Evidence mapPaperPMID 37221492Full record

ReviewBMC public health2023

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

Kristine D Gu, Katherine C Faulkner, Anne N Thorndike

Open access · goldAbstract readReview
In one paragraph

Review in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
22.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Severe housing cost burden and premature cardiovascular mortality.American journal of preventive cardiology · 2025
    Article
  12. Factors impacting electronic patient-generated data use in safety-net systems: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Kristine D GuDivision of Endocrinology, Massachusetts General Hospital, 50 Staniford Street, Suite 340, Boston, MA, 02114, USA. kgu@mgh.harvard.edu.
Katherine C FaulknerDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Anne N ThorndikeHarvard Medical School, Boston, MA, USA.
Massachusetts General Hospital · US

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · MASSACHUSETTS GENERAL HOSPITAL · 1986 to 2025
$4.2M
New York Regional Center for Diabetes Translation ResearchP30DK111022 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$810k
LiveWell 2: Assessment of a Medicaid ACO program to address food and housing insecurityR01DK124145 · MASSACHUSETTS GENERAL HOSPITAL · 2025 to 2025
$718k
Mentorship in patient-oriented research on behavioral and social determinants of cardiometabolic healthK24HL163073 · MASSACHUSETTS GENERAL HOSPITAL · 2025 to 2025
$126k
NHLBI NIH HHS K24 HL163073NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK124145NIDDK NIH HHS T32 DK007028NIH HHS R01DK124145NIH HHS T32DK007028
6 · The paper itself

Abstract

Housing instability is variably defined but generally encompasses difficulty paying rent, living in poor or overcrowded conditions, moving frequently, or spending the majority of household income on housing costs. While there is strong evidence that people experiencing homelessness (i.e., lack of regular housing) are at increased risk for cardiovascular disease, obesity, and diabetes, less is known about housing instability and health. We synthesized evidence from 42 original research studies conducted in the United States examining the association of housing instability and cardiometabolic health conditions of overweight/obesity, hypertension, diabetes, and cardiovascular disease. The included studies varied widely in their definitions and methods of measuring housing instability, but all exposure variables were related to housing cost burden, frequency of moves, living in poor or overcrowded conditions, or experiencing eviction or foreclosure, measured at either the individual household level or at a population level. We also included studies examining the impact of receipt of government rental assistance, which serves as a marker of housing instability given that its purpose is to provide affordable housing for low-income households. Overall, we found mixed but generally adverse associations between housing instability and cardiometabolic health, including higher prevalence of overweight/obesity, hypertension, diabetes, and cardiovascular disease; worse hypertension and diabetes control; and higher acute health care utilization among those with diabetes and cardiovascular disease. We propose a conceptual framework for pathways linking housing instability and cardiometabolic disease that could be targeted in future research and housing policies or programs.

Indexed as

Cardiovascular DiseasesHypertensionHousing InstabilityHumansObesityOverweightUnited StatesCardiometabolic healthCardiovascular diseaseDiabetesHousing instabilityHypertensionObesityOverweight

Identifiers

PMID37221492
PMCPMC10203673
OpenAlexW4377821920

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.