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Table 14 Refinement of CMO-C 4

From: Housing as a social determinant of health and wellbeing: developing an empirically-informed realist theoretical framework

Version Contextual factors Mechanism Outcome
Original • Community development activities of landlord
• Opportunities for choice of neighbourhood
• Existing networks of tenants
• Tenancy support
Good neighbourhood environment and supportive social/community networks around housing location reduce stress and increase opportunities for socialisation Improved health and wellbeing
Refined • Tenant characteristics (including disability, socio-economic status and household type)
• Previous experience and expectations of neighbourhood/community
• Aspects of neighbourhood quality (which may relate to activities of landlord and/or choice of neighbourhood)
• Access to social support networks (which may relate to all of the above)
Good neighbourhood environment and supportive social/community networks around housing location reduce stress and increase opportunities for socialisation Improved health and wellbeing