Journal article
How Housing Influences Nursing Home Utilization in the United States: An Integrative Review
Journal of the American Medical Directors Association, v 27(3), 106077
01 Mar 2026
PMID: 41547541
Abstract
Objectives Given the growing housing crisis, researchers increasingly point to housing as a possible risk factor for nursing home utilization, yet the exact pathways from housing to nursing home utilization are unclear. The purpose of this review is to describe how housing acts as a mechanism that influences nursing home utilization in the United States. Design Integrative review. Setting and Participants Studies involving individuals at risk for long-term nursing home placement or residents at risk for continued nursing home use in the United States. Methods Five databases were searched in April 2024. Articles were included if they (1) operationalized housing pathways as factors in nursing home utilization, (2) focused on long-term nursing home utilization, (3) used data after 1999, and (4) were based in the United States. The quality of articles was assessed and constant-comparative approach guided data synthesis. Results Sixteen articles met inclusion criteria. Three themes were identified describing housing's influence on nursing home utilization: (1) Housing as Financial Asset vs Strain represents how housing operates as either a protective financial asset or a financial strain that can act as a risk factor for nursing home use; (2) (Mis)match Between Needs and Housing represents how evolving functional needs create misalignments with housing environments, potentially leading to nursing home use; (3) Compounding Systemic Inequities represents how socioeconomic disparities related to housing contribute to risk of nursing home utilization among marginalized communities. Conclusions and Implications This review provides evidence of the relationship between housing and nursing home utilization; however, because of a weak quality of evidence and limited methodologic diversity, more research is needed to strengthen the evidence base. Clinicians, researchers, and policy makers should still recognize the significance of the role housing plays in nursing home utilization and target policies and interventions toward improving housing conditions for older adults and people with disabilities.
Metrics
1 Record Views
Details
- Title
- How Housing Influences Nursing Home Utilization in the United States: An Integrative Review
- Creators
- Marissa Bergh (Corresponding Author) - New York UniversityAbraham A. Brody - New York UniversityTina R. Sadarangani - New York UniversitySafiyyah Okoye - Drexel UniversityJasmine Travers Altizer - New York University
- Publication Details
- Journal of the American Medical Directors Association, v 27(3), 106077
- Publisher
- Elsevier
- Grant note
- National Institute on Aging (http://data.elsevier.com/vocabulary/SciValFunders/100000049) K76 AG074922 / Robert Wood Johnson Foundation (http://data.elsevier.com/vocabulary/SciValFunders/100000867) National Institutes of Health (http://data.elsevier.com/vocabulary/SciValFunders/100000002) K23AG071948; K01AG080072; 77872 / National Institutes of Health (http://data.elsevier.com/vocabulary/SciValFunders/100000002) Robert Wood Johnson Foundation (http://data.elsevier.com/vocabulary/SciValFunders/100000867)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel FIRST (Center for Firefighter Injury Research and Safety Trends); Doctoral Nursing; Health Management and Policy
- Web of Science ID
- WOS:001681796000001
- Scopus ID
- 2-s2.0-105028956774
- Other Identifier
- 991022196569204721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
Source: SDGs in the Output
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology