Citation
Chambers, Earle C.; Hua, Simin; Lin, Juan; Kim, Ryung S.; Youngblood, Marston E.; Perreira, Krista M.; Gallo, Linda C.; Giachello, Aida L.; Kaplan, Robert; & Crespo-Figueroa, Madeline, et al. (2023). Doubled-up Households, Self-Management Behaviors, Diabetes Preventive Care Services, and Hospital Use in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) 2015-2020. Diabetes Care, 46(2), 455-462. PMCID: PMC9887630Abstract
OBJECTIVE: We investigated associations of living in a doubled-up household (i.e., adults living with adult children, other related adults, or other unrelated adults) with diabetes self-management behaviors, occurrence of diabetes preventive care services, and hospital use by Hispanic/Latino adults with diabetes.RESEARCH DESIGN AND METHODS: We analyzed data from the second clinical visit (2014-2017) through subsequent annual follow-up interviews completed through January 2020 of all participants with diabetes in the Hispanic Community Health Study/Study of Latinos. Multivariable regression was used to test associations between doubled-up status with diabetes self-management behaviors (i.e., checking blood glucose level, checking feet for sores), diabetes preventive care services done by a doctor (i.e., dilated-eye examination, feet checked, hemoglobin A1c measured, urine analysis for kidney function), and hospital use (i.e., emergency department [ED] visits and hospitalizations).
RESULTS: Hispanic/Latino adults living doubled up were less likely to have their urine checked by a doctor for kidney disease compared with adults not in doubled-up households. Doubled-up status was not associated with diabetes self-management behaviors. Adults living doubled up in a household with other related adults had a 33% increased risk of ED visits compared with adults living doubled up in a household with adult children.
CONCLUSIONS: Health care settings where Hispanic/Latino adults with diabetes receive trusted care should add housing characteristics such as doubled-up status to social-needs screening to identify residents in need of connecting with housing or social services and more targeted diabetes management services.
URL
http://dx.doi.org/10.2337/dc22-1477Reference Type
Journal ArticleYear Published
2023Journal Title
Diabetes CareAuthor(s)
Chambers, Earle C.Hua, Simin
Lin, Juan
Kim, Ryung S.
Youngblood, Marston E.
Perreira, Krista M.
Gallo, Linda C.
Giachello, Aida L.
Kaplan, Robert
Crespo-Figueroa, Madeline
O'Brien, Matthew J.
Gellman, Marc D.
Isasi, Carmen R.