ArticleDiabetes care2018
Unstable Housing and Diabetes-Related Emergency Department Visits and Hospitalization: A Nationally Representative Study of Safety-Net Clinic Patients.
Article in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05211869 (T1DTechCHW), which is not on this map. Cited by 62 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
T1DTechCHW: Enhancing the Community Health Worker (CHW) Model to Promote Diabetes Technology Use in Young Adults From Underrepresented Minority Groups (YA-URMs) With Type 1 Diabetes (T1D)
Who cites it
62 citing papers in PubMed.
- Housing Instability Associated With Cost-Related Nonadherence and Financial Toxicity in People With Uncontrolled Diabetes.Diabetes care · 2026Trial
- Leveraging Social Needs Assessments to Eliminate Barriers to Diabetes Self-Management in a Vulnerable Population.International journal of environmental research and public health · 2025Trial
- Bridge to Health/Puente a la Salud: a pilot randomized trial to address diabetes self-management and social needs among high-risk patients.Translational behavioral medicine · 2022Trial
- Rental assistance impacts on diabetes: Insights from a longitudinal mixed-methods analysis.SSM. Qualitative research in health · 2026Article
- Recommended Cardiometabolic Screening Guidelines for Unhoused Adults: A Street Medicine Needs Assessment.Clinics and practice · 2026Article
- Prediction of Diabetes Among Homeless Adults Using Artificial Intelligence: Suggested Recommendations.Healthcare (Basel, Switzerland) · 2026Article
- Unstable Housing is Associated with Increased Emergency Department Use and Hospitalizations in Patients with Asthma.Journal of general internal medicine · 2026Article
- Effectiveness of a pharmacist diabetes coaching program: A propensity-matched retrospective analysis.PloS one · 2026Article
- Engaging people with lived experience to co-design a community-led physical activity and diabetes prevention intervention for people experiencing homelessness.Frontiers in sports and active living · 2026Article
- Evaluation of a pilot outreach program to support point-of-care screening for individuals with diabetes who are experiencing homelessness in Alberta, Canada: results of a mixed methods study.BMC health services research · 2025Article
- Housing Instability and Type 2 Diabetes Outcomes.JAMA network open · 2025Article
- Diabetes care for people experiencing homelessness in the UK: insights from a national survey of frontline professionals and the development of an integrated care model.Frontiers in public health · 2025Article
- Association of socioeconomic and demographic determinants with clinical outcomes in Iraqi patients with diabetes: A cross-sectional study.PLOS global public health · 2025Article
- Population-based estimates of major forms of housing insecurity among community-living older Americans.Journal of the American Geriatrics Society · 2024Article
- Evaluating associations between social risks and health care utilization in patients with chronic low back pain.Pain reports · 2024Article
- Insights from Team Clinic: A Person-Centered Virtual Peer Group Care Model Adapted for Marginalized and Historically Excluded Youth with Type 1 Diabetes (T1D).Children (Basel, Switzerland) · 2024Article
- Health-Care Utilization and Outcomes in Young Adults With Type 1 and Type 2 Diabetes.Journal of the Endocrine Society · 2024Review
- Risk Factors and Outcomes of Delayed Presentation of Diabetic Retinopathy Patients to a County Hospital.Translational vision science & technology · 2023Article
- Emergency department use and geospatial variation in social determinants of health: a pilot study from South Carolina.BMC public health · 2023Article
- Development of a New Measure of Housing Security: The REDD-CAT Housing Security Measure.Journal of general internal medicine · 2023Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveHomelessness is associated with worse diabetes outcomes, but the relationship between other forms of unstable housing and diabetes is not well studied. We assessed whether unstable housing was associated with increased risk for diabetes-related emergency department use or hospitalization. RESEARCH DESIGN AND
methodsWe used data from the 2014 Health Center Patient Survey (HCPS), a cross-sectional, nationally representative survey of patients who receive care at federally funded safety-net health centers. We included nonhomeless adults (aged ≥18 years) with self-reported diabetes. Unstable housing was defined as not having enough money to pay rent or mortgage, moving two or more times in the past 12 months, or staying at a place one does not own or rent. The primary outcome was self-report of diabetes-related emergency department visit or inpatient hospitalization in the last 12 months. We also examined use of housing assistance.
resultsOf 1,087 participants, representing 3,277,165 adults with diabetes, 37% were unstably housed. Overall, 13.7% of participants reported a diabetes-related emergency department visit or hospitalization in the past year. In logistic regression analyses adjusted for multiple potential confounders, unstable housing was associated with greater odds of diabetes-related emergency department use or hospitalization (adjusted odds ratio 5.17 [95% CI 2.08-12.87]). Only 0.9% of unstably housed individuals reported receiving help with housing through their clinic.
conclusionsUnstable housing is common and associated with increased risk of diabetes-related emergency department and inpatient use. Addressing unstable housing in clinical settings may help improve health care utilization for vulnerable individuals with diabetes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.