{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T11:47:54Z","timestamp":1788868074205,"version":"build-2803163510"},"reference-count":54,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Tufts University, Office of the Provost, Tufts Collaborates Seed Grant Program"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Housing is a social determinant of health. In 2015, a lottery assigned low-income families from a waitlist to a new subsidized building (NSB) in Chinatown, Boston, MA. In 2019\u20132020, we explored associations between housing status (NSB or being on waitlist) and self-rated physical and mental health; household food insecurity (FI); weekly consumption of fruits\/vegetables (FV), weekly consumption of soda, and monthly consumption of fast food. Methods: Surveys were sent to NSB (n = 95) and waitlist (n = 2498) households. Logistic and linear regressions explored associations between housing status and outcomes of interest. Models were adjusted for age, sex, Asian background, household size, education, income, employment and distance to the closest food store. Results: A total of 138 respondents completed the survey (NSB = 36, waitlist = 102). Groups were demographically similar. In terms of self-reported health, most respondents reported good\/better physical health (Waitlist: 62%, NSB: 60%) and good\/better mental health (Waitlist: 68%, NSB: 74%). FI was prevalent among both waitlist households (63%) and NSB households (56%). FV intake was similar among NSB households (13.5 times\/week) compared to waitlist households (12.8 times\/week). The NSB group reported similar soda consumption (1.7 times\/week) compared to the waitlist group (2.3 times\/week), along with similar fast-food consumption (NSB: 2.7 times\/month, Waitlist: 3.7 times\/month). We found no statistically significant associations between housing status and outcomes of interest after adjusting for covariates. Conclusions: In this small sample, outcomes were not significantly different between groups. Future studies should explore mechanisms through which NSB residence affects nutrition and health, particularly in minority populations.<\/jats:p>","DOI":"10.3390\/nu18060878","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:43:31Z","timestamp":1773132211000},"page":"878","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nutrition-Related and Self-Rated Health Outcomes Among Lottery-Assigned Residents and Individuals Waitlisted for Subsidized Rental Units in Chinatown, Boston, MA"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6020-2817","authenticated-orcid":false,"given":"Ana","family":"Maafs-Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7880-9040","authenticated-orcid":false,"given":"Mehreen","family":"Ismail","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA"},{"name":"U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC 20233, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6418-0416","authenticated-orcid":false,"given":"Jennifer","family":"Pustz","sequence":"additional","affiliation":[{"name":"Department of Public Health & Community Medicine, School of Medicine, Tufts University, 136 Harrison Avenue, Boston, MA 02111, USA"},{"name":"Office of Student Wellness, School of Medicine, Tufts University, 136 Harrison Avenue, Boston, MA 02111, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3802-4075","authenticated-orcid":false,"given":"Laurie","family":"Goldman","sequence":"additional","affiliation":[{"name":"Graduate School of Arts and Sciences, Urban and Environmental Policy and Planning, Tufts University, 503 Boston Avenue, Medford, MA 02155, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7175-8482","authenticated-orcid":false,"given":"Peter","family":"Levine","sequence":"additional","affiliation":[{"name":"Jonathan Tisch College of Civic Life, Tufts University, 163 Packard Avenue, Medford, MA 02155, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angie","family":"Liou","sequence":"additional","affiliation":[{"name":"Asian Community Development Corporation, 38 Oak Street, Boston, MA 02111, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1795-7557","authenticated-orcid":false,"given":"Virginia","family":"Chomitz","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA"},{"name":"Department of Public Health & Community Medicine, School of Medicine, Tufts University, 136 Harrison Avenue, Boston, MA 02111, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1111\/roiw.12341","article-title":"Housing and Health","volume":"65","author":"Angel","year":"2019","journal-title":"Rev. Income