Poor Quality Housing Research Articles

Solving the housing crisis in Nunavut, Canada.

In Canada, there are vast differences between the state of accommodation/housing, health, social inequalities, education and economic conditions for people in the northern and southern regions of the country. Overcrowding in Inuit Nunangat is a direct result of the promises made by past government policy that led to Inuit people settling in sedentary communities in the North on the understanding that they would be provided with social welfare. However, these welfare programmes proved to be either insufficient or non-existent for Inuit people. Therefore, Inuit are living in overcrowded homes in Canada, resulting in a severe housing shortage, poor-quality housing and homelessness. This has led to the spread of contagious diseases, mould, mental-health issues, gaps in education for children, sexual and physical violence, food insecurity and adverse challenges for the youth of Inuit Nunangat. This paper proposes several actions to ease the crisis. First, funding should be stable and predictable. Next, there should be ample construction of transitional homes which could be used to accommodate people before moving them into proper public housing. Policies regarding staff housing should be amended, and if possible, these vacant staff houses could provide shelter to eligible Inuit people, which could help lessen the housing crisis. The advent of COVID-19 has made the issue of affordable and safe housing more serious because without safe housing, the health, education and well-being of the Inuit people in Inuit Nunangat are in peril. This study focuses on how the governments of Canada and Nunavut are dealing with this issue.

Assessment of Physical Standards of Housing for Healthy Living in Urban Informal Settlement: A Case of Rupsha Slum in Khulna

Overcrowding, poor structural quality of housing, and a lack of basic services and infrastructure differentiate informal settlement as a distinct type of community. Poor housing quality is directly connected to a greater risk of disease and illness in informal settlements. This research is being carried out to provide a comprehensive picture of the existing physical conditions of housing and aims to measure the deviation of housing quality between existing and standard healthy housing parameters in informal settlements. A substantial amount of fieldwork has been conducted to map the existing physical structure of the settlement and a list of preventable diseases suffered from poor housing is made through conducting a focus group discussion and interviews of 50 households in a distinct informal settlement situated in Bangladesh’s third-largest city, namely Khulna. To assess the housing quality a framework of standard housing is made by reviewing the book “Park’s textbook of preventive and social medicine” by K. Park. Results indicate that - 70% of the total household does not satisfy the minimum housing standard; in most cases, 4 or 5 persons must share a single room of 102 to 150 sqft area; a single toilet serves 180 people; the queuing time for drinking water from a tube well exceeds 45 minutes. The study also reveals the settler’s complex mechanism of compact living through space sharing dynamics. Journal of Engineering Science 13(2), 2022, 51-67

"My life will be much better than before": a qualitative study on the relationship between renewal of public housing, quality of life, and health

The objective was to understand the link between housing, health and quality of life in a context of social housing regeneration, through the experiences and perceptions of its inhabitants, exploring the mechanisms that sustain this link before regeneration, and those elements derived from housing regeneration that result in improvements in quality of life and potentially in health. Between 1980 and the 2000s, Chile faced a massive quantitative housing deficit through a policy that delivered more than 120,000 low-cost social housing apartments. Today, thousands present severe habitability problems, generating negative consequences for their inhabitants, their health and well-being. Seeking to solve the deterioration of housing and neighborhoods, the Chilean Ministry of Housing and Urbanism developed the Housing Complex Regeneration Program. The RUCAS project seeks to evaluate the effects of the program on health and to assess the impact of interventions such as these on vulnerable populations in Latin America. We present results of 8 interviews and 2 focus groups conducted in a social housing complex in process of intervention in Viña del Mar. Using discursive content analysis, results show that the poor material quality of housing is perceived as harmful to health. Regenerated housing, on the other hand, promotes the recovery and re-appropriation of spaces and their uses, sociability, new healthy practices, positive feelings and psychological well-being, bringing to the fore the psychosocial component of people's relationship with their house. It is concluded that housing regeneration has the potential to benefit physical and mental health through both direct mechanisms, derived from the renovated materiality, and indirect mechanisms related to the practices and experiences of the lived space.

