF) skills. EF is a decision-making system that enables us to make decisions using working memory and attentional control. This study addressed two key questions: (1) Is housing quality associated with EF skills? (2) Does perceived housing stress experienced by women mediate the housing–EF relationship? A standardized observer-based tool assessed housing quality, psychometric instruments measured EF skills, and a 12-item questionnaire evaluated perceived housing stress. Results indicated that better housing quality is positively associated with higher EF skills, with housing stress acting as a mediating factor in this relationship. These findings have important implications for both health and housing policies. Investments in improving housing conditions can yield cognitive health benefits for women, and addressing stress-inducing housing factors could further enhance cognitive outcomes. Full article

Leptospirosis is a zoonosis with global public health impact, particularly in poor socio-economic settings in tropical regions. Transmitted through urine-contaminated water or soil from rodents, dogs, and livestock, leptospirosis causes over a million clinical cases annually. Risk factors include outdoor activities, livestock production, and substandard housing that foster high densities of animal reservoirs. This One Health study in southern Chile examined Leptospira serological evidence of exposure in people from urban slums, semi-rural settings, and farm settings, using the Extreme Gradient Boosting algorithm to identify key influencing factors. In urban slums, age, shrub terrain, distance to Leptospira-positive households, and neighborhood housing density were contributing factors. Human exposure in semi-rural communities was linked to environmental factors (trees, shrubs, and lower vegetation terrain) and animal variables (Leptospira-positive dogs and rodents and proximity to Leptospira-positive households). On farms, dog counts, animal Leptospira prevalence, and proximity to Leptospira-contaminated water samples were significant drivers. The study underscores that disease dynamics vary across landscapes, with distinct drivers in each community setting. This case study demonstrates how the integration of machine learning with comprehensive cross-sectional epidemiological and geospatial data provides valuable insights into leptospirosis eco-epidemiology. These insights are crucial for informing targeted public health strategies and generating hypotheses for future research. Full article

In old urban districts with tenement buildings, street markets address the working class’s social and economic needs. They are pivotal in fostering supportive communities, in particular for low-income residents in sub-standard housing. However, their outdated overall environment impedes the delivery of adequate support to residents. Prior research on street markets has focused on those in the Americas and Europe, and has revealed the societal support values of these markets. However, studies on street markets in high-density cities like Hong Kong are lacking. This study introduces an evaluation framework to assess the impact of street markets on the development of supportive communities for Hong Kong’s sub-divided apartment residents. Employing the Pei Ho Street market in Sham Shui Po as a case study, an importance-performance analysis highlights critical but underperforming factors including public facilities, activity venues, commerce, and employment. Based on these findings, the study proposes four improvement strategies for the renewal of street markets in high-density communities, which could apply to other cities with similar high-density urban environments. It concludes that street markets in Hong Kong display unique spatial characteristics shaped by low-income lifestyles in a high-density urban environment, enriching daily social life and promoting sustainable community development. Full article

Austin, Texas emerged as one of the fastest-growing cities in the U.S. over the past decade. Urban transformation has exacerbated inequities and reduced ethnic/racial diversity among communities. This qualitative study focused on housing insecurity and other syndemic factors among Black and Latina cisgender women (BLCW). Data collection from 18 BLCW using in-depth interviews guided by syndemic theory was conducted three times over three months between 2018 and 2019. Four housing insecurity categories emerged: (a) very unstable, (b) unstable, (c) stable substandard, and (d) stable costly. Participants who experienced more stable housing, particularly more stable housing across interviews, reported fewer instances of intimate partner violence (IPV), less substance use, and a reduced risk of acquiring HIV. Results identified the importance of exploring housing insecurity with other syndemic factors among BLCW along with determining structural- and multi-level interventions to improve housing circumstances and other syndemic factors. Future research should explore these factors in other geographic locations, among other intersectional communities, and among larger sample sizes and consider using a mixed methods approach. Full article

