Harboring illnesses: On the association between disease and living conditions in a Palestinian refugee camp in Lebanon

This research examined the association between the domestic built environment in a Palestinian refugee camp in Beirut, Lebanon, and the presence of illness among household members. Data on the domestic built environment, socio-demographics and health were collected in 860 households. The association between the presence of illness among household members and three environmental indices, namely infrastructure and services, housing conditions, and crowding was evaluated. These indices were based on a number of items that reflected the existing problems in the domestic built environment. The main finding was the positive association between poor housing conditions and the presence of illness among household members. Households with 8-15 housing problems were twice more likely to report the presence of illness than those with less than four housing problems (OR = 2.08, 95percent CI = 1.40-3.11). This research contributes to the understanding of the influence of the built environment on the health of a refugee population. © 2006 Taylor and Francis.

*ADM CENTR STAT, 1998, ET STAT COND VIE MEN; Al-Khatib IA, 2003, INT J ENVIRON HEAL R, V13, P315, DOI 10.1080-09603120310001616092; ANNATOUR S, 2004, PALESTINIAN REFUGEES; Dunn JR, 2000, SOC SCI MED, V51, P563, DOI 10.1016-S0277-9536(99)00496-7; Dunn JR, 2002, J EPIDEMIOL COMMUN H, V56, P671, DOI 10.1136-jech.56.9.671; Evans GW, 2002, ANNU REV PUBL HEALTH, V23, P303, DOI 10.1146-annurev.publhealth.23.112001.112349; Evans GW, 2002, J ENVIRON PSYCHOL, V22, P221, DOI 10.1006-jevp.256; *FAFO, 2003, DIFF PAST UNC FUT LI; Farah R, 2000, REPORT PSYCHOL EFFEC; FILFIL M, 1999, HOUSING ENV WOMENS H; GALEA S, 2005, ANNU REV PUBL HEALTH, V26, P1; GIACAMAN R, 1985, PROFILE LIFE HLTH 3; Gray A., 2001, DEFINITIONS CROWDING; Jackson RJ, 2003, AM J PUBLIC HEALTH, V93, P1382, DOI 10.2105-AJPH.93.9.1382; Jones AP, 1998, SOC SCI MED, V47, P755, DOI 10.1016-S0277-9536(98)00151-8; KIFLE A, 2000, WORKSH HOUS URB DEV; Krieger J, 2002, AM J PUBLIC HEALTH, V92, P758, DOI 10.2105-AJPH.92.5.758; Kumie A, 2002, ETHIOP J HEALTH DEV, V16, P303; Lowry S., 1991, HOUSING HLTH; MAKHOUL J, 2003, ENV URBANIZATION, V15; Myers D, 1996, J AM PLANN ASSOC, V62, P66, DOI 10.1080-01944369608975671; Northridge ME, 2003, J URBAN HEALTH, V80, P556, DOI 10.1093-jurban-jtg064; Perdue WC, 2003, AM J PUBLIC HEALTH, V93, P1390, DOI 10.2105-AJPH.93.9.1390; ROUX AD, 2003, J URBAN HEALTH, V80, P539; Rylander R, 2000, ARCH ENVIRON HEALTH, V55, P300; Samet JM, 2003, AM J PUBLIC HEALTH, V93, P1489, DOI 10.2105-AJPH.93.9.1489; SIRINIVASAN S, 2003, AM J PUBLIC HEALTH, V93, P1446; SPSS, 2003, STAT PACK SOC SCI VE; Takano T, 2001, J EPIDEMIOL COMMUN H, V55, P263, DOI 10.1136-jech.55.4.263; Thomson H, 2001, BRIT MED J, V323, P187, DOI 10.1136-bmj.323.7306.187; *UN HABITAT, 2003, SHELT REF WORLD; *UNHCR, 2004, REF NUMB; *US CENS BUR, 2000, CENS 2000 AM HOUS SU; Wolff CG, 2001, BRIT MED J, V322, P1209, DOI 10.1136-bmj.322.7296.1209; World Health Organization, 1992, INT STAT CLASS DIS R; XAVIER R, 2003, AM J PUBLIC HEALTH, V93, P1559

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