PDF(Pubmed)
Abstract：
Kidney disease disproportionately impacts people with low socioeconomic status, and low socioeconomic status is associated with worse outcomes for people with kidney disease. Unstable housing, which includes housing insecurity and homelessness, is increasing due to rising housing costs. There is mounting evidence that unstable housing and other health-related social needs are partially driving worse outcomes for people with low socioeconomic status. In this perspective, we consider the challenges to addressing housing for people with kidney disease, such as difficulty with identification of those with unstable housing, strict eligibility criteria for housing support, inadequate supply of affordable housing, and flaws in communities\' prioritization of affordable housing. We discuss ways to tailor management for people experiencing unstable housing with kidney disease, and the importance of addressing safety, trauma, and emotional concerns as a part of care. We identify opportunities for the nephrology community to surmount challenges through increased screening, investment in workforce dedicated to community resource navigation, advocacy for investment in affordable housing, restructuring of communities\' prioritization of affordable housing, and conducting needed research. Identifying and addressing housing needs among people with kidney disease is critical to eliminating kidney health disparities.
摘要：
肾脏疾病不成比例地影响社会经济地位低的人，低社会经济地位与肾病患者的不良预后相关。住房不稳定,其中包括住房不安全和无家可归，由于住房成本上涨而增加。越来越多的证据表明，不稳定的住房和其他与健康相关的社会需求在一定程度上推动了社会经济地位低下的人的更糟糕的结果。从这个角度来看,我们考虑为肾病患者解决住房问题的挑战，例如难以识别住房不稳定的人，严格的住房支持资格标准，经济适用房供应不足,以及社区优先考虑经济适用房的缺陷。我们讨论了为患有肾脏疾病的不稳定住房的人量身定制管理的方法，以及解决安全问题的重要性，创伤,和情感问题作为护理的一部分。我们为肾脏病界确定了通过增加筛查来克服挑战的机会，对致力于社区资源导航的劳动力的投资，倡导对经济适用房的投资，社区重组“优先考虑经济适用房”，进行必要的研究。确定和解决肾病患者的住房需求对于消除肾脏健康差异至关重要。
