ArticleJournal of general internal medicine2026
Association Between Multidimensional Housing Precarity and Cognitive Function Among Older Adults: Findings from the National Survey of Older Koreans, 2023.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHousing precarity (HP) is a fundamental determinant of well-being and health among older adults.
objectiveWe explored the association between housing precarity and cognitive function among older adults in South Korea.
designPopulation-based, cross-sectional survey.
participantsA nationwide community-dwelling sample of 9796 adults aged ≥ 65 years was analyzed. MAIN MEASURES: Based on the theoretical framework established in the existing literature, HP was assessed across five dimensions: housing affordability, housing tenure, housing satisfaction, neighborhood quality, and community cohesion. The overall HP level was scored on a scale ranging from 0 to 10 and categorized into four levels: lowest, low, high, and highest. Cognitive function was assessed using the Korean version of the Mini-Mental State Examination, 2nd edition (K-MMSE~2), and z-scores were calculated. A higher K-MMSE~2 score indicated better cognitive functioning. Linear regression analysis was performed to determine the association between HP and cognitive function. Beta coefficients (β) and 95% confidence intervals (CI) were estimated. KEY
resultsThe mean age of the sample was 73.9 years, with a mean MMSE score of 24.6. Compared to participants with the lowest HP levels, those with the high or highest HP levels had lower MMSE z-scores (β [95% CI] -0.21 [-0.27, -0.15] for high HP; and β [95% CI] -0.29 [-0.35, -0.22] for the highest HP levels). Regarding individual indicators, insecure tenure (not owning a home), housing dissatisfaction, poor neighborhood quality, and low community cohesion were negatively associated with cognitive function.
conclusionsAmong older adults, high HP levels were associated with poor cognitive function.
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