Unstable Housing and Diabetes-Related Emergency Department Visits and Hospitalization: A Nationally Representative Study of Safety-Net Clinic Patients

Diabetes Care
Seth A BerkowitzTravis P Baggett

Abstract

Homelessness is associated with worse diabetes outcomes, but the relationship between other forms of unstable housing and diabetes is not well studied. We assessed whether unstable housing was associated with increased risk for diabetes-related emergency department use or hospitalization. We used data from the 2014 Health Center Patient Survey (HCPS), a cross-sectional, nationally representative survey of patients who receive care at federally funded safety-net health centers. We included nonhomeless adults (aged ≥18 years) with self-reported diabetes. Unstable housing was defined as not having enough money to pay rent or mortgage, moving two or more times in the past 12 months, or staying at a place one does not own or rent. The primary outcome was self-report of diabetes-related emergency department visit or inpatient hospitalization in the last 12 months. We also examined use of housing assistance. Of 1,087 participants, representing 3,277,165 adults with diabetes, 37% were unstably housed. Overall, 13.7% of participants reported a diabetes-related emergency department visit or hospitalization in the past year. In logistic regression analyses adjusted for multiple potential confounders, unstable housing was associated with g...Continue Reading

References

Dec 25, 2009·The Journal of Nutrition·Hilary K SeligmanMargot B Kushel
Jul 13, 2011·Archives of Internal Medicine·Hilary K SeligmanAlicia Fernandez
Nov 15, 2011·Journal of Health Care for the Poor and Underserved·Maya VijayaraghavanAlicia Fernandez
Jan 3, 2012·Diabetes Care·Hilary K SeligmanAlicia Fernandez
Jun 13, 2013·Diabetes Care·Seth A BerkowitzChristina C Wee
Feb 19, 2015·The New England Journal of Medicine·Nancy E Adler, William W Stead
Sep 4, 2015·Public Health Nutrition·Victoria L MayerJudith A Long
Jan 6, 2016·The New England Journal of Medicine·Dawn E AlleyDarshak M Sanghavi
Jul 14, 2016·Public Health Nutrition·Matthew M IppolitoHilary Kessler Seligman
Oct 21, 2016·Journal of General Internal Medicine·R Neal AxonLeonard E Egede
Jul 17, 2016·Current Diabetes Reports·Utibe R EssienSeth A Berkowitz
Dec 17, 2016·Diabetes Care·UNKNOWN American Diabetes Association
May 23, 2017·Journal of Health Care for the Poor and Underserved·Michelle L QuensellTetine L Sentell
Jul 10, 2017·American Journal of Preventive Medicine·Laura M GottliebNancy E Adler
Jul 12, 2017·Annals of Internal Medicine·Tyler J VanderWeele, Peng Ding
Aug 8, 2017·JAMA Internal Medicine·Arlene S AshMelissa A Clark

❮ Previous
Next ❯

Citations

Oct 6, 2018·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Rachel A BlairMarie E McDonnell
Sep 7, 2019·Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship·Kelley Newlin LewThuy Nguyen
Jul 17, 2018·Current Diabetes Reports·Shivani AgarwalAshley Butler
Apr 22, 2018·Diabetes Care·Matthew C Riddle, William H Herman
Nov 4, 2020·Diabetes Care·Felicia Hill-BriggsDebra Haire-Joshu
Jun 20, 2020·SSM - Population Health·Sungwoo LimStephanie Farquhar
Jan 21, 2021·Journal of Primary Care & Community Health·Earle C ChambersNicole Hollingsworth
Nov 6, 2020·Current Diabetes Reports·Minal R Patel
May 15, 2021·Population Health Management·Amy McQueenMatthew Kreuter
Jun 4, 2021·The Science of Diabetes Self-management and Care·Sarah A StotzSeth A Berkowitz
Jul 2, 2021·Preventive Medicine Reports·Elliott BradyJennifer Woodward
Dec 7, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Molly Finnan, Shivani Agarwal

❮ Previous
Next ❯

Related Concepts

Related Feeds

American Diabetes Association Journals

Discover the latest diabetes research published by the journals from the American Diabetes Association.