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Housing instability and cardiometabolic health in the United States: a narrative review of the literature.
Gu, Kristine D; Faulkner, Katherine C; Thorndike, Anne N.
Afiliação
  • Gu KD; Division of Endocrinology, Massachusetts General Hospital, 50 Staniford Street, Suite 340, Boston, MA, 02114, USA. kgu@mgh.harvard.edu.
  • Faulkner KC; Harvard Medical School, Boston, MA, USA. kgu@mgh.harvard.edu.
  • Thorndike AN; Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
BMC Public Health ; 23(1): 931, 2023 05 23.
Article em En | MEDLINE | ID: mdl-37221492
Housing instability is variably defined but generally encompasses difficulty paying rent, living in poor or overcrowded conditions, moving frequently, or spending the majority of household income on housing costs. While there is strong evidence that people experiencing homelessness (i.e., lack of regular housing) are at increased risk for cardiovascular disease, obesity, and diabetes, less is known about housing instability and health. We synthesized evidence from 42 original research studies conducted in the United States examining the association of housing instability and cardiometabolic health conditions of overweight/obesity, hypertension, diabetes, and cardiovascular disease. The included studies varied widely in their definitions and methods of measuring housing instability, but all exposure variables were related to housing cost burden, frequency of moves, living in poor or overcrowded conditions, or experiencing eviction or foreclosure, measured at either the individual household level or at a population level. We also included studies examining the impact of receipt of government rental assistance, which serves as a marker of housing instability given that its purpose is to provide affordable housing for low-income households. Overall, we found mixed but generally adverse associations between housing instability and cardiometabolic health, including higher prevalence of overweight/obesity, hypertension, diabetes, and cardiovascular disease; worse hypertension and diabetes control; and higher acute health care utilization among those with diabetes and cardiovascular disease. We propose a conceptual framework for pathways linking housing instability and cardiometabolic disease that could be targeted in future research and housing policies or programs.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Cardiovasculares / Hipertensão Tipo de estudo: Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Cardiovasculares / Hipertensão Tipo de estudo: Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article