Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 455-462 |
| Number of pages | 8 |
| Journal | Diabetes care |
| Volume | 46 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2023 |
Funding
Funding. This work was supported by the National Heart, Lung, and Blood Institute (NHLBI) (grant R03HL140265) and National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (grants P30DK111022 and R01DK121896 to E.C.C.), and the Hispanic Community Health Study/Study of Latinos carried out as a collaborative study supported by contracts from the NHLBI to the University of North Carolina (contract N01-HC65233), University of Miami (contract N01-HC65234), Albert Einstein College of Medicine (contract N01-HC65235), North-western University (contract N01-HC65236), and San Diego State University (contract N01-HC65237). The following institutes, centers, and offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the NIDDK, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. This work was supported by the National Heart, Lung, and Blood Institute (NHLBI) (grant R03HL140265) and National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (grants P30DK111022 and R01DK121896 to E.C.C.), and the Hispanic Community Health Study/Study of Latinos carried out as a collaborative study supported by contracts from the NHLBI to the University of North Carolina (contract N01-HC65233), University of Miami (contract N01-HC65234), Albert Einstein College of Medicine (contract N01-HC65235), Northwestern University (contract N01-HC65236), and San Diego State University (contract N01-HC65237). The following institutes, centers, and offices con-tribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Dis-orders, the National Institute of Dental and Craniofacial Research, the NIDDK, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The content is solely the responsibility of the authors and does not necessarily repre-sent the official views of the National Institutes of Health.
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
- Advanced and Specialized Nursing
