Housing Instability and Type 2 Diabetes Outcomes DOI Creative Commons
Seth A. Berkowitz,

Aileen Ochoa,

Marlena L. Kuhn

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(4), P. e254852 - e254852

Published: April 14, 2025

Importance Housing instability may worsen control of type 2 diabetes outcomes. Objective To estimate the association between stable vs unstable housing and Design, Setting, Participants This cohort study analyzed electronic health record data adults with from US community-based centers June 2016 to April 2023. Targeted minimum loss estimation was used examine having not subsequent outcomes, adjusting for age, date assessment, sex, race ethnicity (social constructs that indicate experience racism), language, comorbidities, insurance, income, census-tract level social vulnerability index. Analyses were conducted July 2023 September 2024. Exposure Report stability or instability. Main Outcomes Measures Mean hemoglobin A 1c (HbA ) primary outcome; secondary outcomes included systolic diastolic blood pressure (SBP DBP) low-density lipoprotein (LDL) cholesterol. The time point 12 months after initial points at 6, 18, 24, 30, 36 months. Results total 90 233 individuals (mean [SD] 55.4 [13.7] years; 50 772 female [56.3%]; 25 602 Black [28.4%], 27 277 Hispanic [31.4%], 51 720 White [57.3%]); 28 784 (31.9%) had a language other than English, 15 713 (17.4%) reported Prior first mean (SD) HbA 7.64% (1.94%), SBP 130.0 (13.5) mm Hg, DBP 78.2 (7.8) LDL cholesterol 101.1 (35.2) mg/dL. We estimated all experienced housing, compared would have been 0.12% lower (95% CI, −0.16% −0.07%; P < .001), 0.77 Hg −1.14 −0.39 Hg; 0.27 −0.49 −0.06 = .01), but (estimated difference, −1.46 mg/dL, 95% −2.96 mg/dL 0.03 mg/dL; .05) months, numerically similar results points. Conclusions Relevance In this study, associated small differences in outcomes; combining interventions be needed improve more substantially.

Language: Английский

Transportation Barriers and Diabetes Outcomes: A Longitudinal Analysis DOI Creative Commons
Seth A. Berkowitz,

Aileen Ochoa,

Myklynn LaPoint

et al.

Journal of Primary Care & Community Health, Journal Year: 2025, Volume and Issue: 16

Published: Jan. 1, 2025

Objective: To estimate associations between transportation barriers and diabetes outcomes. Methods: Longitudinal cohort study; 86 977 adults with type 2 mellitus in community-based health centers were assessed for barriers, up to 36 months of follow-up after initial assessment. We compared scenarios which individuals did not experience they did, differences mean hemoglobin a1c (HbA1c), systolic diastolic blood pressure (SBP DBP), LDL cholesterol. For analysis, we used targeted minimum loss estimation at the following timepoints barrier assessment: 12 (primary), 6, 18, 24, 30, months. The study period was June 2016 April 2023. Results: estimated that if participants HbA1c would have been 0.09% lower (95% CI = −0.14% −0.04%, P .0002) months, a scenario barriers. These results similar other time points. also absence associated with, SBP (−0.6mm Hg, 95% −1.0mm Hg −0.2mm .004) DBP (−0.3mm −0.5mm −0.1mm .02), but (−1.1mg/dL, −2.6 mg/dL 0.5 mg/dL, .19). Results points SBP, DBP, outcomes similar. Conclusions: Absence slightly A1c pressure, small magnitude suggests addressing factors may be needed improve more meaningfully.

Language: Английский

Citations

0
Housing Instability and Type 2 Diabetes Outcomes DOI Creative Commons
Seth A. Berkowitz,

Aileen Ochoa,

Marlena L. Kuhn

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(4), P. e254852 - e254852

Published: April 14, 2025

Importance Housing instability may worsen control of type 2 diabetes outcomes. Objective To estimate the association between stable vs unstable housing and Design, Setting, Participants This cohort study analyzed electronic health record data adults with from US community-based centers June 2016 to April 2023. Targeted minimum loss estimation was used examine having not subsequent outcomes, adjusting for age, date assessment, sex, race ethnicity (social constructs that indicate experience racism), language, comorbidities, insurance, income, census-tract level social vulnerability index. Analyses were conducted July 2023 September 2024. Exposure Report stability or instability. Main Outcomes Measures Mean hemoglobin A 1c (HbA ) primary outcome; secondary outcomes included systolic diastolic blood pressure (SBP DBP) low-density lipoprotein (LDL) cholesterol. The time point 12 months after initial points at 6, 18, 24, 30, 36 months. Results total 90 233 individuals (mean [SD] 55.4 [13.7] years; 50 772 female [56.3%]; 25 602 Black [28.4%], 27 277 Hispanic [31.4%], 51 720 White [57.3%]); 28 784 (31.9%) had a language other than English, 15 713 (17.4%) reported Prior first mean (SD) HbA 7.64% (1.94%), SBP 130.0 (13.5) mm Hg, DBP 78.2 (7.8) LDL cholesterol 101.1 (35.2) mg/dL. We estimated all experienced housing, compared would have been 0.12% lower (95% CI, −0.16% −0.07%; P < .001), 0.77 Hg −1.14 −0.39 Hg; 0.27 −0.49 −0.06 = .01), but (estimated difference, −1.46 mg/dL, 95% −2.96 mg/dL 0.03 mg/dL; .05) months, numerically similar results points. Conclusions Relevance In this study, associated small differences in outcomes; combining interventions be needed improve more substantially.

Language: Английский

Citations

0