Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Manufactured home villages in Australia – a melting pot of chronic disease?

Karin Robinson A D , Abhijeet Ghosh B and Elizabeth Halcomb C
+ Author Affiliations
- Author Affiliations

A Chronic Care, Grand Pacific Health, Scenic Drive, Nowra, NSW 2541, Australia.

B Planning and Performance, COORDINARE – South Eastern NSW PHN, PO Box 325, Fairy Meadow, NSW 2519, Australia.

C School of Nursing, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.

D Corresponding author. Email: krobinson@gph.org.au

Australian Journal of Primary Health 23(1) 97-103 https://doi.org/10.1071/PY15172
Submitted: 22 October 2015  Accepted: 15 March 2016   Published: 25 July 2016

Abstract

Manufactured home villages (MHVs) are an increasingly popular housing option for older Australians. This paper reports a cross-sectional survey that sought to describe the health status and health service access of MHV residents. The survey tool comprised demographic and health status items, primary healthcare access perceptions and the World Health Organization Quality of Life tool (WHOQOL-BREF). One-hundred-eighty-six MHV residents from regional NSW completed the survey. Hypertension (54.8%) and arthritis (46.5%) were the most prevalent chronic diseases reported. Overall, respondents expressed a high level of satisfaction with the sense of safety and security (82.8%), neighbours (69.4%) and the overall location of the villages (66.7%). There was good to excellent internal consistency of all four WHOQOL-BREF domain scores, with a comparatively lower sample mean score for the ‘Physical’ and ‘Psychological’ domains. MHV residents are a significant cohort of older people with high rates of chronic disease and reasonably poor access to transport services, which affects their capacity to access health services. They also have comparatively low levels of quality of physical and psychological life along with low levels of satisfaction with their health.

Additional keywords: housing, mobile home parks, quality of life, residential park, residents.


References

Affiliated Residential Parks Residents Association Inc. (2012) Residential park living: finding the problems, looking for the solutions. Available at http://www.arpra.org.au/submissions/Residential%20Park%20Living%20Finding%20the%20Problems,%20Looking%20for%20Solutions.pdf [Verified 24 December 2015]

Australian Bureau of Statistics (2008) Chronic disease. Available at http://www.abs.gov.au/ausstats/abs@.nsf/0/895A3D95B6ACAE9CCA2573D200107617?opendocument [Verified 13 March 2013]

Australian Bureau of Statistics (2011) 2011 Census dwelling structure by tenure type. Available at http://www.abs.gov.au/websitedbs/censushome.nsf/home/census?opendocument&navpos=10 [Verified 4 January 2016]

Australian Bureau of Statistics (2013a) Australian health survey: updated results, 2011–2012. Available at http://www.abs.gov.au/ausstats/abs@.nsf/PrimaryMainFeatures/4364.0.55.003?OpenDocument [Verified 19 October 2015]

Australian Bureau of Statistics (2013b) Profiles of health, Australia, 2011–2013. Available at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4338.0~2011-13~Main%20Features~Blood%20pressure~10011 [Verified 19 October 2015]

Australian Government (2013) The Treasury Australia’s demographic challenges. Available at http://demographics.treasury.gov.au/content/_download/australias_demographic_challenges/html/adc-04.asp [Verified 12 August 2013]

Baker D, Hamshaw K, Beach C (2011) A window into park life: findings from a resident survey of nine mobile home park communities in Vermont Journal of Rural and Community Development 6, 53–70.

