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Housing insecurity may increase risk of kidney disease

March 31, 2020

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  • In a study of urban-dwelling individuals, housing insecurity was linked with a higher risk of developing albuminuria, a sign of kidney disease.
Washington, DC (March 31, 2020) -- New research suggests that housing insecurity--high housing costs or unsafe living conditions that prevent self-care and threaten independence--may have negative effects on kidney health. The findings appear in an upcoming issue of Kidney360.

Previous studies have indicated that housing insecurity may contribute to delayed healthcare visits and may compromise individuals' health. To examine its potential relationship to the risk of developing kidney disease, Tessa Novick, MD, MSW, MHS (University of Texas at Austin) and her colleagues analyzed data on black and white community-dwelling adults between the ages of 30 and 64 years from 13 neighborhoods in both low and high socioeconomic strata in Baltimore City, Maryland. The individuals were participating in the Healthy Aging in Neighborhoods of Diversity across the Life Span study.

Among 1,262 participants, 405 (32%) reported housing insecurity. After a median follow-up of 3.5 years, 16% of participants experienced rapid kidney function decline and 7% developed albuminuria (excess albumin in the urine, which is a sign of kidney disease). After adjusting for demographic and clinical factors, housing insecurity was associated with a 3.2-fold higher odds of albuminuria, but it was not associated with rapid kidney function decline.

"Housing insecurity is increasing across America. Here we show that housing insecurity may be affecting the health of Americans, and it potentially increases risk for subsequent development of kidney disease," said Dr. Novick. "Longer follow up and additional studies using larger cohorts are needed to further evaluate the impact of housing insecurity on rapid kidney function decline and reduced glomerular filtration rate."
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Study co-authors include Chiazam Omenyi, Dingfen Han, PhD, Alan B. Zonderman, PhD, Michele K. Evans, MD, and Deidra C. Crews, MD, ScM.

Disclosures: The authors reported no financial disclosures.

The article, entitled "Housing Insecurity and Risk of Adverse Kidney Outcomes," will appear online at https://kidney360.asnjournals.org/ on March 31, 2020, doi: 10.34067/KID.0000032019.

The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.

Since 1966, ASN has been leading the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients. ASN has more than 21,000 members representing 131 countries. For more information, visit http://www.asn-online.org.

American Society of Nephrology

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