Prevalence of food and housing insecurity among direct support professionals in New York.
This study presents the first systematic assessment of the prevalence of food and housing insecurity among Direct Support Professionals (DSPs) in New York State and its association with social determinants of health. Drawing on a statewide cross-sectional survey of 2,766 DSPs and employing chi-square tests and logistic regression analyses, the research reveals that 62.6% of respondents experience food and/or housing insecurity, with disproportionately high rates among individuals with disabilities, people of color, and those with low incomes. The findings conceptualize basic living insecurity as a critical occupational hazard and a fundamental threat to the stability of the care system. The study underscores the urgent need for policy interventions to improve DSP compensation and ensure access to basic living necessities, providing empirical evidence to inform efforts aimed at enhancing both working conditions for DSPs and the quality of care they deliver.