Beer A, Faulkner D (2006) ‘21st century housing careers and Australia’s housing future: literature review, positioning paper.’ (Australian Housing and Urban Research Institute: Melbourne)

Bevan M (2010) Retirement lifestyles in a niche housing market: park-home living in England. Ageing and Society 30, 965–985.
Retirement lifestyles in a niche housing market: park-home living in England.Crossref | GoogleScholarGoogle Scholar |

Boehm P, Schlottmann A (2006) Is manufactured owned housing a good alternative for low-income households? Evidence from the American Housing Survey. In ‘Cityscape’, vol. 10. Available at http://www.huduser.org/portal/periodicals/cityscpe/vol10num2/ch4.html [Verified 24 August 2013]

Bosman C (2012) Gerotopia: risky housing for an ageing population Housing Theory and Society 29, 157–171.
Gerotopia: risky housing for an ageing populationCrossref | GoogleScholarGoogle Scholar |

Bunce D (2010) Relocatable homes: medieval tenure in the 21st Century Urban Policy and Research 28, 277–292.
Relocatable homes: medieval tenure in the 21st CenturyCrossref | GoogleScholarGoogle Scholar |

Bureau of Health Information (2012) The Insights Series chronic disease care: another piece of the picture. Vol. 2, number 2. (Bureau of Health Information: Sydney) Available at http://www.bhi.nsw.gov.au/__data/assets/pdf_file/0004/170599/ChronicDiseaseCare2010_Part2.pdf [Verified 16 June 2016]

Dixon N (2012) The future of manufactured homes in residential parks in Queensland. Research Brief 2012, number 5. Queensland Parliamentary Library and Research Service, Brisbane.

Drury M (1997) Mobile homes: who lives in them and why? Habitat 2, 303–310.

Gholami A, Jahromi LM, Zarei E, Dehghan A (2013) Application of WHOQOL-BREF in measuring quality of life in health-care staff. International Journal of Preventive Medicine 4, 809–817.

Goodman R, Nelson A, Dalton T, Cigdem M, Gabriel M, Jacobs K (2013) The experience of marginal rental housing in Australia, AHURI Final Report number 210. (Australian Housing and Urban Research Institute: Melbourne) Available at http://www.ahuri.edu.au/downloads/publications/EvRevReports/AHURI_Final_Report_No210_The_experience_of_marginal_rental_housing_in_Australia.pdf [Verified 4 January 2016]

Grant B (2006) Retirement villages: an alternative form of housing on an ageing landscape Social Policy Journal of New Zealand 27, 110–113.

Hawthorne G, Herrman H, Murphy B (2006) Interpreting the WHOQOL-BREF: preliminary population norms and effect sizes. Social Indicators Research 77, 37–59.
Interpreting the WHOQOL-BREF: preliminary population norms and effect sizes.Crossref | GoogleScholarGoogle Scholar |

Housing Assistance Council (2011) Preserving affordable manufactured home communities in rural America. (Housing Assistance Council: Washington, DC, USA) Available at http://www.ruralhome.org/storage/documents/rcbi_manufactured.pdf [Verified 6 August 2013]

Jacobs B, Ir P, Bigdeli M, Annear PL, Van Damme W (2012) Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Health Policy and Planning 27, 288–300.
Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries.Crossref | GoogleScholarGoogle Scholar | 21565939PubMed |

Krägeloh CU, Billington R, Hsien‐Chuan Hsu P, Landon J (2015) What New Zealanders find important to their quality of life: comparisons with international WHOQOL data from 14 other countries. Australian and New Zealand Journal of Public Health 39, 384–388.
What New Zealanders find important to their quality of life: comparisons with international WHOQOL data from 14 other countries.Crossref | GoogleScholarGoogle Scholar | 25903040PubMed |

Llewellyn-Jones L, Occhiuto S, Palermo C (2004) Improving social connections for caravan park communities on the Mornington Peninsula. Australian Journal of Primary Health 10, 129–133.
Improving social connections for caravan park communities on the Mornington Peninsula.Crossref | GoogleScholarGoogle Scholar |

Manderson L, Kelaher M, McLaughlin C, Sandberg M (1999) Security and safe havens: health issues among women in mobile homes. Women & Health 28, 83–96.
Security and safe havens: health issues among women in mobile homes.Crossref | GoogleScholarGoogle Scholar |

