Housing stability and diabetes among people living in New York city public housing

Housing instability and cardiometabolic health in the United States: a narrative review of the literature

“…Among those experiencing housing instability, living in public housing was associated with a higher risk of diabetes compared to not living in public housing. The authors proposed that one potential mechanism for this finding could be that relocation from one public housing unit to another may cause stress via disruption of social cohesion and support [ 70 ]. In the study by Gaston et al, among those in unassisted housing, Black male short sleepers had higher prevalence of diabetes compared to White recommended sleepers, a difference that was not seen among those in government-assisted housing.…”

“…While the overarching purpose of government rental assistance is to alleviate housing cost burden and theoretically improve housing stability, a few studies suggest that transition into subsidized housing, and particularly public housing, is associated with worse cardiometabolic health outcomes [ 55 , 58 , 62 ]. Although transition into public housing may provide housing stability [ 70 ], the associated adverse health outcomes may be explained by the fact that public housing units tend to be located in racially segregated areas with high socioeconomic deprivation and limited neighborhood resources [ 62 , 98 ] which have been tied to poor cardiometabolic health [ 99 , 100 ]. The MTO demonstration project, a landmark housing mobility study leveraging a natural experimental design, further supported this phenomenon by showing that lifting families out of high-poverty neighborhoods through tenant-based vouchers led to less severe obesity and uncontrolled diabetes [ 71 ].…”

Health care utilization among women of reproductive age living in public housing: Associations across six public housing sites in San Francisco

“…Next, existing research that compares health outcomes of public housing residents to the total population may overestimate detrimental health impacts because social stratification limits the ability of low-income populations to access comparable housing options as higher-income populations. ( Baker et al, 2017 , Lim et al, 2020 , Swope and Hernández, 2019 ) Relatedly, those who are eligible and apply for public housing systematically differ from those who do not in ways that may also bias findings. ( Fertig and Reingold, 2007 ) Recent studies account for these selection related issues by including more comparable, non-publicly housed low-income populations.…”

“…These studies report varied findings, with some still indicating that public housing residents fare worse for outcomes ranging from smoking to obesity to overall health condition burden,( Antonakos and Colabianchi, 2018 , Cunningham et al, 2017 , Ellen et al, 2020 ) and others finding no association for outcomes such as alcohol consumption, physical activity, diabetes, and body mass index. ( Antonakos and Colabianchi, 2018 , Ellen et al, 2020 , Fertig and Reingold, 2007 , Lim et al, 2020 ) Some studies also report better outcomes, for example on general health and lower psychological distress, among public housing residents compared to non-public housing residents. ( Fenelon et al, 2017 ) Thus, addressing methodological issues relating to selection of comparison populations is important as research moves beyond health outcomes to fill the gap in understanding how public housing is associated with health care utilization specifically among women of reproductive age.…”

A national pilot program for chronic diseases and health inequalities in South Korea

“…People of a lower socioeconomic position were likely to experience housing instability [ 20 ]. The social determinants of health were also related to the incidence of diabetes [ 21 , 22 ]. Moreover, a previous study reported poverty as a major contributor to the increased prevalence of diabetes [ 23 ].…”