Public Housing Sites Research Articles

Supermarket Opening in an Urban, Low-Income Community Was Not Found to Be Associated With Improvements in Dietary Outcomes for Most Residents in the First Year

BackgroundLimited access to healthy foods in low-income, racial and ethnic minority communities has been proposed as a critical factor contributing to health disparities. One policy option for improving access is to introduce supermarkets in low-income communities, but evidence increasingly points to null effects. ObjectiveThe aim of this study was to examine whether the introduction of a new supermarket in a public housing community, and proximity to it, were associated with improvements in residents’ dietary outcomes. It also explored whether these associations may be moderated by access and cost barriers to eating healthy at baseline. DesignA cohort of public housing residents were recruited from Jordan Downs, where the new supermarket was introduced, and from 2 comparison sites. Longitudinal data on outcomes and exposures were collected at baseline (2018-2019) and follow-up (2020-2021). Quasi-experimental variation in residents’ distance to the new supermarket was used to examine whether proximity to the supermarket was associated with dietary improvements. Participants/settingParticipants included 557 adult residents from 3 public housing sites in Watts, Los Angeles, CA. InterventionThe intervention is the opening of a new supermarket in the Jordan Downs community. The primary exposure measure is an indicator for whether residents lived in Jordan Downs vs in the comparison sites. The secondary exposure measure is residents’ driving distance to the new supermarket. Main outcome measuresSelf-reports of daily consumption of whole grains, dairy, fruits and vegetables, added sugar, red meat, processed meat, and overall healthiness of diet were obtained from surveys administered at baseline and follow-up. Statistical analyses performedDescriptive analyses examined households’ grocery shopping patterns after the new supermarket’s introduction. Analysis of covariance linear regressions models estimated the association between residents’ dietary outcomes at follow-up and the exposure measures, conditional on dietary outcomes at baseline and other covariates. ResultsProximity to the new supermarket was associated with a significantly higher probability of shopping there, particularly for households that reported an access or cost barrier at baseline. Overall, there were no statistically significant or practically meaningful differences observed in dietary outcomes between Jordan Downs residents and those in comparison sites, or between residents who lived at varying distances from the supermarket. Exploratory moderation analyses suggested some meaningful dietary benefits for those who had a frequent access barrier at baseline, but not for those without such a barrier, but there was mostly no evidence of moderation by price barrier at baseline. ConclusionsSupermarket opening in an urban, low-income, and racial and ethnic minority community was not found to be associated with improvements in dietary outcomes for most residents in the first year after its opening. Improving dietary outcomes in such communities may require a broader and nuanced approach that addresses varied barriers faced by residents.

Examining Relationships between Perceptions of Air Quality-Objectively Assessed Particulate Matter-And Health-Related Attributions among Midlife and Older Adults from the San Francisco Bay Area, California, USA.

This investigation explored (1) correlations between midlife and older adults' air quality perceptions with objective particulate matter 2.5 (PM2.5) and diesel PM, and (2) correlations between air quality perceptions with health-related attributions among a sample of midlife and older adults (n = 66) living in or around senior affordable public housing sites in California's San Francisco Bay Area. The adapted air quality perception scale was used to measure perceptions of air quality, while health-related attributions were obtained from the vitality plus scale (VPS), with higher values indicating worse perceptions of air quality and poorer responses to health-related attributions, respectively. Self-reported data were linked to zip code level PM2.5 and diesel PM obtained from the CalEnviroScreen 4.0. All correlations were evaluated using Spearman's rank correlations. The mean (SD) age was 70.6 (9.1) years, and 75.7% were female. We observed moderate, positive correlations between both PM2.5 and diesel PM with three domains: perceptions related to protection measures against air quality, emotional/mental perceptions, and sensorial perceptions. We also found evidence of moderate, positive correlations between the domains of physical symptoms, perceptions related to protection measures against air quality, and emotional/mental perceptions with health-related attributions, such as sleep-related items and feelings of restlessness or agitation. Results from this exploratory study suggest that midlife and older adults' perceptions of air quality may be moderately related to both objective air quality data and certain health behaviors and symptoms. Findings underscore the importance of considering individual perceptions as an additional area in public health strategies aimed at protecting midlife and older adults from the impacts of air pollution.

