How Does the Health Literacy of Adults Residing in Social Housing Compare with That of Those Living in Other Housing Tenures in Australia? A Secondary Analysis of the Australian National Health Survey 2017–2018 Dataset

Megan Freund (), Natasha Noble, Allison Boyes, Matthew Clapham, David Adamson and Robert Sanson-Fisher
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Megan Freund: Health Behaviour Research Collaborative, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia
Natasha Noble: Health Behaviour Research Collaborative, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia
Allison Boyes: Health Behaviour Research Collaborative, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia
Matthew Clapham: Clinical Research Design and Statistics Support Unit, Hunter Medical Research Institute, Newcastle, NSW 2305, Australia
David Adamson: Home in Place Co Ltd., Hamilton, NSW 2303, Australia
Robert Sanson-Fisher: Health Behaviour Research Collaborative, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia

IJERPH, 2023, vol. 20, issue 18, 1-10

Abstract: Background: Social housing tenants have poorer health outcomes than homeowners or those renting privately. Health literacy is associated with access to care and health outcomes. This study aimed to examine the health literacy of Australian adults residing in social housing compared with that of people living in other housing types. Methods: A secondary analysis of the Australian National Health Survey 2017–2018 dataset was undertaken. A total of 5275 respondents were included in the sample and completed the Health Literacy Questionnaire (HLQ). Respondents were categorised according to their housing tenure: 163 (3.1%) respondents were living in social housing, 873 (17%) were living in private rentals, 2085 (40%) were homeowners, and 2154 (41%) were homeowners/mortgages. Mean scores were calculated for each of the nine health literacy domains in the HLQ and compared across housing tenure using linear regression models. Results: Social housing tenants had lower mean domain scores than either homeowners, owner mortgagees, or private renters on six of the nine health literacy domains. This included ‘having sufficient information to manage my health’, ‘social support for health’, ‘ability to engage with healthcare providers’, ‘navigating the healthcare system’ ‘ability to find good health information’, and being able to ‘understand health information enough to know what to do’. However, the differences in mean scores were small. Conclusions: Increasing health literacy may be an important part of multicomponent interventions seeking to improve the health and wellbeing of social housing tenants.

Keywords: health literacy; disadvantage; social housing; housing tenure; socioeconomic disparities in health; public housing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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