Brief Report: Characterizing the Burden of Cardiometabolic Disease among Public Housing Residents Served by an Urban Hospital System.

Abstract

Housing status is a primary social determinant of health that is not typically not collected in clinical settings. Residential address data collected during clinical visits can identify patients at high-risk for cardiometabolic disease (CMD) residing in public housing. This study examined CMD and related risk factors among patients living in public housing and a comparison group not living in public housing. All patients (n=173,568) were receiving primary care in a large hospital system in the Bronx, New York between January 1, 2016 and December 31, 2017. Patients in public housing were more likely to be women, to be Black or Hispanic, and to be on Medicaid compared with patients not living in public housing. Women in public housing were more likely than men to have had a higher prevalence of CMD and related risk factors. The burden of CMD among public housing residents shows sex disparities where women have a higher prevalence of CMD and related risk factors than men.