Date of Publication

2025

Abstract

Objective: To explore the gap in knowledge around the association between inadequate housing and food on chronic disease rates.

Methods: The Vermont Behavioral Risk Factor Surveillance System survey (2022) was used to examine the impact of food insecurity on chronic disease, specifically COPD, asthma, arthritis, and CVD (weighted population of 444,444). Multivariate logistic regression analysis, stratified by housing insecurity, was performed.

Results: Food insecurity was more prevalent among housing-insecure individuals compared to housing-secure individuals (35.6% vs. 5.1%, p<0.001). Housing and food insecurity were associated with chronic disease (AOR= 1.52, AOR=1.33). Food insecurity was associated with higher odds of arthritis, COPD, and CVD, regardless of stratification. COPD had the strongest association with food insecurity across both the housing secure and housing insecure groups (AOR=3.1; 95% CI=2.90, 3.40; AOR=3.8; 95% CI=3.62, 3.95).

Conclusions: Our results contribute to current literature and previous work by demonstrating just how detrimental housing and food insecurity can be to human health.

Policy Implications: These results must serve as a call to action for current public health professionals and inform better policies and interventions to reach housing- and food-insecure populations.

Document Type

Dissertation/Thesis

Available for download on Friday, April 23, 2027

Included in

Public Health Commons

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