Housing insecurity of medicaid beneficiaries with cognitive disabilities during the COVID-19 pandemic

Friedman, Carli

doi:10.1016/j.dhjo.2022.101375

Cited by 6 publications

(1 citation statement)

References 20 publications

(38 reference statements)

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“…Data from the Household Pulse Survey (HPS), a nationally representative survey of US households produced by the Census Bureau to monitor the social and economic impact of the COVID-19 pandemic (10), have been used by researchers to describe the inter-relationship of housing insecurity with financial hardship, disability, and health status during various stages of the pandemic (11)(12)(13). In mid-2022, the survey added new questions about long term symptoms following acute COVID-19, making it the first source of nationally representative surveillance data on Long COVID (14,15).…”

Section: Introductionmentioning

confidence: 99%

Association of Long COVID with housing insecurity in the United States, 2022-2023

Packard¹,

Süsser

2023

Preprint

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Objectives. To assess the association of Long COVID with housing insecurity in the United States. Methods. To compare the prevalence of 3 binary indicators of housing insecurity between people with Long COVID (symptoms > 3 months) and COVID-19 survivors who don't report long-term symptoms, we used survey-weighted regression models on 203,807 responses from the Household Pulse Survey, a representative survey of US households collected September 2022 - April 2023. Among people with Long COVID, we assessed whether functional impairment, current COVID-19 related symptoms, and symptom impact on day-to-day life were associated with a higher prevalence of housing insecurity. Results. During the study period, 54,446 (27.2%) respondents with COVID-19 experienced symptoms lasting 3 months or longer, representing an estimated 27 million US adults. People with Long COVID were nearly twice as likely to experience significant difficulty with household expenses (Prevalence ratio [PR] 1.85, 95% CI 1.74-1.96), be behind on housing payments (PR 1.76, 95% CI 1.57-1.99), and face likely eviction or foreclosure (PR 2.12, 95% CI 1.58-2.86). Functional limitation and current symptoms which impact day-to-day life were associated with higher prevalence of housing insecurity. Conclusions. Compared with COVID-19 survivors who don't experience long-term symptoms, people with Long COVID are more likely to report indicators housing insecurity, particularly those with functional limitations and long-term COVID-19 related symptoms impacting day-to-day life. Policies are needed to support people living with chronic illnesses following SARS-CoV-2 infection.

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