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Addressing housing insecurity as a social determinant of health: A systematic review of interventions in healthcare settings

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  • Yan, Han
  • Gallant, Allyson J.
  • Delahunty-Pike, Alannah
  • Langley, Jodi E.
  • Zsager, Alexander
  • Abaga, Eunice
  • Ziegler, Carolyn
  • Karabanow, Jeff
  • Hwang, Stephen W.
  • Pinto, Andrew D.

Abstract

Stable housing is a key social determinant of health. Those experiencing homelessness or housing insecurity are known to have increased healthcare utilization and yet worse healthcare outcomes compared to securely housed individuals. Housing interventions offered via healthcare settings provide an opportunity to reach this population. We conducted a systematic review to 1) identify interventions which address housing insecurity and engage healthcare settings; 2) determine effectiveness of these interventions; and 3) ascertain common characteristics of effective interventions to inform new ways to address housing insecurity within healthcare.

Suggested Citation

  • Yan, Han & Gallant, Allyson J. & Delahunty-Pike, Alannah & Langley, Jodi E. & Zsager, Alexander & Abaga, Eunice & Ziegler, Carolyn & Karabanow, Jeff & Hwang, Stephen W. & Pinto, Andrew D., 2025. "Addressing housing insecurity as a social determinant of health: A systematic review of interventions in healthcare settings," Social Science & Medicine, Elsevier, vol. 384(C).
    • Handle: RePEc:eee:socmed:v:384:y:2025:i:c:s0277953625008883
    DOI: 10.1016/j.socscimed.2025.118557
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    1. Joseph S Lightner & Travis Barnhart & Jamie Shank & Debbie Adams & Ella Valleroy & Steven Chesnut & Serena Rajabiun, 2022. "Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV," PLOS ONE, Public Library of Science, vol. 17(9), pages 1-13, September.
    2. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    3. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    4. McCormack, R.P. & Hoffman, L.F. & Wall, S.P. & Goldfrank, L.R., 2013. "Resource-limited, collaborative pilot intervention for chronically homeless, alcohol-dependent frequent emergency department users," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 221-224.
    5. Chambers, C. & Chiu, S. & Katic, M. & Kiss, A. & Redelmeier, D.A. & Levinson, W. & Hwang, S.W., 2013. "High utilizers of emergency health services in a population-based cohort of homeless adults," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 302-310.
    6. Rich, Alexander R. & Clark, Colleen, 2005. "Gender differences in response to homelessness services," Evaluation and Program Planning, Elsevier, vol. 28(1), pages 69-81.
    7. David Ponka & Eric Agbata & Claire Kendall & Vicky Stergiopoulos & Oreen Mendonca & Olivia Magwood & Ammar Saad & Bonnie Larson & Annie Huiru Sun & Neil Arya & Terry Hannigan & Kednapa Thavorn & Anne , 2020. "The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    8. Matthew J Page & Joanne E McKenzie & Patrick M Bossuyt & Isabelle Boutron & Tammy C Hoffmann & Cynthia D Mulrow & Larissa Shamseer & Jennifer M Tetzlaff & Elie A Akl & Sue E Brennan & Roger Chou & Jul, 2021. "The PRISMA 2020 statement: An updated guideline for reporting systematic reviews," PLOS Medicine, Public Library of Science, vol. 18(3), pages 1-15, March.
    9. Aidala, A.A. & Wilson, M.G. & Shubert, V. & Gogolishvili, D. & Globerman, J. & Rueda, S. & Bozack, A.K. & Caban, M. & Rourke, S.B., 2016. "Housing status, medical care, and health outcomes among people living with HIV/AIDS: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 1-23.
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