공공택지 조성 및 공급에 관한 법체계 개선방안

The supply of housing and housing sites in Korea has been mainly centered on public development. However, such public development-oriented supply does not properly respond to changes in the social structure, such as changes in population and household structure and diversification of housing demand. In the case of the first and second new cities, which are representative public developments, development was carried out according to different supply purposes based on the ｣Housing Site Development Promotion Act｢. In the case of the recent third new city, the ground law was changed to the Special Act on Public Housing, not the ｢Housing Site Development Promotion Act｣, and factors to meet social demand were reflected. However, based on various special laws in supplying large-scale public housing sites centered on new cities, problems often arise due to inconsistencies with existing national space plans or urban plans or lack of connection with higher plans. In addition, as a result of the creation and supply of large-scale public housing sites, the real estate economic recession due to short-term oversupply, unsold problems, regional conflicts, and distortion of housing supply and demand. Problems with reckless development or bed towns arise as the housing site supply plan does not reflect the characteristics of the region and focuses on specific policy purposes such as the dispersion of the population in the metropolitan area. Furthermore, problems include inconsistency between plans and laws in the public housing supply legal system, inefficiency and rigidity in business procedures and housing site supply methods, and lack of urban function and project disconnection due to bias centered on the supply of large-scale housing sites. Accordingly, through the analysis of the legal system for the creation and supply of public housing sites, measures to improve the legislation for efficient and sustainable cities were proposed. It suggested improvement directions according to changes in the goals, policy directions, functions, and roles of the ｢Special Act on Public Housing｣, which is the basis for the supply of public housing sites, and suggested ways to improve the consistency of the legal system. In addition, measures to strengthen the functional elements of the city were reviewed by creating large-scale public housing districts centered on the ｢Special Act on Public Housing｣, efficient management of the created housing sites, and acceptance of social changes. Above all, in order to ensure the sustainability of the city, the direction of improvement in the overall legal system was suggested, from the planning stage to urban management after the supply of housing sites.

Production of gathering spaces in post-disaster recovery scenarios: case studies from the Great East Japan Earthquake and Tsunami-2011

Gathering and public spaces, along with infrastructure and houses, are demolished because of disasters, which weakens the community ties. Different approaches, such as government-led and community-driven, to recovery initiate the recovery of gatherings and public spaces, and the long-term impact of each recovery approach on community recovery may not be overseen. This study attempts to determine incorporation of community participation in different recovery approaches and its corresponding result in the production of gathering spaces, based on two main background theories: Arnstein’s ladder of citizen participation and Henri Lefebvre’s production of space triad. We attempted to determine the results by reviewing case studies with different recovery processes after the Great East Japan Earthquake and Tsunami-2011 and through interviews and questionnaire surveys. The results showed that the production of gathering spaces may be associated with the recovery scenario in each case study. In community-driven cases, the main gathering spaces are small open spaces, evenly superimposed and accessible, and diverse in spatial configuration, provide services for the users at a good level, and are in a sync with other gathering spaces. By contrast, in government-led cases, gathering spaces contain primary and secondary spaces that lack connections with each other. These main gathering spaces are centralized near disaster public housing sites, are highly accessible to disaster public housing residents, provide a high range of leisure-based activities, and provide services to users from inside and outside of the communities. These main gathering spaces are extended by inclusive open space (Hiroba) and this spatial planning is closer to the concept of public spaces compared to others.

