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Table 3 CMO-Cs through which housing situation may affect health and wellbeing and potential contextual influences

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

CMO-C

Contextual factors

Mechanism

Outcome

1

• Security of tenure

• Tenancy support

• Responsiveness of landlord to problems

• Expectations, situation and capacity of tenant

Positive tenancy experience reduces stress and provides tenants with autonomy and control

Improved health and wellbeing

2

• Level of investment in property prior to tenancy

Quality housing provides tenants with a comfortable space in which to relax and a sense of status

Improved health and wellbeing

3

• Rent levels

• Income levels

• Benefits system (especially changes)

• Landlord responses to financial issues

Affordable housing reduces financial stress and frees up income for other expenditure

Improved health and wellbeing

4

• 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