Abstract

Community Led Housing (CLH) is an umbrella term encompassing several non-profit models of housing delivery, which is used internationally. There has been little comprehensive assessment of the health impacts of housing arrangements where people intentionally live or work together in a community. This systematic review provides the first overview of the health, wellbeing and heath inequality impacts of all forms of CLH. 4,091 literature items were identified from a structured search of eight databases and manual searching for grey literature. Literature published between January 2009 and June 2022, in OECD countries, were eligible. 34 academic and 11 grey literature items were included. The review identifies far more literature reporting that CLH has positive rather than negative impacts, on primary health outcomes and on neighbourhood level factors which impact on health (social contact, employment, safety, environmental sustainability, and affordability). There is a lack of research on CLH impacts on the health of children and young people, and on health inequalities. These findings provide an indication of largely positive impacts of CLH arrangements on health and wellbeing. They indicate the importance of further longitudinal, objective research, and of policies and actions to support this form of housing delivery.

摘要

社区主导住房 (CLH) 是一个涵盖多种非营利住房交付模式的总称，在国际上使用。对于人们有意在社区中一起生活或工作的住房安排对健康的影响几乎没有进行全面的评估。本系统综述首次概述了所有形式的 CLH 对健康、福祉和健康不平等的影响。通过对八个数据库的结构化搜索和灰色文献的手动搜索，识别出 4,091 条文献。2009 年 1 月至 2022 年 6 月期间在 OECD 国家发表的文献符合资格。纳入学术文献34篇，灰色文献11篇。该评论发现了更多的文献报道 CLH 具有积极而非消极的影响，初级健康结果和影响健康的社区层面因素（社会接触、就业、安全、环境可持续性和负担能力）。目前缺乏关于 CLH 对儿童和青少年健康以及健康不平等影响的研究。这些发现表明 CLH 安排对健康和福祉产生了积极的影响。它们表明了进一步纵向、客观研究以及支持这种形式的住房交付的政策和行动的重要性。这些发现表明 CLH 安排对健康和福祉产生了积极的影响。它们表明了进一步纵向、客观研究以及支持这种形式的住房交付的政策和行动的重要性。这些发现表明 CLH 安排对健康和福祉产生了积极的影响。它们表明了进一步纵向、客观研究以及支持这种形式的住房交付的政策和行动的重要性。