Monitoring summertime indoor overheating and pollutant risks and natural ventilation patterns of seniors in public housing

Indoor heat and air pollution pose concurrent threats to human health and wellbeing, and their effects are more pronounced for vulnerable individuals. This study investigates exposures to summertime indoor overheating and airborne particulate matter (PM2.5) experienced by low-income seniors and explores the potential of natural ventilation on maintaining good indoor thermal conditions and air quality (IAQ). Environmental and behavioural monitoring and a series of interviews were conducted during summer 2017 in 24 senior apartments on three public housing sites in NJ, USA (1930s’ low-rise, 1960s’ high-rise and LEED-certified 2010s’ mid-rise). All sites had high exposures to overheating and PM2.5 concentrations during heat waves and on regular summer days, but with substantial between-site and between-apartment variability. Overheating was higher in the 30s’ low-rise site, while pollutant levels were higher in the 60s’ high-rise. Mixed linear models indicated a thermal and air quality trade-off with window opening (WO), especially in some ‘smoking’ units from the older sites, but also improved both thermal and PM2.5 concentration conditions in 20% of the apartments. Findings suggest that with warmer future summers, greater focus is needed on the interdependencies among (1) thermal and IAQ outcomes and (2) technological and behavioural dimensions of efforts to improve comfort for vulnerable occupants.

The Future of Nursing 2020–2030: Charting a path to achieve health equity

The Future of Nursing 2020–2030: Charting a path to achieve health equity

Health care utilization among women of reproductive age living in public housing: Associations across six public housing sites in San Francisco

Housing is a key social determinant of health and health care utilization. Although stigmatized due to poor quality, public housing may provide stability and affordability needed for individuals to engage in health care utilization behaviors. For low-income women of reproductive age (15–44 y), this has implications for long-term reproductive health trajectories. In a sample of 5,075 women, we used electronic health records (EHR) data from 2006 to 2011 to assess outpatient and emergency department (ED) visits across six public housing sites in San Francisco, CA. Non-publicly housed counterparts were selected from census tracts surrounding public housing sites. Multivariable regression models adjusted for age and insurance status estimated incidence rate ratios (IRR) for outpatient visits (count) and odds ratios (OR) for ED visit (any/none). We obtained race/ethnicity-specific associations overall and by public housing site. Analyses were completed in December 2020. Public housing was consistently associated with health care utilization among the combined Asian, Alaskan Native/Native American, Native Hawaiian/Pacific Islander, and Other (AANHPI/Other) group. Public housing residents had fewer outpatient visits (IRR: 0.86; 95% Confidence Interval [CI]: 0.81, 0.93) and higher odds of an ED visit (OR: 1.81; 95% CI: 1.32, 2.48). Black women had higher odds of an ED visits (OR: 1.32; 95% CI: 1.07, 1.63), but this was driven by one public housing site (site-specific OR: 2.34; 95% CI: 1.12, 4.88). Variations by race/ethnicity and public housing site are integral to understanding patterns of health care utilization among women of reproductive age to potentially improve women’s long-term health trajectories.

Translating Research-Funded Mobile Produce Market Trials Into Sustained Public Health Programs : Food on the Move.

Food on the Move is an ongoing mobile produce market program in Rhode Island whose operations evolved from previous mobile market programs evaluated by 2 research studies: (1) one on Fresh to You, a prospective cohort study evaluating markets at community sites serving low-income families; and (2) one on Live Well, Viva Bien, a cluster randomized controlled trial evaluating markets and complementary nutrition interventions at public housing sites. The 2 studies spanned more than a decade and demonstrated the effect of mobile produce markets on access to, affordability of, and consumption of fruit and vegetables in low-income communities in Rhode Island. When grant funding ended in 2016, academic and community partners continued the mobile market program as Food on the Move. The Rhode Island Public Health Institute adopted the program model and developed a business plan to maximize market efficiency. To address price as a barrier to buying fruit and vegetables, the Institute implemented an innovative incentive program for purchases made with Supplemental Nutrition Assistance Program (SNAP) benefits, funded by a federal Food Insecurity Nutrition Incentive grant program. In 2018, Food on the Move sold more than $160 000 in produce at 335 markets, more than $50 000 of which came from these SNAP incentive programs. For sustained change in communities, researchers and community partners need examples of how to translate findings from research trials into public health practice. Food on the Move serves as a case study for the successful transition of community-focused research into a sustainable and scalable evidence-based program.

