IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i14p6349-d1192155.html
   My bibliography  Save this article

A Novel Framework to Address the Complexities of Housing Insecurity and Its Associated Health Outcomes and Inequities: “Give, Partner, Invest”

Author

Listed:
  • Sonika Bhatnagar

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA
    Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA)

  • John Lovelace

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA)

  • Ray Prushnok

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Justin Kanter

    (UPMC Center for High-Value Health Care, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Joan Eichner

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Dan LaVallee

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • James Schuster

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA)

Abstract

The association between housing insecurity and reduced access to healthcare, diminished mental and physical health, and increased mortality is well-known. This association, along with structural racism, social inequities, and lack of economic opportunities, continues to widen the gap in health outcomes and other disparities between those in higher and lower socio-economic strata in the United States and throughout the advanced economies of the world. System-wide infrastructure failures at municipal, state, and federal government levels have inadequately addressed the difficulty with housing affordability and stability and its associated impact on health outcomes and inequities. Healthcare systems are uniquely poised to help fill this gap and engage with proposed solutions. Strategies that incorporate multiple investment pathways and emphasize community-based partnerships and innovation have the potential for broad public health impacts. In this manuscript, we describe a novel framework, “Give, Partner, Invest,” which was created and utilized by the University of Pittsburgh Medical Center (UPMC) Insurance Services Division (ISD) as part of the Integrated Delivery and Finance System to demonstrate the financial, policy, partnership, and workforce levers that could make substantive investments in affordable housing and community-based interventions to improve the health and well-being of our communities. Further, we address housing policy limitations and infrastructure challenges and offer potential solutions.

