The role of energy affordability in the relationship between poor housing and health status

Abstract

Housing quality is a well-established determinant for health and its relevance has been increasing in the context of sustainable development. Prior research has emphasized the importance of adequate housing for the health and comfort of householders. However, this link is still poorly characterized and understood regarding the vulnerable segments of the population. In this study, a mediation analysis is proposed to test and identify the role of energy affordability in the relationship between poor housing and health status. It resorts to microdata from the European Union—Statistics on Income and Living Conditions (EU-SILC) database, focusing on the analysis of Portugal as the case study. Research findings confirm the role of energy affordability as a mediator. The research findings supported the energy efficiency as a direct pathway with protective and preventive effect for poor health, followed by energy affordability as a mediated or indirect pathway. A complementary approach that addresses energy efficiency and energy poverty should be pursued to maximize health risk reduction.