Social Isolation, Health, and Health Care: Perspectives Among Older Adults Residing in Public Housing

By 2035, U.S. adults > 65 will outnumber children. The growing lack of affordable housing combined with fixed incomes will lead to more older adults residing in public housing. Public housing authorities, in turn, will face growing health and social needs among their residents. In partnership with a local housing authority, we conducted a qualitative study to better understand the health and social needs of older adult public housing residents. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas; we asked about their experience of aging in public housing, their health, healthcare, and community life. Interviews were audio-recorded and transcribed; interviews were systematically coded and verified by a second coder. Themes were identified using comparative analysis. We interviewed 16 females and 11 males (mean age = 71.7 years). We identified three themes. Residents characterized good healthcare as that which is provided by physicians who are consistent educators that listen to residents’ primary concerns. They defined health as being mobile and lacking pain. Finally, they desire more, recurring opportunities to learn about health and connect interpersonally within their housing community; they perceive limited meaningful relationships as a significant contributor to poor health among residents. The older adult public housing residents in our study outlined what good health and healthcare looks like. These themes can be utilized to improve relationships between residents and their healthcare providers. Social isolation can be mitigated through public housing programming that promotes physical and mental acuity.

Public Housing and Well-Being: Evaluation Frameworks to Influence Policy.

A robust evidence base is needed to develop sustainable cross-party solutions for public housing to promote well-being. The provision of public housing is politically contentious in New Zealand, as in many liberal democracies. Depending on the government, policies oscillate between encouraging sales of public housing stock and reducing investment and maintenance, and large-scale investment, provision, and regeneration of public housing. We aimed to develop frameworks to evaluate the impact of public housing regeneration on tenant well-being at the apartment, complex, and community levels, and to inform future policies. Based on a systems approach and theory of change models, we developed a mixed methods quasi-experimental before-and-after outcomes evaluation frameworks, with control groups, for three public housing sites. This evaluation design had flexibility to accommodate real-world complexities, inherent in evaluating large-scale public health interventions, while maintaining scientific rigor to realize the full effects of interventions. Three evaluation frameworks for housing were developed. The evaluation at the apartment level confirmed proof of concept and viability of the framework and approach. This also showed that minor draught-stopping measures had a relatively big impact on indoor temperature and thermal comfort, which subsequently informed healthy housing standards. The complex and community-level evaluations are ongoing due to longer regeneration timeframes. Public housing is one of central government's larger social sector interventions, with Kāinga Ora - Homes and Communities the largest Crown entity. Evaluating public housing policies is important to develop an evidence base to inform best practice, rational, decision-making policy for the public as well as the private sector.

“Let’s Get Ready to Crumble”: Black Municipal Leadership and Public Housing Transformation in the United States

U.S. cities transform public housing. Black municipal leadership (BML) may influence the scale and character of public housing removal and redevelopment. Informed by the “Black urban regime” literature, this study assesses whether presence and duration of BML, coupled with other factors, explains variation in public housing transformation for a sample of large cities. Its findings suggest that, controlling for other factors, BML is associated with moderately greater scales of public housing removal in the 1990s and 2000s, but BML is not associated with the “rate of return” by former public housing residents or new residence by public housing eligible households in Housing Opportunities for People Everywhere (HOPE VI) communities as of 2016. The findings invite further research on the intraracial dynamics and policy consequences of BML. They build, too, on public housing transformation scholarship, raising new questions about how municipal politics shape public housing and other sites of subsidized residence for low-income denizens of cities.

