MENTAL HEALTH EQUITY AMONG RESIDENTS IN INADEQUATE HOUSING IN HONG KONG: A CROSS-CULTURAL LATENT PROFILE ANALYSIS

Author(s)

Yanghua Huang, PhD, Tracy Wai-sze Chui, MSN, Ray Tsz-wai Mak, MSc, Essa Yingxu Chen, BSc, Daniel Yiu Hei Lai, BSc, Flora Cheuk Wing Lam, MSc, Joyce Ho Yi Chan, MSc, Edwin Shun Kit Chung, MSN, Henry Ho Fai Sin, MSW, Henry Wing Hang Yu, MSc, Eliza LY Wong, PhD, Crystal Ying Chan, PhD.
The Chinese University of Hong Kong, Hong Kong, China.
OBJECTIVES: In Hong Kong, a Chinese-predominant metropolitan, approximately 220,000 reside in inadequate houses including subdivided units with a floor area per capita <= 8m2. Housing is a critical determinant of mental health as cramped housing exposes residents to higher risks of distress, alongside lower life satisfaction. However, most local studies focus exclusively on Chinese residents, overlooking a considerable proportion of inadequate housing residents from other ethnicities, such as Pakistani and Indian individuals, whose mental health equally deserves attention. From an equity-oriented perspective, this study investigates the mental health configurations of Chinese and other minority residents living in inadequate housing.
METHODS: A sample of 1,877 adult residents without prior diagnosed mental disorders (Chinese: n = 1,546; other minority: n = 331; ageM = 26.10 years; 67.7% female) completed questionnaires assessing depression, anxiety, stress (DASS-21), and life satisfaction (WHO-5). Multi-group latent profile analysis (LPA) was performed for these two groups separately.
RESULTS: For the Chinese sample, LPA identified three distinct mental health configurations: Contented residents with low distress and high life satisfaction (n = 1,109; 71.3%), balanced residents with moderate distress and life satisfaction (n = 370; 23.8%), distressed residents with high distress but low satisfaction (n = 77; 4.9%). On the other hand, the other minority sample generated a completely homogeneous, single-profile configuration labelled as contented residents (n = 331; 100%). Furthermore, a cross-group MANOVA comparison revealed that the mean scores for depression, anxiety, stress, and life satisfaction between the Chinese and ethnic minority contented residents were at a similar level.
CONCLUSIONS: While local Chinese residents exhibit diverse mental health configurations under housing deprivation, ethnic minority residents display striking psychological homogeneity and contentment. Public health policies are suggested to leverage these cross-cultural insights to optimize resources and implement tailored psychosocial support.

Conference/Value in Health Info

2026-11, ISPOR Europe 2026, Vienna, Austria

Value in Health, Volume 29, Issue 12S

Code

HPR251

Topic

Epidemiology & Public Health, Health Policy & Regulatory, Patient-Centered Research

Topic Subcategory

Health Disparities & Equity

Disease

No Additional Disease & Conditions/Specialized Treatment Areas

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