Understanding resilience capitals, agency and habitus in household experiences of water scarcity, floods and fire in marginalized settlements in the Cape Flats, South Africa

A significant percentage of the urban population in most low- and middle-income countries live in informal settlements. Due to poor quality housing, dense settlement patterns and lack of risk reducing infrastructure, informal settlements are least prepared and at higher risk for climate change issues. Marginalized communities in settlements in the Cape Flats region of South Africa face a range of environmental hazards and risks including recurrent large-scale fires, localised flooding and inconsistent access to water. This paper presents findings from a household survey with 600 participants from three economically marginalized settlements in this region. The paper explores how different forms of capital come into play in the shaping of these experiences and responses and uses these to consider power structures and the creation of particular types of habitus amongst settlement residents. Results show that cultural (knowledge) capital is one of the most important capitals enabling resilience and adaptive capacities across all three sites. Findings show the complex interplay of forms of capital and the importance of recognizing ownership, control and power structures. Our findings also illustrate how repeated exposure to risk can shape a habitus of risk acceptance and a focus on coping rather than change. Insights from this study further enhance knowledge of community resilience that could potentially inform policy development and institutional disaster risk reduction strategies for climate change resilience of cities in low- and middle-income countries.

Multidimensional housing insecurity and psychological health: how do gender and initial psychological health differentiate the association?

ObjectivesDespite compelling evidence for housing-health associations, it is still unclear (1) whether gender differentiates psychological responses to housing insecurity and (2) the extent to which initial psychological health influences the association between housing insecurity and psychological health. The present study aims to reduce these knowledge gaps. Study designWe used data from over 13 waves (155,114 observations) of the Korea Welfare Panel Study. MethodsThis study tests fixed effects models that can take into account measured and unmeasured heterogeneity. Quantile regression with fixed effects was conducted to assess whether the observed association depends on the initial state of psychological health. All analyses are gender stratified. ResultsFixed effects estimates show that housing problems, such as being a renter (b = 0.159), housing cost burden (b = 0.173), and rental/or mortgage arrears (b = 1.194), are significantly associated with depressive symptoms. Similar patterns were observed for poor housing quality (b = 0.598) and a lack of essential facilities (b = 0.286). Although the association between the severity of housing insecurity and depressive symptoms was concentrated among men with initially higher levels of depressive symptoms, the observed association was consistently pronounced for women regardless of initial psychological health. ConclusionsThis study suggests that gender perspectives need to be incorporated into the development of housing intervention for vulnerable groups.

Review of the Impact of Housing Quality on Inequalities in Health and Well-Being.

Housing quality is essential for population health and broader well-being. The World Health Organization Housing and health guidelines highlight interventions that protect occupants from cold and hot temperatures, injuries, and other hazards. The COVID-19 pandemic has emphasized the importance of ventilation standards. Housing standards are unevenly developed, implemented, and monitored globally, despite robust research demonstrating that retrofitting existing houses and constructing high-quality new ones can reduce respiratory, cardiovascular, and infectious diseases. Indigenous peoples, ethnic minorities, and people with low incomes face cumulative disadvantages that are exacerbated by poor-quality housing. These can be partially ameliorated by community-based programs to improve housing quality, particularly for children and older people, who are hospitalized more often for housing-related illnesses. There is renewed interest among policy makers and researchers in the health and well-being of people in public and subsidized housing, who are disproportionately disadvantaged by avoidable housing-related diseases and injuries. Improving the overall quality of new and existing housing and neighborhoods has multiple cobenefits, including reducing carbon emissions.

Population and Poverty in Ireland on the Eve of the Great Famine

We revisit the link between demographic pressure and economic conditions in pre-Famine Ireland and harness highly disaggregated parish-level data from the 1841 census in our analysis. The results indicate that on the eve of the Great Irish Famine of the 1840s, population pressure was positively associated with two measures of poverty-illiteracy and the prevalence of poor-quality housing. Malthus mattered in the sense that our results indicate that a "no population growth" scenario between 1800 and 1841 would have led to a 6% improvement in poor-quality housing and a 4% reduction in illiteracy. However, the strength of this relationship is reduced when additional explanatory factors are considered, and factors relating to location and economic geography offer greater explanatory power. Incorporation of data from the 1821 census reveals that in the two decades before 1841, population growth was fastest in areas under less population pressure, supporting the notion that preventive check forces were at play. These findings are consistent with some elements of Malthusian theory, although ultimately they refute the notion that overpopulation was the principal cause of pre-Famine Irish poverty.

