Access to safe, secure, stable, and affordable housing is critically important
for the health of people and communities. Decades of research have identified the health impacts of substandard and unsafe housing and crowding on infectious and chronic diseases, lead poisoning, injuries, and mental health. In communities across the country, many families struggle to afford housing—forgoing healthy food or medical care to pay rent or mortgages, and experiencing stress at the threat of eviction or foreclosure—all impacting physical and mental health. Neighborhood factors including air and water quality, walkability, safety, and access to amenities like healthy food and recreational activities contribute to health outcomes, prompting a widely adopted understanding that one’s zip code is as important as one’s genetic code. Such neighborhood factors also contribute to other aspects of one’s community known to influence health and well-being, including trust, social cohesion, and collective efficacy.
Yet, who has access to safe, secure, and stable housing is not equitably distributed. Many people, particularly Black, Latino, and Indigenous people, often face housing inequities due to generations of discriminatory housing and lending practices, including redlining and housing segregation. Gentrification and a lack of safe and affordable housing options have contributed to displacement. Land use policies and environmental injustice have also shaped economic trajectories and opportunities for wealth-building, as lower-income individuals and families are priced out of the housing market and forced to move to lower-resourced or less-healthy communities in search of affordable housing. Such communities, however, often have fewer high-quality jobs and may lack a robust public transportation system, making employment and housing stability difficult to maintain.
This report discusses housing justice in a sample of the Sentinel Communities, including specific housing challenges individuals and communities face; how communities are addressing these challenges; the role of federal and state dollars and policies in shaping housing justice within the communities; and barriers and facilitators to housing justice locally. The report provides insight into the issues related to housing justice in these communities but is not intended to be representative of the full extent of challenges people and communities are facing or the solutions being implemented. The insights for this report come from environmental scans and stakeholder interviews conducted for the Sentinel Communities Surveillance Project.
Robert Wood Johnson Foundation, August 2022