Wealth"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.acap.2019.04.004","article-title":"The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families","volume":"19","author":"Bottino","year":"2019","journal-title":"Acad. Pediatr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1080\/19491247.2022.2037175","article-title":"A systematic review of the relationship between publicly subsidised housing, depression, and anxiety among low-Income households","volume":"23","author":"Dweik","year":"2022","journal-title":"Int. J. Hous. Policy"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Bhat, A.C., Fenelon, A., and Almeida, D.M. (2025). Housing insecurity pathways to physiological and epigenetic manifestations of health among aging adults: A conceptual model. Front. Public Health, 13.","DOI":"10.3389\/fpubh.2025.1485371"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Rolfe, S., Garnham, L., Godwin, J., Anderson, I., Seaman, P., and Donaldson, C. (2020). Housing as a social determinant of health and wellbeing: Developing an empirically-informed realist theoretical framework. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09224-0"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"112571","DOI":"10.1016\/j.socscimed.2019.112571","article-title":"Housing as a determinant of health equity: A conceptual model","volume":"243","author":"Swope","year":"2019","journal-title":"Soc. Sci. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"100967","DOI":"10.1016\/j.ajpc.2025.100967","article-title":"The health effects of housing instability and its association with congestive heart failure","volume":"22","author":"Novin","year":"2025","journal-title":"Am. J. Prev. Cardiol."},{"key":"ref_8","first-page":"e202","article-title":"Housing, Homelessness, and Mental Health","volume":"54","author":"Handunge","year":"2024","journal-title":"Psychiatr. Ann."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1089\/pop.2020.0154","article-title":"Prescribing Housing: A Scoping Review of Health System Efforts to Address Housing as a Social Determinant of Health","volume":"24","author":"Koeman","year":"2021","journal-title":"Popul. Health Manag."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e000089","DOI":"10.1161\/HCQ.0000000000000089","article-title":"Importance of Housing and Cardiovascular Health and Well-Being: A Scientific Statement from the American Heart Association","volume":"13","author":"Sims","year":"2020","journal-title":"Circ. Cardiovasc. Qual. Outcomes"},{"key":"ref_11","unstructured":"Maqbool, N., Viveiros, J., and Ault, M. (2015). The Impacts of Affordable Housing on Health: A Research Summary. INSIGHTS from Housing Policy Research, Center for Housing Policy."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"103383","DOI":"10.1016\/j.healthplace.2024.103383","article-title":"Housing for care, connection, and health equity","volume":"90","author":"Holtan","year":"2024","journal-title":"Health Place"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Gu, K.D., Faulkner, K.C., and Thorndike, A.N. (2023). Housing instability and cardiometabolic health in the United States: A narrative review of the literature. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-15875-6"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1146\/annurev-publhealth-071521-111836","article-title":"Review of the Impact of Housing Quality on Inequalities in Health and Well-Being","volume":"44","author":"Bennett","year":"2023","journal-title":"Annu. Rev. Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"590","DOI":"10.2105\/AJPH.2009.185652","article-title":"A framework for public health action: The health impact pyramid","volume":"100","author":"Frieden","year":"2010","journal-title":"Am. J. Public Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"521","DOI":"10.3122\/jabfm.2019.04.180374","article-title":"Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care","volume":"32","author":"Martin","year":"2019","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Ahmad, K., Erqou, S., Shah, N., Nazir, U., Morrison, A., Choudhary, G., and Wu, W.