33 Mapping Emergency Department Asthma Visits to Identify Poor Quality Housing

Housing conditions are a key driver of asthma incidence and severity. Prior studies have demonstrated increased emergency department (ED) asthma visits among residents living in poor-quality housing. Interventions to improve housing conditions have been shown to reduce asthma ED visits, but identification and remediation of poor housing conditions is often delayed or does not occur. This study evaluates whether ED asthma visits can be used to identify poor quality housing to support proactive and early intervention.

Housing quality and its impact on Acute Respiratory Infection (ARI) symptoms among children in Punjab, Pakistan.

Exposure to poor housing quality and household air pollution (HAP) are significant factors for morbidity and mortality in Pakistan. Children under five are particularly at risk of acute respiratory infections (ARIs). Globally, it has been estimated that 6.6 million children less than five years of age die every year from this disease. Little is known regarding the effect of HAP and poor housing quality on children's respiratory symptoms in Pakistan. Statistics concerning Pakistan's largest province, Punjab, are also not promising. Hence, an association between housing quality and respiratory symptoms among children under the age of five in Punjab has been studied in this paper. Using data from MICS 2017-18, logistic regression models were applied to the sample of 35000 children under the age of five living in poor housing quality. We estimated that acute respiratory infection (ARI) symptoms are higher among children when the floor of a house is made of natural material. However, the lower ARI symptoms were found among children living in a house with a wall made of natural material. On the other hand, we found that children residing in the western region of Punjab are at a higher risk of ARI symptoms. The findings remain consistent with the previous researchers. In addition to promoting increased access to quality housing material during construction activities, we suggest that critical community-based interventions are required to combat local issues and problems at the micro-level.

Measuring the discomfort of energy vulnerable elderly people. Recommendations for solutions

Energy poverty remains today one of the most important problems for a truly just urban energy transition. In addition, older people living alone are one of the main target groups of this problem. In this research, 525 households have been monitored of which 155 were potentially in fuel poverty in the city of Valencia, Spain. In the latter, the presence in the dwelling, temperature and humidity were monitored throughout the year. We reviewed the literature and compared different comfort standards with the data collected. None of the 155 dwellings meet the comfort requirements on a regular basis. That is, their inhabitants are too often at risk to their health because of low or high temperatures and humidity. A survey was conducted to find the causes of the vulnerability of these families and to quantify their importance. In addition to the expected causes: low income, high energy prices and poor housing quality, we found elements related to habits, low energy literacy, the digital divide and others. Our findings can inform policy development for an inclusive urban energy transition that does not leave behind older people living alone.

A Circular and Bio-based Renovation Strategy for Low-income Neighbourhoods

The impact of climate change is expected to increase in the following decade. Possible effects on the built environment are identified as urban heat stress, air pollution, extreme weather conditions, etc. As a result, there is an increase in disease and mortality specifically in the cities among the vulnerable citizens such as elderly people and children. Moreover, many cities worldwide are in the evolution of urbanization which leads to increased carbon emissions as well as a demand for more material production and waste. Consequently, the construction industry embodies great potential for reaching the energy and carbon mitigation goals. For regeneration of the built environment, the European directives requires for the renovation of existing building stock as quick as possible. In Flemish context, cities stimulate renovation projects on a systematic and planned basis, by defining ‘urban renovation districts’ which received special financial facilities and subsidizing. Consequently, there is a growing demand for affordable housing in combination with a shortage of qualitative and energy efficient housing opportunities. In the last decades, there has been an intensive effort to develop different retrofit strategies, but there is a lack of comprehensive approach that delivers innovative technical solutions such as circular and bio-based construction methods as a solution to the increased housing demand of vulnerable people. For this purpose, this study combines the efforts of two initiatives, (1) Interreg Circular Bio-Based Construction Industry (CBCI) and (2) the innovative financial policy instrument of subsidy retention for low-income groups (refers to citizens living in poor quality houses with insufficient economic means & social skills to renovate). The study has the ambition to explore the coherence between technical, economical, legal, social aspects for circular urban retrofit strategies. Circular building materials and methods were developed and tested in real-life setting with construction of a prototype living lab (LL) in Technology Campus, Ghent. Depending on the results from the LL, an urban renewal strategy for Flemish districts is proposed by using subsidy retention on macro-economic and social level. The scenario is envisaged as a collective approach with the local community in which the vulnerable users also benefit as direct participants to the research.

