Abstract

Housing quality, stability, and affordability have a direct relationship to socioemotional and physical health. Both city planning and public health have long recognized the role of housing in health, but the complexity of this relationship in regard to infant and maternal health is less understood. Focusing on literature specifically relevant to U.S. metropolitan areas, I conduct a multidisciplinary literature review to understand the influence of housing factors and interventions that impact infant and maternal health. The paper seeks to achieve three primary goals. First, to identify the primary “pathways” by which housing influences infant and maternal health. Second, the review focuses on the role and influence of historical housing discrimination on maternal health outcomes. Third, the review identifies emergent practice-based housing interventions in planning and public health practice to support infant and maternal health. The literature suggests that the impact of housing on infant health is complex, multifaceted, and intergenerational. Historical housing discrimination also directly impacts contemporary infant and maternal health outcomes. Policy interventions to support infant health through housing are just emerging but demonstrate promising outcomes. Structural barriers to housing affordability in the United States will require new resources to foster greater collaboration between the housing and the health sectors.

Highlights

  • Knowlton School of Architecture, Faculty Affiliate, The Kirwan Institute for the Study of Race & Ethnicity, Abstract: Housing quality, stability, and affordability have a direct relationship to socioemotional and physical health

  • This review focuses on conditions as ahealth housing has been identified health as a primary social contributing clarity to our understanding of housing and infant/maternal determinant affecting the health status of individuals, leading scholars to conceptualizehealth through an exploration of social the existing literature in the context of U.S metropolitan stable safe housing as a critical determinant for promoting health [16]. regions

  • Healthy, and affordable housing is critical to maternal health and child development and can be fundamental in providing an intervention to address a key social determinant of health

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Summary

Housing as a Social Determinant of Health and Housing as a Vaccine

States in 2018 [15]. Housing is an important and influential social determinant of health, leading many in fieldDeterminant of public health to call forHousing housing as critical for addressing health. This review focuses on conditions as ahealth housing has been identified health as a primary social contributing clarity to our understanding of housing and infant/maternal determinant affecting the health status of individuals, leading scholars to conceptualizehealth through an exploration of social the existing literature in the context of U.S metropolitan stable safe housing as a critical determinant for promoting health [16]. Focusing on housing conditions in U.S metropolitan areas, I sizes the literature to present the primary pathways by which housing influences infant conduct a multidisciplinary literature review to explore the relationship between housing and maternal health. I explore the relationship through three primary discrimination in the context of maternal health in metropolitan areas of the United States.

Pathways of Influence: as a Contemporary
Habitability
Segregation and Neighborhood Effect
Pathways of Influence
Historical Housing Discrimination as a Form of Historical Trauma
Health
Housing for Maternal and Infant Health
Direct Targeted Housing Assistance
Housing Mobility Programs
Community Planning and Improvement Strategies
Conclusions
Housing as a Lever for Health Improvement
Findings
Barriers to Expanded Housing and Infant and Maternal Health Collaborations
Full Text
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