-C. (2020). Association of poor housing conditions with COVID-19 incidence and mortality across US counties. PLoS ONE, 15.","DOI":"10.1101\/2020.05.28.20116087"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e2335534","DOI":"10.1001\/jamanetworkopen.2023.35534","article-title":"Neighborhood Characteristics and Elevated Blood Pressure in Older Adults","volume":"6","author":"Sims","year":"2023","journal-title":"JAMA Netw. Open"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.2105\/AJPH.93.9.1576","article-title":"Moving to Opportunity: An Experimental Study of Neighborhood Effects on Mental Health","volume":"93","author":"Leventhal","year":"2003","journal-title":"Am. J. Public Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1353\/hpu.2021.0141","article-title":"Subsidized Housing and Health: An Exploratory Study Examining Resident Perspectives on Community Health and Access to Care","volume":"32","author":"Pomeroy","year":"2021","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3591","DOI":"10.1080\/07448481.2023.2185454","article-title":"Social determinants of mental health: The roles of traumatic events, financial strain, housing instability, food insecurity, and commute time","volume":"72","author":"Walker","year":"2024","journal-title":"J. Am. Coll. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1525-1497.2005.00278.x","article-title":"Housing instability and food insecurity as barriers to health care among low-income Americans","volume":"21","author":"Kushel","year":"2006","journal-title":"J. Gen. Intern. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s12939-019-1114-z","article-title":"Homeownership status and risk of food insecurity: Examining the role of housing debt, housing expenditure and housing asset using a cross-sectional population-based survey of Canadian households","volume":"19","author":"Tarasuk","year":"2020","journal-title":"Int. J. Equity Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1017\/age.2022.12","article-title":"Housing wealth, food spending, and diet quality: Evidence from panel data","volume":"51","author":"Zhang","year":"2022","journal-title":"Agric. Resour. Econ. Rev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jand.2020.08.081","article-title":"Bidirectional Relationship Between Food Insecurity and Housing Instability","volume":"121","author":"Lee","year":"2021","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/fcsr.12454","article-title":"Housing Instability, Food Insecurity, and Barriers to Healthy Eating","volume":"51","author":"Chang","year":"2022","journal-title":"Fam. Consum. Sci. Res. J."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Lee, S.H. (2022). Adults Meeting Fruit and Vegetable Intake Recommendations\u2014United States 2019. Morbidity and Mortality Weekly Report, CDC.","DOI":"10.15585\/mmwr.mm7101a1"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Ou, J.Y., Peters, J.L., Levy, J.I., Bongiovanni, R., Rossini, A., and Scammell, M.K. (2018). Self-rated health and its association with perceived environmental hazards, the social environment, and cultural stressors in an environmental justice population. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5797-7"},{"key":"ref_29","first-page":"109","article-title":"The Long-Term Effects of Moving to Opportunity on Adult Health and Economic Self-Sufficiency","volume":"14","author":"Sanbonmatsu","year":"2012","journal-title":"Cityscape"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4278\/ajhp.121009-QUAN-492","article-title":"Patterns and predictors of health behaviors among racially\/ethnically diverse residents of low-income housing developments","volume":"29","author":"Harley","year":"2014","journal-title":"Am. J. Health Promot."},{"key":"ref_31","unstructured":"Chan, P., Gossage, A., Ho, G., Huang, C., Shen Kuo, J., Lee, S., Lee, T., Liou, A., Lowe, L., and Tsoi, T. (2020). 2020 Boston Chinatown Master Plan, Asian Community Development Corporation."},{"key":"ref_32","unstructured":"Asian Community Development Corporation (2025, December 19). Available online: https:\/\/asiancdc.org\/."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"131S","DOI":"10.1177\/1524839921996336","article-title":"Arts, Culture, and Creativity as a Strategy for Countering the Negative Social Impacts of Immigration Stress and Gentrification","volume":"22","author":"Rubin","year":"2021","journal-title":"Health Promot. Pract."},{"key":"ref_34","unstructured":"South Cove Community Health Center (2025, December 19). Available online: https:\/\/scchc.org\/."},{"key":"ref_35","unstructured":"Chinese Progressive Association (2025, December 19). Available online: https:\/\/cpaboston.org\/about\/."},{"key":"ref_36","unstructured":"BCNC (2025, December 19). BCNC Strengthening New Immigrant Families. Available online: https:\/\/bcnc.net\/."},{"key":"ref_37","unstructured":"Buddhist Tzu Chi Foundation (2026). Tzu Chi USA Boston Service Center Food Pantry, Tzu Chi USA Northeast Region. Available online: https:\/\/tzuchi.us\/events\/boston-food-pantry."