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Peer-reviewedCC BYPreventive medicine reports

Social and environmental factors impacting the health in adults experiencing episodic homelessness in Houston, Texas.

  • Neki Yazdi1
  • Laura Porterfield2
  • Namita Bhardwaj2
  • Kendall M Campbell2
  • Truong Lam3
  • Emily Rodgers4
  • Geraldo Hernandez5
  • Audrey Nath2
5 affiliations
  1. 1University of Pennsylvania, Philadelphia, PA, United States of America.
  2. 2University of Texas Medical Branch, Galveston, TX, United States of America.
  3. 3MD Anderson Cancer Center, Houston, TX, United States of America.
  4. 4McGovern Medical School, Houston, TX, United States of America.
  5. 5University of Houston-Clear Lake, Houston, TX, United States of America.
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Abstract

While poorer health outcomes have been established in people experiencing episodic homelessness in the United States, there is a gap in understanding of the effects of other non-medical factors, such as employment, transportation access, and food insecurity, on health outcomes in this population. This was an observational study with data collected by in-person and phone interviews, involving 40 adults experiencing episodic homelessness in the greater Houston area from September 2024 through July 2025. Lack of reliable food access showed a trend towards a significant association with self-described health status (p = 0.05), with participants with limited access to food more likely to report poor health (30.00%) than those with reliable food access (5.56%). Employment status showed a significant association with having reliable food access (p = 0.03), with participants with limited access to food more likely to report having no employment (85.71%) than those with reliable food access (52.94%). Transportation access and gross financial status did not show any association with food access. In individuals experiencing episodic homelessness in the Houston area, reliable food access had a trend towards a significant association with self-reported health status, and having employment was significantly associated with reliable food access.

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Cite

BibTeXRIS
BibTeX
@article{yazdi2026social,
  title = {{Social and environmental factors impacting the health in adults experiencing episodic homelessness in Houston, Texas.}},
  author = {Neki Yazdi and Laura Porterfield and Namita Bhardwaj and Kendall M Campbell and Truong Lam and Emily Rodgers and Geraldo Hernandez and Audrey Nath},
  journal = {Preventive medicine reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.pmedr.2026.103681},
  url = {https://europepmc.org/article/MED/42997032},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Social and environmental factors impacting the health in adults experiencing episodic homelessness in Houston, Texas.
AU  - Neki Yazdi
AU  - Laura Porterfield
AU  - Namita Bhardwaj
AU  - Kendall M Campbell
AU  - Truong Lam
AU  - Emily Rodgers
AU  - Geraldo Hernandez
AU  - Audrey Nath
PY  - 2026
DA  - 2026/10/23
JO  - Preventive medicine reports
DO  - 10.1016/j.pmedr.2026.103681
UR  - https://europepmc.org/article/MED/42997032
AB  - While poorer health outcomes have been established in people experiencing episodic homelessness in the United States, there is a gap in understanding of the effects of other non-medical factors, such as employment, transportation access, and food insecurity, on health outcomes in this population. This was an observational study with data collected by in-person and phone interviews, involving 40 adults experiencing episodic homelessness in the greater Houston area from September 2024 through July 2025. Lack of reliable food access showed a trend towards a significant association with self-described health status (p = 0.05), with participants with limited access to food more likely to report poor health (30.00%) than those with reliable food access (5.56%). Employment status showed a significant association with having reliable food access (p = 0.03), with participants with limited access to food more likely to report having no employment (85.71%) than those with reliable food access (52.94%). Transportation access and gross financial status did not show any association with food access. In individuals experiencing episodic homelessness in the Houston area, reliable food access had a trend towards a significant association with self-reported health status, and having employment was significantly associated with reliable food access.
SN  - 2211-3355
ER  -