title: Housing Insecurity and the Association With Health Outcomes and Unhealthy Behaviors, Washington State, 2011.
abstract: Few studies of associations between housing and health have focused on housing insecurity and health risk behaviors and outcomes. We measured the association between housing insecurity and selected health risk behaviors and outcomes, adjusted for socioeconomic measures, among 8,415 respondents to the 2011 Washington State Behavioral Risk Factor Surveillance System. Housing insecure respondents were about twice as likely as those who were not housing insecure to report poor or fair health status or delay doctor visits because of costs. This analysis supports a call to action among public health practitioners who address disparities to focus on social determinants of health risk behaviors and outcomes.
authors.affiliation: Chronic Disease Epidemiology Supervisor, Epidemic Intelligence Service Officer (Class 2012), Washington State Department of Health, PO Box 47835, Olympia, WA 98504-7835. Email: mandy.stahre@doh.wa.gov. Dr Stahre is also affiliated with the Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Mandy
authors.initials: M
authors.lastname: Stahre
authors.affiliation: (retired), Non-Infectious Conditions Epidemiology, Washington State Department of Health, Olympia, Washington.
authors.forename: Juliet
authors.initials: J
authors.lastname: VanEenwyk
authors.affiliation: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Paul
authors.initials: P
authors.lastname: Siegel
authors.affiliation: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Rashid
authors.initials: R
authors.lastname: Njai
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D063425:Binge Drinking / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006305:Health Status Indicators; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006798:Housing / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000191:economics / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology*; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D012923:Social Class; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D014861:Washington / Q000453:epidemiology; D055815:Young Adult