ArticleJournal of general internal medicine2018
Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System.
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
69 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.
- Housing and Cancer Care and Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Food insecurity is associated with greater difficulty accessing care among people living with HIV with or without comorbid non-communicable diseases in western Kenya.BMJ global health · 2024Trial
- Health-Related Social Needs and Cardiovascular Disease.Current cardiology reports · 2026Review
- Food insecurity is associated with COPD prevalence and mortality: evidence from U.S. county-level data.Annals of the American Thoracic Society · 2026Article
- Financial toxicity among US adults with rheumatic disease and prior cancer: a nationally representative cross-sectional study.Clinical rheumatology · 2026Article
- Food and Nutrition Insecurity in Cancer Survivorship: A Global Scoping Review.Cancer medicine · 2026Article
- Food Security and Malnutrition Status in Patients with Cancer: An Australian Cross-Sectional Survey.Nutrients · 2026Observational
- Article
- Sex-specific associations between homelessness and cerebrovascular disease among aging US veterans in the Veterans Affairs healthcare system.GeroScience · 2025Article
- Housing Insecurity and Threats of Utility Shut-Offs Among Cancer Survivors in the United States, BRFSS 2022-2023.Cancer medicine · 2025Article
- Aging with leukemia: public health strategies for optimizing quality of life and palliative care in refractory cases.Annals of medicine and surgery (2012) · 2025Review
- Patient and Health Care Professional Perspectives on Barriers to and Facilitators of Healthy Eating and Exercise Among Patients With Cancer at a Safety-Net Oncology Clinic: A Qualitative Exploration.JCO oncology practice · 2025Article
- Food and nutrition insecurity and clinical and anthropometric indicators in individuals with cancer eligible for radiotherapy.European journal of clinical nutrition · 2025Article
- Social Needs in Cancer Survivors: A Scoping Review and Future Directions.Current oncology reports · 2025Article
- Food insecurity among adult females with a history of breast cancer compared to adult females without cancer in the USA.Journal of cancer survivorship : research and practice · 2025Article
- Housing instability and psychological distress in African American cancer survivors: findings from the Detroit Research on Cancer Survivors study.Journal of cancer survivorship : research and practice · 2025Observational
- Identifying Nutritional Inequities of Patients with Cancer Residing in Food Deserts.Advances in radiation oncology · 2025Article
- Persistent Food Insecurity Among Older Adult Cancer Survivors: A National Cohort Study.Oncology nursing forum · 2024Article
- Factors Associated with COVID-19 Vaccination Uptake in Great Plains American Indian Communities.Journal of racial and ethnic health disparities · 2024Article
- Food security among black breast cancer survivors in Maryland: insights from an online pilot study.Cancer causes & control : CCC · 2024Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe proportion of the United States population with chronic illness continues to rise. Understanding the determinants of quality of care-particularly social determinants-is critical to the provision of care in this population.
objectiveTo estimate the prevalence of housing and food insecurity among persons with common chronic conditions and to assess the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status.
designCross-sectional study.
participantsWe used data from the 11 states and one territory that completed the social context module of the 2015 Behavioral Risk Factor Surveillance System (BRFSS). MAIN MEASURES: We estimated the prevalence of housing and food insecurity among patients with cancer, stroke, cardiovascular disease, and chronic lung disease. Logistic regression models were used to assess the independent effects of housing and food insecurity, chronic conditions, and demographics on health care access and health status. KEY
resultsAmong the chronically ill, 36.71% (95% CI: 35.54-37.88) experienced housing insecurity and 30.60% (95% CI: 29.49-31.71) experienced food insecurity. Cardiovascular and lung disease increased the likelihood of housing (OR 1.69, 95% CI: 1.07-2.66 and OR 1.71, 95% CI: 1.12-2.60, respectively) and food insecurity (OR 1.75, 95% CI: 1.12-2.73 and OR 1.78, 95% CI: 1.20-2.63, respectively). Housing and food insecurity significantly increased the risk of health care access hardship. Being insured or having an income level above 200% of the federal poverty level significantly reduced the likelihood of access hardship, while female gender significantly increased the likelihood.
conclusionsChronic illness independently affects housing and food insecurity. In turn, food and housing anxiety leads to reduced access to care, likely due to cost concerns, and correlates with poorer health. A more complete understanding of the pathways by which chronic illness influences social determinants and clinical outcomes is needed.
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Registered trials
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 OpenQuestion graph.