• Whitney Denary, Andrew Fenelon, Shannon Whittaker, Denise Esserman, Kasia J Lipska, and Danya E Keene.
• Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA. Electronic address: whitney.denary@yale.edu.
• Prev Med. 2023 Apr 1; 169: 107453107453.

AbstractThe U.S. is experiencing a severe housing affordability crisis, resulting in households having to make difficult trade-offs between paying for a place to live and basic health necessities such as food. Rental assistance may mitigate these strains, improving food security and nutrition. However, only one in five eligible individuals receive assistance, with an average wait time of two years. Existing waitlists create a comparable control group, allowing us to examine the causal impact of improved housing access on health and well-being. This national quasi-experimental study utilizes linked NHANES-HUD data (1999-2016) to investigate the impacts of rental assistance on food security and nutrition using cross-sectional regression. Tenants with project-based assistance were less likely to experience food insecurity (B = -0.18, p = 0.02) and rent-assisted individuals consumed 0.23 more cups of daily fruits and vegetables compared the pseudo-waitlist group. These findings suggest that the current unmet need for rental assistance and resulting long waitlists have adverse health implications, including decreased food security and fruit and vegetable consumption.Copyright © 2023 Elsevier Inc. All rights reserved.

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