1166P Social determinants of lung cancer in East London

In England more deprived groups are more likely to acquire lung cancer and have a higher associated mortality despite adjusting for disease stage at diagnosis and comorbidities [1]. More deprived populations are more frequently exposed to risk factors for disease development such as smoking and air pollution [2]. St Bartholomew’s Hospital serves a diverse population from East London. We aim to understand if there are associations between clinico-pathological features of lung cancer and levels of deprivation in our region. Electronic patient records were reviewed for patients diagnosed with lung adenocarcinoma at our centre over 1 year between January and December 2021. Deprivation deciles were obtained via the English Indices for Deprivation 2019 [3]. 170 patients were identified, of which 75.3% (n=128) had an oncogenic driver mutation. Median age was 69 years with 45.3% females (n=77). The most frequently identified mutation was KRAS (n=62, 36%), followed by EGFR (n=18, 10.6%). 6.5% of patients (n=11) had 2 or more mutations. EGFR was associated with higher deprivation in the living environment subdomain (p=0.046), measuring exposure to poor quality air and housing, road traffic accidents and access to central heating. No other significant relationships between deprivation score and tumour mutational status were identified. Lung cancer patients at our centre are distributed along a deprivation gradient, comparable to the local population makeup. Considering EGFR’s association with never-smoking populations, these findings are consistent with the hypothesis that these populations are also exposed to important oncogenic factors beyond smoking tobacco [2] and that a drive to reduce the burden of cancer must not be limited to smoking cessation alone.

Housing and occupant health: Findings from Vietnam

This paper investigates how poor-quality housing affects Vietnamese individuals’ health, measured using the number of sick days, which directly affects productivity and economic growth. Our analysis addresses endogeneity issues generally ignored in previous studies. We provide evidence, robust to various alterations that, the absence of an indoor water tap and homeownership, harmful indoor cooking fuel type, and the poor physical structure of the dwelling have adverse impacts on individuals’ health. Our findings indicate that the adverse effects of housing on health arise from a larger spectrum of housing issues in rural areas compared to urban areas. We also find that the intensity in deprived housing conditions has a non-linear relationship with health, suggesting that even some degree of housing assistance can have a beneficial impact on individuals’ health. Our study provides useful policy guides and informs healthy living practices.

Energy Poverty Evaluation Using a Three-Dimensional and Territorial Indicator: A Case Study in Chile

Energy poverty (EP) is a problem that affects a large part of the world population, leaving those most vulnerable to suffer from unhealthy indoor conditions in their homes, being cold in winter months, struggling with their monetary situation, and even reducing social activities with relatives. In this context, it is important to assess EP situations and identify those factors that most affect each one. This paper, through the evaluation and adaptation of the Three-dimensional and Territorial Indicator of Energy Poverty (EPITT in Spanish), developed by the Energy Poverty Network in Chile (RedPE Chile), assesses the different EP situations in a social-housing case study located in south-central Chile. The results show different EP situations depending on the dimensions studied, e.g., 35% of households had food and hygiene issues, 27% had issues with lighting and electrical devices, 72% with climate control in the home, and 68% experienced equality in energy expenditure issues. It is possible to say that energy expenditure is the dimension that most influences the EP situation. Furthermore, the values in the different dimensions are below the national average, mainly because of the poor quality of housing, limitations in access to energy, and low income. In conclusion, the adaptation of EPTTI provides a better understanding of EP vulnerability at the local scale.

Mapping emergency department asthma visits to identify poor-quality housing in New Haven, CT, USA: a retrospective cohort study