WHEN NETWORKS FAIL: ISOLATION AND INDEPENDENCE AMONG OLDER ADULTS IN PUBLIC HOUSING

In the coming decades, the population of adults over 65 in the US will increase dramatically. Many older adults live at or below the poverty level, and the growing lack of affordable housing combined with fixed incomes promises to increase the number of older adults facing combined housing and health challenges. Despite their vulnerability, little is known about the lived experiences of older adults aging in place in public housing. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas to gain an understanding of their thoughts on health, aging, home, community, and problem solving. We conducted interviews in Spanish (n=10) and English (n=17) with 16 female and 11 male interviewees with a mean age of 71.7 years (range 65-85 years). We systematically coded transcribed interviews and used grounded theory to analyze the data. Participants described feeling isolated due to language barriers, cultural perceptions about neighbors, and previous problematic experiences with neighbors leading to intentional isolation for safety. Some, however, spoke of how they acted as community connectors or responded to connectors in the community in ways that reduced their isolation. Participants framed individual problem-solving and personal choices as central to health and wellness. Our findings suggest a way forward for housing authorities, communities, and health systems working together to provide services to these adults. Incorporating their points of view and even co-creating interventions to enhance their health and well-being will make these interventions more successful and welcome.

Summertime thermal conditions and senior resident behaviors in public housing: A case study in Elizabeth, NJ, USA

As heat waves become more extreme, there is a growing concern for the health of elderly city dwellers who have poor living conditions and limited access to resources. Much research has documented socioeconomic links to heat vulnerability, but limited studies have investigated the detailed living conditions of vulnerable populations, despite increasing requests from local communities. In this paper, we examine the summertime thermal performance of 24 senior apartments within 3 public housing sites (2 conventional multifamily and 1 LEED-rated building), and the seniors' adaptive responses in Elizabeth, NJ, USA. Time-series data were collected from sensors, interviews and observations on the thermal environment and behavior, from May–October 2017. Our multi-level, occupant-centric approach utilizes the indoor heat index as a proxy for heat stress, against site and building characteristics, and environmental and personal variables. Panel regressions show thermal variations among sites/apartments and illustrate the significant effect of actions, such as window opening and air conditioner use. Results also show how the seniors' adaptive responses vary by site; residents with central air-conditioning use it, while residents from the two older sites engage in a wider range of adaptive actions, and in some cases achieve similar indoor heat indexes as apartments from the green building. Indoor heat stress experienced by low-income seniors can be greatly reduced through cost-effective strategies that target individual behaviors and outdoor amenities. This implies the need for integrated solutions to the heat waves problem across scales; including changes to residents' habits, building envelopes, building operations, and outdoor spaces.

Savoring surplus: effects of food rescue on recipients

ABSTRACTFood rescue programs have the potential to reduce food waste and food insecurity. Since their inception, millions of pounds of perishable food have been redistributed. To date, little is known about how or whether recipients use rescued food. This paper reports on interviews with 29 food recipients in 5 public housing sites. Participants reported improvements to their perceived nutrition and food security, with virtually no food waste. Contrary to expectation, food rescue may increase rather than decrease recipient choice due to flexibility in spending stemming from budget relief. Results are being used to generate a questionnaire suitable for wider use to extend understanding of the effects of food rescue on food insecure populations.

Reporting to parents on children\u2019s exposures to asthma triggers in low-income and public housing, an interview-based case study of ethics, environmental literacy, individual action, and public health benefits

BackgroundEmerging evidence about the effects of endocrine disruptors on asthma symptoms suggests new opportunities to reduce asthma by changing personal environments. Right-to-know ethics supports returning personal results for these chemicals to participants, so they can make decisions to reduce exposures. Yet researchers and institutional review boards have been reluctant to approve results reports in low-income communities, which are disproportionately affected by asthma. Concerns include limited literacy, lack of resources to reduce exposures, co-occurring stressors, and lack of models for effective reporting. To better understand the ethical and public health implications of returning personal results in low-income communities, we investigated parents’ experiences of learning their children’s environmental chemical and biomonitoring results in the Green Housing Study of asthma.MethodsThe Green Housing Study measured indoor chemical exposures, allergens, and children’s asthma symptoms in “green”-renovated public housing and control sites in metro-Boston and Cincinnati in 2011–2013. We developed reports for parents of children in the study, including results for their child and community. We observed community meetings where results were reported, and metro-Boston residents participated in semi-structured interviews in 2015 about their report-back experience. Interviews were systematically coded and analyzed.ResultsReport-back was positively received, contributed to greater understanding, built trust between researchers and participants, and facilitated action to improve health. Sampling visits and community meetings also contributed to creating a positive study experience for participants. Participants were able to make changes in their homes, such as altering product use and habits that may reduce asthma symptoms, though some faced roadblocks from family members. Participants also gained access to medical resources, though some felt that clinicians were not responsive. Participants wanted larger scale change from government or industry and wanted researchers to leverage study results to achieve change.ConclusionsReport-back on environmental chemical exposures in low-income communities can enhance research benefits by engaging residents with personally relevant information that informs and motivates actions to reduce exposure to asthma triggers. Ethical practices in research should support deliberative report-back in vulnerable communities.

