Unstable Housing and Kidney Disease: A Primer.

Unstable Housing and Kidney Disease: A Primer.
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DOI:
10.1016/j.xkme.2022.100443
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发表时间:
2022-04
期刊:
影响因子:
3.9
通讯作者:
Crews D
Crews D
中科院分区:
其他
文献类型:
--
作者:
Novick TK;Kushel M;Crews D

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稳定的住房对健康至关重要。2020年,超过58万美国人在一夜之间无家可归,超过3700万家庭将超过30%的收入用于住房。不稳定的住房与死亡率、急性护理利用、传染性和非传染性疾病、较高的肾脏疾病风险和肾脏疾病进展有关。在这篇综述中,我们定义了各种形式的不稳定住房,概述了不稳定住房与健康之间的相互作用,并讨论了住房与肾脏疾病相关的现有证据。我们提供了美国不稳定住房的历史背景,并详细介绍了导致不稳定住房风险的政策、社区和个人层面的因素。不稳定的住房可能通过个体和结构因素的复杂相互作用影响肾脏健康。提供者可以使用各种筛选工具。在与经历不稳定住房的个人一起工作时,应特别考虑满足其独特需求,促进医疗保健参与,并优化结果。住房干预已被证明可以改善结果,应检查其在肾脏疾病中的作用。
Stable housing is essential for health. Over 580,000 Americans experienced homelessness during one night in 2020, and over 37 million households spend over 30% of their income on housing. Unstable housing has been associated with mortality, acute care utilization, communicable and non-communicable diseases, a higher risk of kidney disease, and kidney disease progression. In this review, we define various forms of unstable housing, provide an overview of the interaction between unstable housing and health, and discuss existing evidence associating housing and kidney disease. We provide historical context for unstable housing in the United States, and detail policy, community, and individual-level factors that contribute to the risk of unstable housing. Unstable housing likely affects kidney health via a complex interplay of individual and structural factors. Various screening tools are available for use by providers. Special considerations should be made when working with individuals experiencing unstable housing to meet their unique needs, facilitate health care engagement, and optimize outcomes. Housing interventions have been shown to improve outcomes and should be examined for their role in kidney disease.
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