SummaryBackgroundHousing conditions are a key driver of asthma incidence and severity. Previous studies have shown increased emergency department visits for asthma among residents living in poor-quality housing. Interventions to improve housing conditions have been shown to reduce emergency department visits for asthma, but identification and remediation of poor housing conditions is often delayed or does not occur. This study evaluates whether emergency department visits for asthma can be used to identify poor-quality housing to support proactive and early intervention.MethodsWe conducted a retrospective cohort study of children and adults living in and around New Haven, CT, USA, who were seen for asthma in an urban, tertiary emergency department between March 1, 2013, and Aug 31, 2017. We geocoded and mapped patient addresses to city parcels, and calculated a composite estimate of the incidence of emergency department use for asthma for each parcel (Nv × Np/log2[P], where Nv is the estimated mean number of visits per patient, Np is the number of patients, and P is the estimated population). To determine whether parcel-level emergency department use for asthma was associated with public housing inspection scores, we used regression analyses, adjusting for neighbourhood-level and individual-level factors contributing to emergency department use for asthma. Public housing complex inspection scores were obtained from standardised home inspections, which are conducted every 1–3 years for publicly funded housing. We used a sliding-window approach to estimate how far in advance of a failed inspection the model could identify elevated use of emergency departments for asthma, using the city-wide 90th percentile as a cutoff for elevated incidence.Findings119429 asthma-related emergency department visits from 6366 unique patients were included in the analysis. Mean patient age was 32·4 years (SD 12·8); 3836 (60·3%) patients were female, 2530 (39·7%) were male, 3461 (57·2%) were Medicaid-insured, and 2651 (41·6%) were Black. Incidence of emergency department use for asthma was strongly correlated with lower housing inspection scores (Pearson’s r=−0·55 [95% CI −0·70 to −0·35], p=3·5 × 10−6), and this correlation persisted after adjustment for patient-level and neighbourhood-level demographics using a linear regression model (r=−0·54 [−0·69 to −0·33], p=7·1 × 10−6) and non-linear regression model (r=−0·44 [−0·62 to −0·21], p=3·8 × 10−4). Elevated asthma incidence rates were typically detected around a year before a housing complex failed a housing inspection.InterpretationEmergency department visits for asthma are an early indicator of failed housing inspections. This approach represents a novel method for the early identification of poor housing conditions and could help to reduce asthma-related morbidity and mortality.FundingHarvard-National Institute of Environmental Health Sciences (NIEHS) Center for Environmental Health.

Association Between Self-reported Health-Related Social Needs and Acute Care Utilization Among Older Adults Enrolled in Medicare Advantage

There is increased focus on identifying and addressing health-related social needs (HRSNs). Understanding how different HRSNs relate to different health outcomes can inform targeted, evidence-based policies, investments, and innovations to address HRSNs. To examine the association between self-reported HRSNs and acute care utilization among older adults enrolled in Medicare Advantage. This cross-sectional study used data from a large, national survey of Medicare Advantage beneficiaries to identify the presence of HRSNs. Survey data were linked to medical claims, and regression models were used to estimate the association between HRSNs and rates of acute care utilization from January 1, 2019, through December 31, 2019. Self-reported HRSNs, including food insecurity, financial strain, loneliness, unreliable transportation, utility insecurity, housing insecurity, and poor housing quality. All-cause hospital stays (inpatient admissions and observation stays), avoidable hospital stays, all-cause emergency department (ED) visits, avoidable ED visits, and 30-day readmissions. Among a final study population of 56 155 Medicare Advantage beneficiaries (mean [SD] age, 74.0 [5.8] years; 32 779 [58.4%] women; 44 278 [78.8%] White; and 7634 [13.6%] dual eligible for Medicaid), 27 676 (49.3%) reported 1 or more HRSNs. Health-related social needs were associated with statistically significantly higher rates of all utilization measures, with the largest association observed for avoidable hospital stays (incident rate ratio for any HRSN, 1.53; 95% CI, 1.35-1.74; P < .001). Compared with beneficiaries without HRSNs, beneficiaries with an HRSN had a 53.3% higher rate of avoidable hospitalization (incident rate ratio, 1.53; 95% CI, 1.35-1.74; P < .001). Financial strain and unreliable transportation were each independently associated with increased rates of hospital stays (marginal effects of 26.5 [95% CI, 14.2-38.9] and 51.2 [95% CI, 30.7-71.8] hospital stays per 1000 beneficiaries, respectively). All HRSNs, except for utility insecurity, were independently associated with increased rates of ED visits. Unreliable transportation had the largest association with increased hospital stays and ED visits, with marginal effects of 51.2 (95% CI, 30.7-71.8) and 95.5 (95% CI, 65.3-125.8) ED visits per 1000 beneficiaries, respectively. Only unreliable transportation and financial strain were associated with increased rates of 30-day readmissions, with marginal effects of 3.3% (95% CI, 2.0%-4.0%) and 0.4% (95% CI, 0.2%-0.6%), respectively. In this cross-sectional study of older adults enrolled in Medicare Advantage, self-reported HRSNs were common and associated with statistically significantly increased rates of acute care utilization, with variation in which HRSNs were associated with different utilization measures. These findings provide evidence of the unique association between certain HRSNs and different types of acute care utilization, which could help refine the development and targeting of efforts to address HRSNs.