Suggested Citation

  • Sonika Bhatnagar & John Lovelace & Ray Prushnok & Justin Kanter & Joan Eichner & Dan LaVallee & James Schuster, 2023. "A Novel Framework to Address the Complexities of Housing Insecurity and Its Associated Health Outcomes and Inequities: “Give, Partner, Invest”," IJERPH, MDPI, vol. 20(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6349-:d:1192155
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/14/6349/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/14/6349/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wartenberg, D. & Thompson, W.D., 2010. "Privacy versus public health: The impact of current confidentiality rules," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 407-412.
    2. Shannon Van Zandt & William M. Rohe, 2011. "The sustainability of low-income homeownership: the incidence of unexpected costs and needed repairs among low-income home buyers," Housing Policy Debate, Taylor & Francis Journals, vol. 21(2), pages 317-341, March.
    3. Freeman, L., 2002. "America's affordable housing crisis: A contract unfulfilled," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 709-712.
    4. Molly Waymouth & Daniel Siconolfi & Esther M Friedman & Debra Saliba & Sangeeta C Ahluwalia & Regina A Shih & Jessica Kelley, 2023. "Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 78(6), pages 1085-1097.
    5. John P. Allegrante & David A. Sleet, 2021. "Investing in Public Health Infrastructure to Address the Complexities of Homelessness," IJERPH, MDPI, vol. 18(16), pages 1-8, August.
    6. Nipuni Nilakshini Wimalasena & Alice Chang-Richards & Kevin I-Kai Wang & Kim N. Dirks, 2021. "Housing Risk Factors Associated with Respiratory Disease: A Systematic Review," IJERPH, MDPI, vol. 18(6), pages 1-24, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lorenzo Capasso & Daniela D’Alessandro, 2021. "Housing and Health: Here We Go Again," IJERPH, MDPI, vol. 18(22), pages 1-9, November.
    2. Nayara Gonçalves Barbosa & Hellen Aparecida de Azevedo Pereira & Marcelo Vinicius Domingos Rodrigues dos Santos & Lise Maria Carvalho Mendes & Flávia Azevedo Gomes-Sponholz & Juliana Cristina dos Sant, 2023. "Assisting Homeless Women in a City in Brazil during the COVID-19 Pandemic in the Context of a Street Outreach Office: The Perceptions of Health Professionals," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    3. Stephanie Moulton & Cäzilia Loibl & Anya Samak & J. Michael Collins, 2013. "Borrowing Capacity and Financial Decisions of Low-to-Moderate Income First-Time Homebuyers," Journal of Consumer Affairs, Wiley Blackwell, vol. 47(3), pages 375-403, November.
    4. Lauren Willner & Sara M. Heller, 2024. "The Impact of Managerialism on Nonprofit Organizations Serving People Experiencing Houselessness in the United States," Social Sciences, MDPI, vol. 13(9), pages 1-19, August.
    5. Riley, Sarah F. & Ru, Hong Yu & Feng, Qing, 2013. "The User Cost of Low-Income Homeownership," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 43(2).
    6. Bakry Elmedni, 2018. "The Mirage of Housing Affordability: An Analysis of Affordable Housing Plans in New York City," SAGE Open, , vol. 8(4), pages 21582440188, October.
    7. Tran, My & Gannon, Brenda & Rose, Christiern, 2023. "The effect of housing wealth on older adults’ health care utilization: Evidence from fluctuations in the U.S. housing market," Journal of Health Economics, Elsevier, vol. 88(C).
    8. Geoffrey M. Jacquez & Aleksander Essex & Andrew Curtis & Betsy Kohler & Recinda Sherman & Khaled El Emam & Chen Shi & Andy Kaufmann & Linda Beale & Thomas Cusick & Daniel Goldberg & Pierre Goovaerts, 2017. "Geospatial cryptography: enabling researchers to access private, spatially referenced, human subjects data for cancer control and prevention," Journal of Geographical Systems, Springer, vol. 19(3), pages 197-220, July.
    9. Aner Martinez-Soto & Carlos Jimenez-Gallardo & Andrés Villarroel-Lopez & Alejandro Reyes-Riveros & Johanna Höhl, 2024. "Toward Sustainable Indoor Environments: Assessing the Impact of Thermal Insulation Measures on Air Quality in Buildings—A Case Study in Temuco, Chile," Sustainability, MDPI, vol. 16(2), pages 1-17, January.
    10. Haley, Danielle F. & Matthews, Stephen A. & Cooper, Hannah L.F. & Haardörfer, Regine & Adimora, Adaora A. & Wingood, Gina M. & Kramer, Michael R., 2016. "Confidentiality considerations for use of social-spatial data on the social determinants of health: Sexual and reproductive health case study," Social Science & Medicine, Elsevier, vol. 166(C), pages 49-56.
    11. Kyoung Tae Kim & Jonghee Lee & Sherman D. Hanna, 2020. "The Effects of Financial Literacy Overconfidence on the Mortgage Delinquency of US Households," Journal of Consumer Affairs, Wiley Blackwell, vol. 54(2), pages 517-540, June.
    12. Gong, Yifan & Leung, Charles Ka Yui, 2020. "When education policy and housing policy interact: Can they correct for the externalities?," Journal of Housing Economics, Elsevier, vol. 50(C).
    13. Denton R. Vaughan & Barbara A. Haley & Aref N. Dajani, 2020. "Trends Over Time in Employment for Mothers Who Received Welfare Benefits in 1996," Poverty & Public Policy, John Wiley & Sons, vol. 12(3), pages 271-303, September.
    14. David A. Sleet & Louis Hugo Francescutti, 2021. "Homelessness and Public Health: A Focus on Strategies and Solutions," IJERPH, MDPI, vol. 18(21), pages 1-6, November.
    15. Khouloud Laffet & Fatma Haboubi & Noomene Elkadri & Rita Georges Nohra & Monique Rothan-Tondeur, 2021. "The Early Stage of the COVID-19 Outbreak in Tunisia, France, and Germany: A Systematic Mapping Review of the Different National Strategies," IJERPH, MDPI, vol. 18(16), pages 1-22, August.
    16. Schwartz, Gabriel L. & Leifheit, Kathryn M. & Arcaya, Mariana C. & Keene, Danya, 2024. "Eviction as a community health exposure," Social Science & Medicine, Elsevier, vol. 340(C).
    17. Joseph A. Pacheco & Christina M. Pacheco & Charley Lewis & Chandler Williams & Charles Barnes & Lanny Rosenwasser & Won S. Choi & Christine M. Daley, 2015. "Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments," IJERPH, MDPI, vol. 12(3), pages 1-13, March.
    18. Berger, Lawrence M. & Collins, J. Michael & Smeeding, Timothy M., 2015. "Exiting or retaining owner-occupied housing in the United States 1999–2009: How do social programs matter?," Children and Youth Services Review, Elsevier, vol. 57(C), pages 112-126.
    19. Hélène Niculita-Hirzel, 2022. "Latest Trends in Pollutant Accumulations at Threatening Levels in Energy-Efficient Residential Buildings with and without Mechanical Ventilation: A Review," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    20. Jessica Shui & Shriya Murthy, 2017. "Under What Circumstances do First-time Homebuyers Overpay? – An Empirical Analysis Using Mortgage and Appraisal Data," FHFA Staff Working Papers 17-03, Federal Housing Finance Agency.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6349-:d:1192155. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.