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Unstable Housing and Kidney Disease: A Primer
Tessa K Novick1, Margot Kushel2, Deidra Crews3
1Division of Nephrology, University of Texas at Austin, Dell Medical School, Austin, TX.
Kidney Medicine
|April 4, 2022
Summary
Unstable housing significantly impacts health, increasing kidney disease risk. Addressing housing instability through interventions can improve health outcomes for vulnerable populations.
Area of Science:
- Public Health
- Nephrology
- Health Services Research
Background:
- Stable housing is fundamental for overall health and well-being.
- Over 580,000 Americans experienced homelessness in 2020, with millions more facing housing cost burdens.
- Unstable housing is linked to increased mortality, healthcare utilization, and a higher risk of kidney disease and its progression.
Purpose of the Study:
- To define unstable housing and review its complex relationship with health.
- To examine the evidence linking housing instability to kidney disease.
- To discuss contributing factors, screening tools, and interventions for individuals with unstable housing.
Main Methods:
- This review synthesizes existing literature on unstable housing and health outcomes.
- It provides historical context and analyzes policy, community, and individual-level risk factors.
- Evidence associating housing and kidney disease is discussed, alongside available screening tools.
Main Results:
- Unstable housing affects kidney health through a multifaceted interaction of individual and structural factors.
- Providers can utilize screening tools and implement tailored approaches for patients with housing instability.
- Housing interventions show promise in improving health outcomes and warrant further investigation for kidney disease.
Conclusions:
- Unstable housing is a critical social determinant of health with significant implications for kidney disease.
- Healthcare providers should consider housing status and implement targeted support and interventions.
- Policy and community-level strategies are essential to mitigate the health risks associated with housing instability.
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