The Bustle of Horses on a Ship: Drug Control in New York City Public Housing

For decades, violence, drugs and public housing have been closely linked in political culture and popular imagination. In 1990, the Department of Housing and Urban Development (HUD) made funds available to public housing authorities to combat drug and crime problems. This program, the Drug Elimination Program (DEP) combined several strategies under one administrative umbrella: police enforcement, drug treatment, drug prevention, youth and gang outreach, community organizing, integrated health and social service agencies, and tenant mobilization projects. In New York, the Housing Authority spent $165 million on DEP in its 330 public housing sites between 1990 and 1996. Yet there has been little research on this large investment, either in New York City or nationwide. In this study, we examined the effects of the DEP intervention at three levels of complementary theoretical relevance: the public housing development itself, the neighborhood in which public housing is situated, and the police precinct that surrounds each public housing project. We used spatial analyses and hierarchical regressions to estimate DEP effects on drug and crime in public housing sites and their surrounding neighborhoods. We show that crime and drug problems were reduced significantly in the immediate neighborhoods and police precincts surrounding the public housing sites, but crime and drug problems in public housing sites were unaffected by DEP interventions. The absence of effects within public housing reflects the details of the DEP strategies, with its disproportionate allocation of funds to policing strategies compared to demand reduction and informal social control programs. DEP police efforts were nominally focused on public housing sites, but in reality were diffused in the NYPD's broader administrative units to provide resources that benefited law enforcement generally. Seen this way, DEP was an important and strategically valuable supplement to the NYPD's strategic response to a particularly acute violence and crime epidemic, but did little to alter the basic social organization of crime and drugs within public housing sites. We argue for an intervention model that promotes collective action between residents and legal actors, interactions that promote citizen compliance and cooperation with police. The police depend heavily on the voluntary cooperation of citizens to fight crime, and DEP created disincentives for cooperation. This social norms approach would invite policing of drug problems in the context of a legitimacy-focused approach that promotes citizen-based regulation of crime and disorder.

부동산 프로젝트파이낸싱의 고도화 - 부동산신탁회사의 신용보강을 통하여 -

Korean people show high interest in real estate ownership, and Korea is the top OECD country in terms of the share of real estate in private individuals’ asset portfolios. Currently, the Korean government implements risk management policies against increased household debts, and, among others, imposes restrictions on investment in real estate, such as mortgage loan regulations and public housing site reduction. As a result, the real estate mortgage financial market has been tightened, and naturally the real estate development business sector has also been affected. Given the real estate market situation, it becomes increasingly difficult for real estate developers to finance their projects on the basis of their credit alone. In this context, it becomes a trend in the development project financing market that risk associated with real estate development project financing is distributed through the credit enhancement of companies concerned in development projects, such as developer, constructor, trust company, and financial institution. Therefore, this paper introduces a system of carrying out a development project in the real estate market through financial structuralization that distributes risk associated with the insufficient credit of every party from financing to finishing; and discusses about the validity of this structuralization product. And futhermore, it intends to seek the sophistication of real estate project financing through the structuralization of real estate finance.

