ArticlePloS one2022
Relationship between food insecurity and housing instability on quality of care and quality of life in adults with diabetes.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Rental assistance impacts on diabetes: Insights from a longitudinal mixed-methods analysis.SSM. Qualitative research in health · 2026Article
- Microvascular Complications of Food Insecurity in a Vulnerable Patient Population.Diseases (Basel, Switzerland) · 2026Article
- Impact of Food Insecurity Resource Navigation for Primary Care Patients with Diabetes and Hypertension: A Matched Cohort Study.Journal of general internal medicine · 2026Article
- Food insecurity patterns and mental health among youth and young adults with diabetes.BMJ open diabetes research & care · 2025Article
- Housing Instability and Type 2 Diabetes Outcomes.JAMA network open · 2025Article
- Prevalence of peripheral neuropathy, diabetic foot and level of glycemic control in refugees and migrants residing in Greece.Journal of migration and health · 2025Article
- Standardizing social determinants of health data: a proposal for a comprehensive screening tool to address health equity a systematic review.Health affairs scholar · 2024Article
- Association Between Rental Assistance Programs and Undiagnosed Diabetes Among U.S.Journal of general internal medicine · 2024Article
- Identifying Individuals with Highest Social Risk in Adults with Type 2 Diabetes Using Item Response Theory.Journal of general internal medicine · 2024Article
- Vision impairment and food insecurity in the national health and aging trends study.Frontiers in epidemiology · 2024Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectiveExamine the relationship between food and housing insecurities, quality of care and quality of life in adults with diabetes using a nationally representative data source.
methodsData from 39,604 adults with diabetes who indicated if they experienced food and/or housing insecurity in the Behavioral Risk Factor Surveillance System (2014, 2015, 2017) was analyzed. Outcomes included quality of care (HbA1c test, eye exam, diabetes education, foot check) and quality of life (general health status, poor physical and mental health days, poor overall health days). Logistic models were run for each quality of care measure and linear models were run for each quality of life measure adjusting for socio-demographics, insurance status, and comorbidity count.
results35.6% of adults with diabetes reported housing insecurity, 31.8% reported food insecurity, and 23.4% reported both. After adjustment, food and housing insecurity was significantly associated with lower odds of having an eye exam (housing:0.73, 95%CI:0.63,0.85; food:0.78, 95%CI:0.67,0.92; both:0.69, 95%CI:0.59,0.82), worse general health status (housing:-0.06 95%CI:-0.11,-0.01; food:-0.16, 95%CI:-0.21,-0.10; both:-0.14, 95%CI:-0.20,-0.09), and an increased number of poor mental health days (housing:1.73, 95%CI:0.83,2.63; food:2.08, 95%CI:1.16,3.00; both:1.97, 95%CI:1.05,2.90). Food insecurity was also associated with lower odds of receiving diabetes education (0.86, 95%CI:0.74,0.99) and an increased number of poor physical health days (0.95, 95%CI:0.14,1.76).
conclusionChanges to our healthcare delivery system are critical to improving standards of care and quality of life in all populations and may require a shift towards consideration of overlapping social risk factors rather than the siloed approach currently used.
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