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Virginia Value:
Percentage of households for which housing costs are 30% or more of household income
Virginia Rank:
Additional Measures:
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Appears In:
US Value: 31.9%
Top State(s): West Virginia: 20.9%
Bottom State(s): California: 41.1%
Definition: Percentage of households for which housing costs are 30% or more of household income
Data Source and Years(s): U.S. Census Bureau, American Community Survey, 2023
Suggested Citation: America's Health Rankings analysis of U.S. Census Bureau, American Community Survey, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Households are considered cost-burdened when housing costs — such as rent or mortgage payments — comprise more than 30% of household income. High rent burdens can strain household budgets and cause individuals to fall behind on bills or debt payments. Cost-burdened households may have difficulty affording other basic necessities such as health care, food, utility bills and transportation to work or school.
Families that struggle to afford housing may face eviction, foreclosure and homelessness. Households with housing instability are exposed to increased stress that affects physical and mental health. One study found that living in unaffordable housing is associated with hypertension and arthritis, as well as poorer self-rated physical and mental health.
The median rent for newly-leased units in the United States increased nearly 32% between 2017 and 2022, with most of that increase occurring in 2021 and 2022.
According to America’s Health Rankings analysis, the prevalence of cost-burdened households is higher among:
Additional research has found that cost burden is also higher among:
Rental assistance and income support programs are essential to promoting equitable housing opportunities. Increasing the existing housing supply can keep housing costs down and benefit all households regardless of income level.
County Health Rankings & Roadmaps has identified strategies for improving access to and affordability of housing from the community to the federal level. Rental vouchers, subsidized housing and utility assistance programs can help cost-burdened individuals afford safe and healthy housing:
Healthy People 2030 has a goal to reduce the proportion of families that spend more than 30% of their income on housing.
Braveman, Paula, Mercedes Dekker, Susan Egerter, Tabashir Sadegh-Nobari, and Craig Pollack. “Housing and Health.” Issue Brief #7: Exploring the Social Determinants of Health. Robert Wood Johnson Foundation Commission to Build a Healthier America, May 2011. https://www.rwjf.org/en/library/research/2011/05/housing-and-health.html.
Gibson, Marcia, Mark Petticrew, Clare Bambra, Amanda J. Sowden, Kath E. Wright, and Margaret Whitehead. “Housing and Health Inequalities: A Synthesis of Systematic Reviews of Interventions Aimed at Different Pathways Linking Housing and Health.” Health & Place 17, no. 1 (January 2011): 175–84. https://doi.org/10.1016/j.healthplace.2010.09.011.
Swope, Carolyn B., and Diana Hernández. “Housing as a Determinant of Health Equity: A Conceptual Model.” Social Science & Medicine 243 (December 2019): 112571. https://doi.org/10.1016/j.socscimed.2019.112571.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.