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.

Autor:	Chambers EC; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY.; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., Hua S; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., Lin J; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., Kim RS; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., Youngblood ME; Department of Social Medicine, University of North Carolina, Chapel Hill, NC., Perreira KM; Department of Social Medicine, University of North Carolina, Chapel Hill, NC., Gallo LC; Department of Psychology, San Diego State University, San Diego, CA., Giachello AL; Department of Preventive Medicine, Northwestern University, Chicago, IL., Kaplan R; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., Crespo-Figueroa M; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY., O'Brien MJ; Department of Preventive Medicine, Northwestern University, Chicago, IL., Gellman MD; Behavioral Medicine Research Center, Department of Psychology, University of Miami, Miami, FL., Isasi CR; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Jazyk:	angličtina
Zdroj:	Diabetes care [Diabetes Care] 2023 Feb 01; Vol. 46 (2), pp. 455-462.
DOI:	10.2337/dc22-1477
Abstrakt:	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. (© 2023 by the American Diabetes Association.)
Databáze:	MEDLINE
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