Examining Health Differences Among Older Adults with Federal Rental Assistance in the United States

About 1.8 million older adults receive rental assistance in the United States, but surprisingly little is known about their health, especially among the growing number of older housing choice voucher (HCV) holders. This is the first known study to use nationally representative data (2006-2018) from the National Health Interview Survey merged with Department of Housing and Urban Development (HUD) administrative data to describe the health of older HUD renters (N = 4,582) living in public housing, multifamily housing, or receiving an HCV. Logistic regression models were used to examine potential health differences by HUD program type. Contrary to expectations, the results suggest that older HCV holders were more likely to experience health challenges compared to older adults with project-based assistance. The results bring awareness to the health challenges experienced by older HCV holders and emphasize the need for future research to examine why older HCV holders are more likely to experience these health challenges. Policy makers and program administrators must consider how the HCV program has significantly aged in the past two decades and consider what program and policy changes are necessary to ensure that older adults have access to affordable housing that matches their changing needs and preferences.