New South Wales Government (2012) Retirment Villages Act 1999, number 81, Available at http://www.legislation.nsw.gov.au/inforce/fdd34a2c-b214-6810-8000-9d649f78da6c/1999-81.pdf [Verified 16 June 2016]

New South Wales Government (2015) Residential Parks Act 1998, number 142, Available at http://www.legislation.nsw.gov.au/inforce/b1ae2d72-c71c-4b3a-a310-8e3e1850b0fd/1998-142.pdf [Verified 16 June 2016]

Newton J (2008) Emotional attachment to home and security for permanent residents in caravan parks in Melbourne. Journal of Sociology 44, 219–232.
Emotional attachment to home and security for permanent residents in caravan parks in Melbourne.Crossref | GoogleScholarGoogle Scholar |

Newton J (2011) Reversing housing and health pathways? Evidence from Victorian caravan parks Health Sociology Review 20, 84–96.
Reversing housing and health pathways? Evidence from Victorian caravan parksCrossref | GoogleScholarGoogle Scholar |

NSW Health (2012) Chronic disease management program. Available at http://www.health.nsw.gov.au/cdm/pages/default.aspx [Verified 17 March 2013]

NSW Ministerial Advisory Group on Ageing (2004) Home among the gum trees – Securing the future for older people who live in residential parks in NSW. Discussion paper. NSW Ministerial Advisory Committee, Sydney.

Olsberg D, Winters M (2005) ‘Ageing in place: intergenerational and intrafamilar housing transfers and shifts in later life.’ (Australian Housing and Urban Research Institute: Melbourne)

Queensland Government (2011) Residential parks – strategies for encouraging manufactured home sites in Queensland. Discussion paper. Department of Communities Housing and Homelessness Service, Brisbane.

Sivam A (2011) From Nimby to Wimby … possibilities for housing option and new spatial arrangement of neighbourhoods to assist positive ageing in place. (University of New South Wales) Available at http://soac.fbe.unsw.edu.au/2011/papers/SOAC2011_0225_final.pdf [Verified 8 August 2013]

Stephens C, Alpass F, Towers A, Stevenson B (2011) The effects of types of social networks, perceived social support, and loneliness on the health of older people: accounting for the social context. Journal of Aging and Health 23, 887–911.
The effects of types of social networks, perceived social support, and loneliness on the health of older people: accounting for the social context.Crossref | GoogleScholarGoogle Scholar | 21398571PubMed |

Tremoulet A (2010) Manufactured home parks; NORCS awaiting discovery Journal of Housing for the Elderly 24, 335–355.
Manufactured home parks; NORCS awaiting discoveryCrossref | GoogleScholarGoogle Scholar |

United Nations (2009) ‘World Population Ageing 2009.’ (Department of Economic and Social Affairs, Population Division: New York)

Wirtz R (2005) Home, sweet manufactured? Home Fedgazette 17, 1–2.

Woodbridge S (2003) Coping with change: comparing the retirement housing decisions of older people. In ‘Social Change in the 21st Century’, 21 November 2003, Brisbane, Qld. (Eds R Bradley, J Lyddon, L Buys) ID Code 128. (Queensland University of Technology: Brisbane) Available at http://eprints.qut.edu.au/128/1/Sandra_Woodbridge.pdf [Verified 19 July 2016]

Woodbridge S, Miller E, Buys L (2007) Housing choices: exploring the manufactured home and retirement village experience Australasian Journal on Ageing 26, A1–A44.

World Health Organization (1998) ‘WHOQOL User Manual.’ (World Health Organization; Geneva)

Zenner D, Allison T (2010) Health of caravan park residents: a pilot cross-sectional study in the East Riding of Yorkshire. Health & Place 16, 309–314.
Health of caravan park residents: a pilot cross-sectional study in the East Riding of Yorkshire.Crossref | GoogleScholarGoogle Scholar |