Evidence map›Paper›PMID 42594248›Full record

Trial reportDiabetes care2026

Housing Instability Associated With Cost-Related Nonadherence and Financial Toxicity in People With Uncontrolled Diabetes.

Victoria H Davis, Roshanak Mehdipanah, Minal R Patel

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Victoria H DavisDepartment of Health Behavior & Health Equity, University of Michigan School of Public Health, Ann Arbor, MI.ORCID 0000-0002-7207-4629
Roshanak MehdipanahDepartment of Health Behavior & Health Equity, University of Michigan School of Public Health, Ann Arbor, MI.
Minal R PatelDepartment of Health Behavior & Health Equity, University of Michigan School of Public Health, Ann Arbor, MI.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Improving diabetes outcomes and health disparities through a patient activation intervention addressing unmet resource needsR01DK116715 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PATEL, MINAL R · 2018 to 2022
$3.4M
Michigan Center for Diabetes and Translational ResearchNIDDK NIH HHS P30 DK092926NIDDK NIH HHS P30DK092926NIDDK NIH HHS R01 DK116715NIDDK NIH HHS R01 DK116715-01A1
6 · The paper itself

Abstract

objectiveTo assess the prevalence of housing instability and its associations with cost-related nonadherence and financial toxicity among adults with uncontrolled diabetes. RESEARCH DESIGN AND

methodsWe analyzed baseline randomized controlled trial data from 600 adults with uncontrolled diabetes and cost-related barriers to care. Logistic and linear regression assessed associations of housing instability with cost-related nonadherence and financial toxicity.

resultsHalf (n = 298) reported housing instability, which was associated with greater odds of cost-related nonadherence (adjusted odds ratio 1.64; 95% CI 1.05, 2.56) and worse financial toxicity (B = -4.64; 95% CI -6.20, -3.09). Cost-related nonadherence was not significant after adjusting for diabetes distress and symptoms of depression and anxiety; financial toxicity remained significant. In sensitivity analyses, worry about housing costs, not housing or utility needs, was associated with financial toxicity.

conclusionsHousing instability was associated with financial toxicity and, in primary models, with cost-related nonadherence. Findings should be validated in longitudinal, nationally representative samples.

Indexed as

Diabetes MellitusFinancial StressHousingPatient ComplianceAdultFemaleHumansMaleMiddle Aged

Identifiers

PMID42594248
PMCPMC13594793

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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.