},{"key":"ref_38","unstructured":"Mass.gov (2025, December 19). SNAP Outreach Partners, Available online: https:\/\/www.mass.gov\/info-details\/snap-outreach-partners#:~:text=Table_title:%20Find%20SNAP%20outreach%20partners%20in%20your,Children%2C%20teens%2C%20adults%2C%20families%2C%20and%20seniors%20%7C."},{"key":"ref_39","unstructured":"Mass.gov (2025, December 19). WIC Information for Participants Locations, Available online: https:\/\/www.mass.gov\/wic-information-for-participants\/locations?icons=All&helper=Boston%2C+MA+02115%2C+USA&lat=42.339904&lng=-71.0898892."},{"key":"ref_40","unstructured":"Bokksu Market (2025, December 19). Where Can You Find the Best Asian Food Markets in Boston?. Available online: https:\/\/bokksumarket.com\/blogs\/magazine\/where-can-you-find-the-best-asian-food-markets-in-boston?srsltid=AfmBOooWB1satRITbFg2KRseuCcQl6OW1gvxkFCsZyJqJ-O7CHfAjd9x."},{"key":"ref_41","unstructured":"Massachusetts Bay Transportation Authority (2025, December 19). Routes. Available online: https:\/\/www.mbta.com\/."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and ItemSelection","volume":"30","author":"Ware","year":"1992","journal-title":"Med. Care"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s11113-021-09642-x","article-title":"Acculturation and Self-rated Health Among Asian Immigrants: The Role of Gender and Age","volume":"41","author":"Kim","year":"2021","journal-title":"Popul. Res. Policy Rev."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1007\/s40615-021-01068-7","article-title":"Factors Associated with Mental Health Help-Seeking Among Asian Americans: A Systematic Review","volume":"9","author":"Kim","year":"2022","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_45","first-page":"379","article-title":"Assessment of Households\u2019 Food Insecurity through use of a USDA Questionnaire","volume":"4","author":"Abbasi","year":"2016","journal-title":"Adv. Plants Agric. Res."},{"key":"ref_46","unstructured":"USDA Economic Research Service (2025, December 19). Food Security in the U.S.\u2014Survey Tools, Available online: https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-us\/survey-tools#household."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1017\/S1368980017000180","article-title":"Brief assessment of food insecurity accurately identifies high-risk US adults","volume":"20","author":"Gundersen","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/j.jand.2023.01.007","article-title":"Measuring Food Security in the United States for More Than 25 years: History, Methods, Findings, and Opportunities","volume":"123","author":"Arteaga","year":"2023","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1017\/S1368980014000160","article-title":"Development of a conceptually equivalent Chinese-language translation of the US Household Food Security Survey Module for Chinese immigrants to the USA","volume":"18","author":"Kwan","year":"2015","journal-title":"Public Health Nutr."},{"key":"ref_50","unstructured":"Centre for Health Policy and Research (2025, December 19). California Health Interview Survey (CHIS). Available online: https:\/\/healthpolicy.ucla.edu\/our-work\/california-health-interview-survey-chis."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e10058","DOI":"10.7717\/peerj.10058","article-title":"Neighbourhood socioeconomic characteristics and blood pressure among Jamaican youth: A pooled analysis of data from observational studies","volume":"8","author":"Ferguson","year":"2020","journal-title":"PeerJ"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1136\/jech-2016-207249","article-title":"How do individual-level sociodemographics and neighbourhood-level characteristics influence residential location behaviour in the context of the food and built environment? Findings from 25 years of follow-up in the CARDIA Study","volume":"71","author":"Rummo","year":"2017","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/phn.12311","article-title":"The Role of SNAP in Home Food Availability and Dietary Intake among WIC Participants Facing Unstable Housing","volume":"34","author":"Bruening","year":"2017","journal-title":"Public Health Nurs."},{"key":"ref_54","unstructured":"StataCorp LLC (2025). Stata Statistical Software: Release 15, Stata Corp."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/6\/878\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T09:00:05Z","timestamp":1773133205000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/6\/878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":54,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["nu18060878"],"URL":"https:\/\/doi.org\/10.3390\/nu18060878","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}