Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong

Siu Ming CHAN, Hung WONG, Roger Yat‐nork CHUNG, Tat Chor AU-YEUNG

Research output: Journal PublicationsJournal Article (refereed)peer-review

26 Citations (Scopus)


This study aims to enrich the comprehension of the effect of living density on anxiety and stress among adults in a global city. A random sample of 1,978 Hong Kong adults was interviewed in a cross‐sectional population study in 2014–2015. Descriptive statistics and logistic regressions were used to investigate the association between housing variables and mental health indicators, namely, anxiety and stress. Logistic regression analysis results have shown that by controlling the confounding effect of demographic variables, income poverty, housing ownership and housing cost, the living density was significantly associated with anxiety and stress of residents. Compared with those living in high density of <7 m2, living in medium density of ≥7 and <13 m2 was significantly associated with lower risk of anxiety (adjusted OR 0.52, 95% CI 0.30–0.88), and the risk was less for those living in low density of ≥13 m2 (adjusted OR 0.41, 95% CI 0.23–0.72). Meanwhile, living in low density of ≥13 m2 was significantly associated with a lower risk of stress (adjusted OR 0.44, 95% CI 0.20–0.97). These results highlighted the significant impact of living density on personal anxiety and stress. Moreover, female, younger adults or those living in income poverty were also at risk of anxiety and stress. In conclusion, our findings implied that improving housing policies, such as building public housing with adequate living areas and market regulation of living density of private housing, would help enhance the mental well‐being of residents.
Original languageEnglish
Pages (from-to)1019-1029
Number of pages11
JournalHealth and Social Care in the Community
Issue number4
Early online date12 Aug 2020
Publication statusPublished - Jul 2021

Bibliographical note

Funding Information:
The work was supported by a grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. 4003‐SPPR‐11).

Publisher Copyright:
© 2020 John Wiley & Sons Ltd


  • Hong Kong
  • anxiety
  • global city
  • housing
  • living density
  • mental health
  • stress


Dive into the research topics of 'Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong'. Together they form a unique fingerprint.

Cite this