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Two sides of housing affordability stress: objective and subjective burdens and depression and suicidal ideation among urban young adults

  • Gum-Ryeong Park*
  • , Siu Ming Chan
  • , Haitao Du
  • *Corresponding author for this work

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

18 Downloads (CityUHK Scholars)

Abstract

Background: Housing affordability stress is a significant determinant of psychological health among young adults in urban settings. However, prior studies often rely on a single indicator, limiting understanding of how objective financial burdens and subjective experiences of affordability stress relate to depressive symptoms and suicidal ideation. This study addresses these gaps by jointly examining objective and subjective housing affordability stress.

Methods: We used longitudinal data from the Seoul Young Adult Panel Study (2021–2024), comprising 5155 individuals and 13 735 person-wave observations. Objective housing affordability stress was defined as allocating 30% or more of total household expenditures to housing, while subjective affordability stress captured self-reported difficulty paying housing-related expenses. Individual fixed-effects regression models were estimated to examine within-person associations between housing affordability stress and depressive symptoms and suicidal ideation.

Results: Both objective and subjective housing affordability stress were significantly associated with higher depressive symptoms and increased likelihood of suicidal ideation. Subjective affordability stress showed a stronger association with depressive symptoms than objective measures. When the two measures were considered jointly, individuals experiencing both objective and subjective affordability stress had the highest levels of depressive symptoms and suicidal ideation, indicating an additive effect of dual affordability stress.

Conclusions: Objective and subjective measures of housing affordability stress capture distinct yet complementary dimensions of housing-related hardship and identify different at-risk groups. A joint measurement approach provides a more comprehensive assessment of housing-related psychological health risks among urban young adults than reliance on a single indicator.

© Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.
Original languageEnglish
JournalJournal of Epidemiology and Community Health
Online published17 Apr 2026
DOIs
Publication statusOnline published - 17 Apr 2026

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Research Keywords

  • DEPRESSION
  • HOUSING
  • SUICIDE

Publisher's Copyright Statement

  • COPYRIGHT TERMS OF DEPOSITED POSTPRINT FILE: This article has been accepted for publication in Journal of Epidemiology and Community Health, 2026 following peer review, and the Version of Record can be accessed online at https://doi.org/10.1136/jech-2026-225923.

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