Housing hardship is associated with lower access to healthcare We next examine how housing hardship relates to healthcare use among high-need New Yorkers. High- need individuals who experienced housing hardship were more likely to delay or go without physical health- care than those with stable housing (Figure 4). During the peak period, high-need New Yorkers with persistent housing hardship were 30 percentage points more likely to delay or go without physical healthcare than those with stable housing, and 15 percentage points more likely than those experiencing some hardship. This gradient by hardship level continued into the waning period, with those facing persistent hardship continuing to exhibit the highest rates of delayed or forgone care even though they experienced some decline from the peak to the waning period. High-need New Yorkers with housing hardship were more likely to delay or forgo physical healthcare than those with stable housing. Figure 4 Figure 6: As the pandemic waned, a growing share of high-need New Yorkers reported difficulty getting to their last healthcare appointment.
Stable Housing Some Housing Hardship Persistent Housing Hardship
70%
60%
50%
40%
29%
30%
22%
21%
19%
20%
14%
10%
10%
Peak (2021 - 2022)
Waning (2023 - 2024)
Source:Poverty Tracker longitudinal survey data, cohorts three, four, and five. High-need refers to New Yorkers with high healthcare needs, such as multiple chronic health conditions, serious psychological distress, or a work-limiting health condition. Source: Poverty Tracker longitudinal survey data, cohorts three, four, and five. High-need refers to New Yorkers with high healthcare needs, such as multiple chronic health conditions, serious psychological distress, or a work-limiting health condition. Note: Results are among high-need New Yorkers who reported needing physical healthcare.
HOW HOUSING IS LINKED TO HEALTHCARE ACCESS AMONG NEW YORKERS SINCE THE PANDEMIC 10
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