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How Housing Quality Impacts Health

Dr. Colston published a study highlighting how housing quality impacts health. Analysing data from over 6 million households, it reveals stark disparities, with Sub-Saharan Africa lagging behind in using durable materials. The study underscores the importance of improved housing in reducing disease risks and tackling health inequalities.
Written by
Three o'clock
Published on
January 14, 2025

Did you know the materials used to build your home can directly affect your health? Dr. Josh Colston, a researcher contributing to the SPRINGS project, has published a study that explores the connection between housing construction and health outcomes, particularly in regions affected by diarrhoeal, vector-borne and neglected tropical diseases.

This research offers a global perspective on housing quality and its role in shaping health risks, providing a fresh lens on how we can tackle these challenges.

What did the study explore?

Josh’s study analysed an impressive dataset—over 6 million households in 283,000 locations across 107 low- and middle-income countries. By classifying homes based on the materials used for floors, walls, and roofs (e.g., adobe, thatch, woven bamboo versus more durable, bug-resistant materials), the team uncovered significant disparities:

  1. Sub-Saharan Africa remains vulnerable: The region shows the lowest progress in improving housing, especially in flooring. This leaves millions at higher risk for diseases like diarrhoea and malaria.
  2. Progress in other regions offers hope: Central Asia, East Asia, and Latin America have made substantial gains, with widespread adoption of improved walls and roofs. These successes show what targeted development efforts can achieve.
  3. Key drivers of change: Human development emerged as the strongest factor driving better housing materials, but environmental elements like vegetation and land use also play an important role.

Why housing matters for health

Healthier homes mean healthier lives. Finished floors help reduce exposure to harmful pathogens, while sturdy walls and roofs keep insects at bay, lowering the risk of malaria, Chagas disease, and other illnesses.

Josh’s findings underscore the critical link between housing and health, equipping policymakers with the evidence they need to direct interventions where they’re needed most. The spatial models developed in this research are publicly available, enabling organisations to allocate resources more effectively and improve living conditions for vulnerable populations. These models will also support the SPRINGS project in projecting the burden of disease more accurately.

A step towards health equity

This study is a vital reminder of how interconnected housing and health are—and how addressing these links can reduce health disparities across the globe.

Want to explore the full findings? You can read the paper: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0003338

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