Feasibility of a community-based Functional Power Training program for older adults

PurposeCommunity-based programs can increase and sustain physical activity participation in older adults, even for those who are physically frail. We studied the feasibility and potential effect of a 12-week structured Functional Power Training (FPT) program involving high velocities and low loads for older adults conducted in a common area of their housing estate.Patients and methodsThe structured FPT program was conducted in collaboration with a health promotion social enterprise and a community service provider based in a public housing site. We recruited nine inactive residents as participants to the single, group-based, twice-weekly program. Attendance and adverse event(s) were recorded throughout the program. The Short Physical Performance Battery, Timed Up and Go (TUG), and 30s Sit-to-Stand tests were used to assess functional outcomes pre- and postprogram. The FRAIL Scale was used to assess their frailty status, and a postprogram experience survey was conducted.ResultsEight subjects (aged 74±10 years) completed the program with an average overall attendance of 90.3%, with at least five participants present for each session. Changes in functional outcomes showed a moderate-to-large effect with significant improvement in TUG (p<0.01). In addition, participants either reversed or maintained their frailty status (p<0.01). Overall, the program was perceived to be well structured, engaging, as well as providing physical and psychosocial benefits. No exercise-related adverse events occurred during the program, and participants were keen to recommend this program to others.ConclusionCommunity-based structured FPT is safe and feasible for frail older adults, with the potential to improve function and reverse frailty status.

Analysis on the Recent Housing Construction Boom: Focusing on Public Housing Sites

The consistent growth in housing construction seen in the past five years was influenced not only by demand factors such as the housing economy boom but also by the real supply of public housing sites. The supply of housing, the largest since the boom in housing construction during the ‘1st Phase New Town’ project, was made possible by the concentrated supply of land—previously designated as housing sites—to the capital region in the past several years. Despite the difficulties in selling public housing sites that were designated early on during the Roh and Lee administrations to private companies due to a sluggish real estate market, the recent rebound in the housing economy has drastically increased demand in the private sector. Accordingly, this has ramped up the supply of public housing sites together with LH’s increasing motivation to reduce its debt. Indeed, the impact of public housing sites is so significant that it could sway the entire housing supply market. Of the recent supply of apartments, 39% were on public housing sites nationwide and 55% in the capital region. Future policies to expand the housing supply through public housing sites should be designed with caution, considering both the merits and faults. When public housing sites are already developed, a rise in housing demand is followed by a rapid increase in new housing construction. This helps to slightly alleviate the inflationary pressure on housing prices. However, it should be noted that it could also intensify the volatility of housing construction as the government’s housing supply plan is not impervious to the conditions of the housing economy, Within Korea’s public sector-led housing supply, the government develops the housing sites but the construction is dependent on the private sector. Thus, when the housing economy slows, the government experiences difficulties in providing public housing sites due to the weak demand. In this context, the timing of the designation of housing sites and housing supply are highly fluid depending on the condition of the housing economy. So, a boom in housing construction coupled with a supply of public housing sites is likely to intensify the volatility in housing construction.

Factors Associated with Recent Use of Nicotine Replacement Therapy Among Multiethnic Smokers Residing in Public Housing.

Understanding factors associated with increased use of nicotine replacement therapy (NRT) is critical to implementing cessation interventions for low-income individuals yet the factors associated with NRT use among low-income smokers are poorly understood. Assess factors associated with NRT use among low-income public housing residents. 'Kick it for Good' was a randomised smoking cessation intervention study conducted among residents of public housing sites in Boston, MA. Secondary, cross-sectional analyses were conducted on smokers from a community-based intervention cessation intervention who reported making a quit attempt and use of NRT in the past 12 months (n = 234). Among smokers who made a quit attempt in the past year, 29% reported using NRT. Black (prevalence ratio,PR = 0.52, 95% CI: 0.38-0.71) and Hispanic (PR = 0.52, 95% CI: 0.31-0.88) participants were less likely to report use of NRT compared with Whites. The prevalence of recent NRT use was greatest among those both asking for and receiving provider advice (PR = 1.90, 95% CI: 0.96-3.78). Minority race and ethnicity and low provider engagement on NRT use were associated with lower NRT use. Providing barrier-free access to NRT and facilitating provider engagement with smokers regarding NRT use can increase NRT use among low-income populations.