Hong Kong is a typical global city with growing levels of substandard housing and a reduction in basic living quality. The government implemented a policy of transitional social housing (TSH) in 2018 to enhance the livelihood of low-income families. Nam Cheong 220 (NC220) is the first structural steel TSH project in Hong Kong. This study aims to evaluate the social impact and effectiveness of the project, and quantitative data were collected from individuals in three stages between 2020 and 2022. The first stage (T0) involved interviewing 106 successful applicants of NC220, followed by 91 participants in the second stage (T1) and 88 in the third stage (T2). Longitudinal analysis was implemented to scrutinize the changes observed over time, namely that the living area per capita substantially increased and housing expenses per capita decreased significantly due to residents’ relocation to NC220. Housing conditions and community problems also showed significant improvement. Living satisfaction, neighbour and family relationships also demonstrated positive changes. The most difficult issue for residents was finding suitable housing after staying at NC220. The findings reveal that the first TSH in Hong Kong as an intervention significantly improved the housing circumstances of residents. The social dimensions of housing for enhancing residents’ well-being is worth additional attention. Full article

Colonia communities, which host forgotten Americans, lack essential services such as portable water, adequate wastewater and solid waste disposal, adequate drainage, and adequate paved roads. The aim of this study is to investigate five key aspects of the colonias in the Rio Grande Valley (RGV), which include the total count of colonias in the valley, their susceptibility to public health hazards, flooding occurrences, the transformations that have occurred over the past two decades, and community resilience. This research utilizes two datasets, namely the Colonia Database from the Texas Secretary of State and the community resiliency estimates from the Census Bureau. Geographical information systems (GIS) methods are employed to analyze the spatial and temporal distribution of colonia communities. The principal results reveal that colonia communities host 14% of the RGV’s total 1.37 million population. About half of the total colonia population resides in Hidalgo County, followed by Starr, Cameron, and Willacy counties. About 87% of the total colonia communities exist in census tracts characterized by low or very low community resiliency. Furthermore, 26% of the total colonia communities experiencing flooding after rainfall are in tracts with low or very low community resiliency. This study provides the major conclusion that while there have been slight improvements in the colonias’ susceptibility to public health risks within the past two decades, there still remains significant developmental work. Without tackling these challenges, achieving meaningful progress in community resilience becomes a daunting task. Applying an environmental justice lens to the issues faced by colonia communities helps shed light on the systemic inequalities and injustices they experience. Full article

In Chinese megacity centers, substandard housing is being removed. The inhabitants are relocated to peripheral large-scale residential areas, and we call them “relocatees”. After the relocation, their housing quality is improved but travel quality may worsen. Little attention has been paid to the change in travel equity over time for shopping-related trips of relocatees and non-relocatees in these areas in rapidly developing countries, especially for the change before and after the major built environment development, such as a shopping plaza’s opening. To fill this research gap, we conducted two surveys before and after Wanda Shopping Plaza’s opening. We used statistical analysis, estimated discrete choice models focusing on mode choice, and calculated consumer surplus as a measurement of travel equity. Results show a relocatee has a lower travel quality for shopping-related trips. Travel equity between relocatees and non-relocatees for shopping-related trips becomes worse after Wanda’s opening. Differences in consumer surplus between relocatees and non-relocatees provide a reference for the travel subsidy policy. Full article

Household and ambient air pollution remain public health problems in much of the world. Brick kiln employees in Nepal may be particularly at risk of high air pollution exposures and resulting health effects due to high levels of outdoor air pollution, substandard housing, and indoor biomass cooking. We conducted a cross-sectional study of indoor and outdoor air pollution concentrations at workers’ homes at four fixed chimney Bull’s trench brick kilns in Bhaktapur, Kathmandu Valley, Nepal. We measured air concentrations of carbon monoxide (CO), carbon dioxide (CO₂), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), and respirable crystalline silica (SiO₂; cristobalite, quartz, tridymite) using established methods and conducted a survey about characteristics of homes or samples that may be associated with air pollution concentrations. Geometric mean concentrations of CO, CO₂, and SiO₂ (quartz) were 0.84 ppm, 1447.34 ppm, and 6.22 µg/m³, respectively, whereas concentrations of all other air pollutants measured below lower detection limits. Most characteristics of homes or samples were not associated with air pollution concentrations. We found a positive association between the variable how long lived in house and SiO₂ (quartz) concentrations, which may reflect sustained take-home exposure to SiO₂ (quartz) over time. Interventions should focus on administrative controls to reduce take-home exposure to SiO₂ (quartz) in this population. Full article