TY - JOUR PB - Elsevier BV N1 - © 2025 The Authors. Published by Elsevier Ltd. under a Creative Commons license (http://creativecommons.org/licenses/by/4.0/). Y1 - 2025/06// TI - Interconnected factors influencing family health and wellbeing in overcrowded homes and points for intervention ? A qualitative study in London AV - public N2 - Household overcrowding contributes to poor familial health/wellbeing and is driven by a shortage of affordable housing. Despite being defined by spatial constraints, the other factors influencing and exacerbating overcrowding's impact remain underexplored. Through focus groups and interviews with London-based professionals working with overcrowded families (n = 22) and residents with lived experience (n = 25), using thematic analysis we identify aspects of living in overcrowded conditions which affect health/wellbeing outcomes framed according to levels within the Social Ecological Model (SEM). Besides lack of space, overcrowding affects health/wellbeing via a complex web of interactions across personal circumstances, housing suitability/quality, accessibility of amenities/services, and systemic societal challenges. Addressing these factors could improve the lives of families in overcrowded homes, particularly when rehousing may not be feasible in the short term. Household overcrowding contributes to poor familial health/wellbeing and is driven by a shortage of affordable housing. Despite being defined by spatial constraints, the other factors influencing and exacerbating overcrowding's impact remain underexplored. Through focus groups and interviews with London-based professionals working with overcrowded families (n = 22) and residents with lived experience (n = 25), using thematic analysis we identify aspects of living in overcrowded conditions which affect health/wellbeing outcomes framed according to levels within the Social Ecological Model (SEM). Besides lack of space, overcrowding affects health/wellbeing via a complex web of interactions across personal circumstances, housing suitability/quality, accessibility of amenities/services, and systemic societal challenges. Addressing these factors could improve the lives of families in overcrowded homes, particularly when rehousing may not be feasible in the short term. JF - Wellbeing, Space and Society A1 - Eveleigh, Elizabeth Rose A1 - Nixon, Laura A1 - O'Donoghue, Mathilda A1 - Singh, Pratima A1 - McDonald, Rose A1 - Ucci, Marcella A1 - Sheringham, Jessica UR - https://doi.org/10.1016/j.wss.2025.100250 VL - 8 KW - Overcrowding KW - Housing KW - Family health KW - Urbanization ID - discovery10206586 ER -