Supportive Housing and Its Relationship With Diabetes Diagnosis and Management Among Homeless Persons in New York City

Lim, Sungwoo; Miller‐Archie, Sara A.; Singh, Tejinder; Wu, Winfred; Walters, Sarah; Gould, L. Hannah

doi:10.1093/aje/kwz057

Cited by 19 publications

(15 citation statements)

References 36 publications

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“…The Collaborative Initiative to End Chronic Homelessness provided adults who were chronically homeless with permanent housing and supportive primary health care and mental health services (106). Placed persons were more likely to receive evaluation and management services (relative risk [RR] 1.03, 95% CI 1.01-1.04) than unplaced persons (107). Placed persons were more likely to receive HbA 1c tests (RR 1.10, 95% CI 1.02-1.19) and lipid tests (RR 1.09, 95% CI 1.02-1.17), while for those without baseline diabetes placement was associated with lower risk of new diabetes diagnoses (RR 0.87, 95% CI 0.76-0.99).…”

Section: Housingmentioning

confidence: 99%

Social Determinants of Health and Diabetes: A Scientific Review

et al. 2020

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Decades of research have demonstrated that diabetes affects racial and ethnic minority and low-income adult populations in the U.S. disproportionately, with relatively intractable patterns seen in these populations' higher risk of diabetes and rates of diabetes complications and mortality (1). With a health care shift toward greater emphasis on population health outcomes and value-based care, social determinants of health (SDOH) have risen to the forefront as essential intervention targets to achieve health equity (2-4). Most recently, the COVID-19 pandemic has highlighted unequal vulnerabilities borne by racial and ethnic minority groups and by disadvantaged communities. In the wake of concurrent pandemic and racial injustice events in the U.S.,

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Section: Housingmentioning

confidence: 99%

Social Determinants of Health and Diabetes: A Scientific Review

et al. 2020

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“… 32 , 33 Supportive housing has been shown to decrease incidence of diabetes among the persons who were previously homeless and improve diabetes management. 34 With a renewed emphasis on understanding the impact of social factors on health disparities and access to healthcare, there should be a collective commitment on devising and evaluating strategies to address them in and outside the healthcare settings especially among the very marginalized population who experience homelessness.…”

Section: Discussionmentioning

confidence: 99%

Diabetes care and its predictors among persons experiencing homelessness compared with domiciled adults with diabetes in New York City; An observational study

2022

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“…One study reported housing vouchers were associated with reductions in the prevalence of obesity and diabetes among women and children living in high-poverty areas in urban centres (33). Another study linked supportive housing placements with reductions in diabetes diagnoses and improvements in diabetes care for adults experiencing homelessness (34). Access to housing remains a priority and should be supplemented with strategies to improve access to care and prevent complications for people with chronic diseases experiencing homelessness.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of People with Type I or Type II Diabetes with and without a History of Homelessness: A Population-based Cohort Study

Wiens

Bai

Austin

et al. 2022

Preprint

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Introduction: Homelessness poses unique barriers to diabetes management. Population-level data on the risks of diabetes outcomes among people experiencing homelessness are needed to inform resource investment. The aim of this study was to create a population cohort of people with diabetes with a history of homelessness to understand their unique demographic and clinical characteristics and improve long-term health outcomes. Methods: Ontario residents with diabetes were identified in administrative hospital databases between 2006 and 2020. A history of homelessness was identified using a validated algorithm. Demographic and clinical characteristics were compared between people with and without a history of homelessness. Propensity score matching was used to create a cohort of people with diabetes experiencing homelessness matched to comparable non-homeless controls. Results: Of the 1,455,567 patients with diabetes who used hospital services, 0.7% (n=8,599) had a history of homelessness. Patients with a history of homelessness were younger (mean: 54 vs 66 years), more likely to be male (66% vs 51%) and more likely to live in a large urban centre (25% vs 7%). Notably, they were also more likely to be diagnosed with mental illness (49% vs 2%) and be admitted to a designated inpatient mental health bed (37% versus 1%). A suitable match was found for 5219 (75%) people with documented homelessness. The derived matched cohort was balanced on important demographic and clinical characteristics. Conclusion: People with diabetes experiencing homelessness have unique characteristics that may require additional supports. Population-level comparisons can inform the delivery of tailored diabetes care and self-management resources.

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Supportive Housing and Its Relationship With Diabetes Diagnosis and Management Among Homeless Persons in New York City

Cited by 19 publications

References 36 publications

Social Determinants of Health and Diabetes: A Scientific Review

Social Determinants of Health and Diabetes: A Scientific Review

Diabetes care and its predictors among persons experiencing homelessness compared with domiciled adults with diabetes in New York City; An observational study

Characteristics of People with Type I or Type II Diabetes with and without a History of Homelessness: A Population-based Cohort Study

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