‘Home is where the health is’: Housing quality and adult health outcomes in the survey of income and program participation

Details

• Alternative Title:
  Prev Med
• Personal Author:
  Boch, Samantha J. ; Taylor, Danielle M. ; Danielson, Melissa L. ; Chisolm, Deena J. ; Kelleher, Kelly J.
• Description:
  Nearly a quarter of the homes in the United States were considered unhealthy or inadequate, but whether these housing characteristics have direct effects on health or whether they are driven by other contextual housing and neighborhood characteristics remains unclear. The purpose of this study was to quantify the independent associations between poor housing quality and adult health outcomes, adjusting for socioeconomic factors (e.g. income to poverty ratio, food insecurity) and other contextual housing characteristics (e.g. rental status, number of people per household, unsafe neighborhood). Using in-person household interview data from wave 1 of the 2014 Survey of Income and Program Participation (SIPP), a secondary analysis was performed using a series of logistic regression models. The 2014 SIPP sample is a multistage stratified sample of 53,070 housing units designed to represent the civilian, noninstitutionalized population of the United States (N = 55,281 adults ages 18 and older). Our results indicate that each additional poor housing characteristic was associated with poorer health status (OR: 1.17, CI [1.11, 1.23]), higher medical utilization (OR: 1.11 CI: [1.06, 1.16]), and a higher likelihood of hospitalization (OR: 1.07, CI [1.02, 1.12]). Non-housing-related government assistance, food security, and safe neighborhoods only partially explained associations between housing quality and health outcomes. Evaluating current local, state, and federal policy on housing quality standards may help determine if these standards decrease the number of Americans residing in inadequate homes or result in improvements in health and reductions in healthcare costs. Simply put, the home is where [we suggest] the health is.
• Subjects:
  Adult Aged Family Characteristics Female Health Status Hospitalization Housing Humans Male Middle Aged Outcome Assessment, Health Care Patient Acceptance Of Health Care Residence Characteristics Socioeconomic Factors Surveys And Questionnaires United States

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• Keywords:
  Health Status Home House Quality Neighborhood Utilization
• Source:
  Prev Med. 132:105990
• Pubmed ID:
  31954138
• Pubmed Central ID:
  PMC7024670
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  132
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:b1cbc48a9fcdf3d5386b11105d7fc6436892e389bc3fca0e49f35207e39cb166c4e0453563eac479c539233dce41f1f8450d5bd18ce62965d1ae0166533061ea
• Download URL:
  https://stacks.cdc.gov/view/cdc/85171/cdc_85171_DS1.pdf
• File Type:
  [PDF - 356.17 KB ]