Association Between Housing Affordability and Severe Maternal Morbidity

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Abstract
In 2019, median housing costs grew faster than median household incomes for the eighth year in a row, contributing to an ongoing housing affordability crisis in the US.1 Nationwide, 37.1 million households are considered housing cost burdened, meaning that they spend more than 30% of their income on housing.1 Women, particularly those of reproductive age with low incomes or educational attainment, have disproportionately high rates of housing cost burden.1-3 Pregnancy and childbirth are associated with declines in income at a time when housing needs have increased, further exacerbating housing cost burden.4,5 In 2019, 57% of women with less than a high school education who gave birth in the past year were burdened by housing costs; this figure is 43% higher than that of women with similar educational attainment who did not give birth.3

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