Evidence map›Paper›PMID 38351417›Full record

ArticleJournal of general internal medicine2024

Association Between Rental Assistance Programs and Undiagnosed Diabetes Among U.S.

Carolina Gonzalez-Lopez, Andrew Fenelon, Kasia J Lipska, Whitney Denary, Penelope Schlesinger, Denise Esserman, Danya Keene

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carolina Gonzalez-LopezDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA. Carolina.gonzalez-lopez@yale.edu.ORCID 0000-0001-5748-4227
Andrew FenelonSchool of Public Health, University of Minnesota-Twin Cities, Minneapolis, MN, USA.
Kasia J LipskaDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Whitney DenaryDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
Penelope SchlesingerDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
Denise EssermanDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Danya KeeneDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Population Research InstituteR24HD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LANDALE, NANCY S · 2001 to 2016
$9.7M
The Population Research Institute: Development CoreP2CHD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI Sarah Damaske · 2016 to 2026
$9.0M
Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
The effects of affordable housing access on type 2 diabetes self-management and controlR01DK124500 · NIDDK · YALE UNIVERSITY · PI KEENE, DANYA · 2020 to 2024
$2.4M
NCATS NIH HHS UL1 TR001863NICHD NIH HHS P2C HD041023NICHD NIH HHS P2C HD041025NICHD NIH HHS R24 HD041025NIDDK NIH HHS R01 DK124500
6 · The paper itself

Abstract

backgroundRental assistance programs have been linked to better housing quality, stability, healthcare access, and reduced likelihood of uncontrolled diabetes. However, its direct association with diabetes screening is uncertain.

objectiveTo determine whether federal rental assistance programs are associated with lower odds of undiagnosed diabetes.

designWe used a quasi-experimental approach, comparing outcomes among adults receiving rental assistance to those who entered assisted housing within 2 years after their health data were collected. We test the a priori hypothesis that rental assistance will be associated with decreased odds of undiagnosed diabetes.

participantsParticipants in the National Health and Nutrition Examination Survey 1999-2018 who received rental assistance and who had diabetes.

interventionCurrent rental assistance participation, including specific housing programs. MAIN MEASURES: Undiagnosed diabetes based on having hemoglobin A1c ≥ 6.5% but answering no to the survey question of being diagnosed with diabetes. KEY

resultsAmong 435 eligible adults (median age 54.5 years, female 68.5%, non-Hispanic white 32.5%), 80.7% were receiving rental assistance programs at the time of the interview, and 19.3% went on to receive rental assistance within 2 years. The rates of undiagnosed diabetes were 15.0% and 25.3% among those receiving rental assistance programs vs. those in the future assistance group (p-value = 0.07). In an adjusted logistic regression model, adults receiving rental assistance had lower odds of undiagnosed diabetes (OR 0.52, 95% CI 0.28-0.94) than those in future assistance groups. Sex, race and ethnic group, educational level, and poverty ratio were not significantly associated with having undiagnosed diabetes, but individuals aged 45-64 years had significantly lower odds of undiagnosed diabetes (OR 0.21, 95% CI 0.08-0.53) compared with those aged 18-44.

conclusionsRental assistance was linked to lower odds of undiagnosed diabetes, suggesting that affordable housing programs can aid in early recognition and diagnosis, which may improve long-term outcomes.

Indexed as

Diabetes MellitusNutrition SurveysAdultAgedFemaleHumansMaleMiddle AgedPublic HousingUndiagnosed DiseasesUnited StatesDiabetesHousing instabilityRental assistance

Identifiers

PMID38351417
PMCPMC11255160

What OpenQuestion holds

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Registered trials

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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.