Recognizing Housing Insecurity as a Critical Social Determinant of Healthy Aging - Summary - MDSpire

Recognizing Housing Insecurity as a Critical Social Determinant of Healthy Aging

  • By

  • Mara Rosenberg

  • W. James Deardorff

  • May 1, 2026

  • 0 min

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Objective:

To examine the association between housing insecurity and incident geriatric conditions and mortality among older adults, highlighting its significance as a public health concern.

Key Findings:
  • Housing insecurity is prevalent among over 1 in 3 older adults and linked to frailty, disability, dementia, and increased mortality, with specific statistics to illustrate these associations.
  • Poor housing affordability is particularly associated with adverse health outcomes.
  • Nationally representative data provides robust insights into the impact of housing conditions on health.
Interpretation:

The findings highlight the urgent need for healthcare systems and policymakers to address housing insecurity as a modifiable social determinant of health to promote healthy aging, with specific recommendations for action.

Limitations:
  • Variability in screening methods for housing insecurity.
  • Potential underrecognition of elder neglect and financial mistreatment.
  • Mixed evidence on the effectiveness of interventions following positive screens, including potential biases in data collection.
Conclusion:

Addressing housing insecurity through targeted screening and interventions is essential for improving health outcomes in older adults, necessitating a patient-centered approach and a commitment from policymakers.

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