Related Experiment Video
Updated: May 2, 2026
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.8K
Housing Insecurity, Incident Geriatric Conditions, and Mortality in Community-Living Older Persons
Yi Wang1, Kendra Davis-Plourde2, Brent Vander Wyk1
1Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
JAMA Network Open
|May 1, 2026
Summary
Housing insecurity, including poor affordability and quality, significantly increases health risks for older adults. This includes higher chances of frailty, disability, dementia, and mortality, underscoring its importance as a health determinant.
Area of Science:
- Gerontology
- Public Health
- Social Determinants of Health
Background:
- Housing insecurity is a critical social determinant of health.
- Its impact on health outcomes in older adults remains understudied.
Purpose of the Study:
- To investigate the association between housing insecurity and the development of frailty, disability, and dementia.
- To examine the link between housing insecurity and mortality in older adults.
Main Methods:
- Prospective cohort study using National Health and Aging Trends Study (NHATS) data (2015-2020).
- Examined three forms of housing insecurity: affordability, quality, and neighborhood.
- Used statistical models to assess risks for frailty, disability, dementia, and mortality over 5 years.
Main Results:
- Poor housing affordability was linked to increased risks of frailty, disability, dementia, and mortality.
- Poor housing quality was associated with higher risks of frailty, disability, and mortality.
- Poor neighborhood quality showed no significant association with any studied outcome.
Conclusions:
- Housing insecurity, particularly affordability and quality, is a significant risk factor for adverse health outcomes in older adults.
- Findings emphasize housing insecurity as a clinically relevant social determinant of health.
- Interventions addressing housing insecurity may improve health and longevity in the aging population.
Related Concept Videos
01:15Drug Dosing: Geriatric Patients
395
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
395
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
367
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
367
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
382
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
382
01:29Documentation in Long-Term and Home Healthcare Setting
1.5K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.5K
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
354
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
354
01:30Development of Human Microbiota
61
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
61