Sources of Energy Poverty: A Factor Analysis Approach for Spain

This study estimates housing quality and features explaining energy poverty in Spain and its regions. By using the EU-SILC dataset for 2008–2019, it calculates the hidden links between energy poverty indicators and housing features, controlled by other variables such as type of household, poverty, and housing tenancy. Confirmatory factor analysis is used to identify the role of different dimensions in explaining energy poverty at the household level. The empirical evidence finds three hidden factors associating energy poverty with poverty, poor housing quality, and housing size and outskirts location. These three factors enable classifying households accordingly, revealing their distribution across Spain and three of its 17 Spanish regions: Madrid, Cataluña, and Valencian Community. Findings indicate how the impact of energy poverty differs by region, rejecting the general hypothesis that all households in poverty live in poor housing because they cannot afford the maintenance costs, thus causing energy poverty. Results suggest that energy poverty due to poor housing quality and location affects many households that are not necessarily poor, with different impacts depending on location. The association between energy poverty and larger houses located on the outskirts represents new evidence in the literature and is one of the contributions of this study, together with the methodology for classification. Results suggest that retrofitting investment would be crucial in reducing energy poverty problems in Spain.

Housing Quality and Perceived Health Effects in Ijebu Ode, Nigeria

Despite the mounting compendium of scientific evidence that has clearly documented the link between poor housing quality and health both locally and globally, poor housing quality has continued to be a significant concern in public health, especially in rural and sub-rural areas of emerging nations like Nigeria, where there is slight or no knowledge about the public health consequences of poor housing quality. As a result, the object of this work is to observe the housing quality and the perceived health impacts in Ijebu Ode, Nigeria. The work adopted a descriptive but cross-sectional approach, and data was obtained from four hundred (400) systemically sampled households through structured questionnaires, and analysed descriptively using a statistical tool for social scientists. According to the findings, a significant number of the residents 51.5% had no water in their houses, 44% had two windows in the room; out of which only 32% had windows on the two walls of the room, and 33% of the homes were overcrowded with over two people in a room. The findings further revealed that the vast majority of residents reported having cases of malaria with 67.5%, and cases of typhoid and cough with 15.5% and 4.5%, respectively. Consequently, the study has hitherto concluded that housing quality in Ijebu Ode is poor, which is a major predictor of the perceived health effects experienced by the residents.

Social Isolation and Safety Issues among Rural Older Adults Living Alone: Perspectives of Meals on Wheels Programs

ABSTRACT Ensuring the safety and social well-being of rural populations, especially rural older adults living alone with complex medical conditions, is challenging, given large, sparsely populated communities and limited resources. Using qualitative data from surveys with 42 rural Meals on Wheels programs from across the U.S., we highlight particular challenges to meeting the social and safety needs of rural older adults living alone. Respondents described challenges, opportunities, and successes in meeting the needs of their clients. We describe these under four domains: main challenges, what can be done to address social isolation and loneliness, safety issues, improving safety, and current successes. We also identify cross-cutting themes related to programs’ rural environment (long distances, inclement weather), infrastructure (housing quality, access to broadband Internet and technological connectivity, road conditions), funding and resource availability, and service provision (availability of health care and partner organizations.) We describe each of these in more detail and also share policy recommendations for improving health and safety of older adults living alone in rural areas, including funding nutrition programs as a health benefit and addressing aging, poor-quality housing stock.

Locked down: Ontological security and the experience of COVID-19 while living in poor-quality housing.

The aim of the paper is to illustrate how the housing system in the United Kingdom (UK) has contributed to creating vulnerabilities during the COVID‐19 pandemic. Drawing on the concept of ontological security we look at how living with housing insecurity whilst enduring poor housing conditions has impacted the lives of those living in households. The paper draws on semi‐structured interviews with 50 residents and 8 housing professionals. The findings outline the grinding impact of the pandemic on the ontological security of residents and the coping strategies adopted by a wider range of households who are now increasingly vulnerable. A number of people went into lockdown in vulnerable situations, experiencing deep inequalities and living in poorly maintained homes. This has weakened the ontological security experienced by many households. These represent significant failings of the housing system and housing policy impacting on the health and wellbeing of a wider cohort of people creating additional vulnerabilities.