Neighborhood Context, Homeownership and Home Value: An Ecological Analysis of Implications for Health.

Roshanak Mehdipanah,Graciela Mentz,Carmen Stokes,Zachary Rowe,Alexa Eisenberg,Barbara A Israel,Amy J Schulz

doi:10.3390/ijerph14101098

Abstract

While homeownership has been linked to positive health outcomes there is limited evidence regarding the conditions under which it may be health protective. We present a conceptual model linking homeownership to health, highlighting key potential pathways. Using the Detroit Metropolitan Area as a case study, and data from the American Community Survey (2009–2013; 5-years estimates) and Michigan Department of Community Health, we tested the following questions: (1) Is neighborhood percentage non-Hispanic Black (NHB) associated with homeownership? (2) Is neighborhood percentage NHB associated with health? (3) Is the association between percentage NHB and health mediated by homeownership? (4) Does neighborhood housing value modify associations between percentage NHB and health, or between homeownership and health? Percentage NHB was associated with homeownership and health outcomes; Associations between percentage NHB and mortality, but not disability, were partially mediated by neighborhood homeownership. Neighborhood housing value modified associations between neighborhood homeownership and both disability and mortality, but not between percentage NHB and health outcomes. Findings are consistent with the thesis that health-promoting effects of homeownership may be contingent upon house values. These results add to a limited body of evidence suggesting that variations in homeownership may contribute to persistent racial and socioeconomic health inequities.

Highlights

Existing literature connects homeownership to positive health outcomes [1,2,3], which some have attributed to the stability and wealth accumulation afforded by homeownership [4,5]
Is neighborhood racial composition associated with homeownership rates? We found significant these findings and their implications in greater detail below
Is neighborhood racial composition associated with homeownership rates? We found significant associations remained significant after accounting for neighborhood mean age, mean education and bivariate correlations between neighborhood percent non-Hispanic Black (NHB) and homeownership, and these associations median household income

Summary

Introduction

Existing literature connects homeownership to positive health outcomes [1,2,3], which some have attributed to the stability and wealth accumulation afforded by homeownership [4,5]. There is strong evidence that historical and contemporary racial and ethnic inequities across the United States (U.S.) contribute to differentials in opportunities for homeownership, as well as differentials in characteristics of neighborhoods in which homes are purchased [6,7,8]. Together, these differences raise important questions regarding the extent to which health benefits associated with homeownership may vary across racial and ethnic groups [9,10]. Housing is considered to provide access to political, social, economic and cultural opportunities, all of which are important determinants of health [28]

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