Details

Autor(en) / Beteiligte

• Parekh, Tarang
• Xue, Hong
• Cheskin, Lawrence J.
• Cuellar, Alison E.

Titel

Food insecurity and housing instability as determinants of cardiovascular health outcomes: A systematic review

Ist Teil von

• Nutrition, metabolism, and cardiovascular diseases, 2022-07, Vol.32 (7), p.1590-1608

Ort / Verlag

Netherlands: Elsevier B.V

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• The primary objective of this study is to conduct a systematic review of existing literature on the association between food insecurity and housing instability with CVD and its subtypes-related outcomes. Summarizing the comprehensive evidence for independent/interchangeable relationship of food and housing instability with CVD outcomes may inform specific interventions strategies to reduce CVD-risk. The search focused on English-language articles in PubMed/Medline, from January 1, 2010, to June 1, 2021, with restriction to the US adult population. We included studies estimating the association between food insecurity or/and housing instability(exposure) and CVD-subtypes-related health outcomes (outcome). The study methodological quality was assessed using the Study Quality Assessment Tools (SQAT). Nineteen studies met eligibility criteria, consisted of 15 cross-sectional and 4 cohort studies. Of total studies, 7 examined housing instability, 11 studies focused on food insecurity, and one examined both. Food insecurity/housing instability was associated with increased overall CVD-mortality rate and greater healthcare cost utilization, while evidence were mixed for hospital readmission rate. By subtype, stroke mortality was greater with food insecurity but not with housing instability. The likelihood of myocardial infarction, coronary heart disease, and congestive heart failure was greater with food insecurity. Although mortality with MI was higher with housing instability, readmission and surgical procedure rates were significantly lower than housing stable adults. Findings from this review suggest an urgent need to test the impact of screening for food and housing insecurities, referral services, and community engagement for CV health, within clinical and public health settings. Prospero CRD4202123352. •This systematic review finds housing and food insecurity are major correlates of adverse cardiovascular health outcomes.•Housing instability and food insecurity are independently associated with many CVD-subtypes related outcomes.•Future studies should focus on effectively capturing SDOH in CVD patients and on longitudinal studies.•The impact of outine screening for SDOH on improved cardiovascular health should be tested.