Relationship between housing insecurity, diabetes processes of care, and self-care behaviors.
Relationship between housing insecurity, diabetes processes of care, and self-care behaviors.
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DOI：
10.1186/s12913-022-07468-7
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发表时间：
2022-01-13
影响因子：
2.8
通讯作者：
Egede LE
中科院分区：
文献类型：
--
作者：
Mosley-Johnson E;Walker RJ;Thakkar M;Campbell JA;Hawks L;Pyzyk S;Egede LE
本分析的目的是研究住房不安全对糖尿病护理过程和自我护理行为的影响，并确定这种关系是否因就业状况或种族/民族而异。使用行为风险因素监测系统（2014-2015）的全国代表性数据，对16，091名个体进行了横断面研究。住房不安全被定义为受访者报告担心或强调有足够的钱支付租金/抵押贷款的频率。在未调整的logistic模型测试住房不安全与就业或种族/民族对糖尿病护理过程和自我护理行为之间的相互作用后，分层模型根据人口统计学、社会经济状况、健康保险状况和合并症计数进行调整。38.1%的成年糖尿病患者报告住房不安全。那些报告住房不安全的就业者不太可能去看医生（0.58，95%CI 0.37，0.92），A1 c检查（0.45，95%CI 0.26，0.78），以及眼部检查（0.61，95%CI 0.44，0.83），而失业者接种流感疫苗的可能性较小（0.84，95%CI 0.70，0.99）。住房不安全的白色成年人不太可能接受眼科检查（0.67，95%CI 0.54，0.83），流感疫苗（0.84，95%CI 0.71，0.99）或从事体力活动（0.82，95%CI 0.69，0.96），而住房不安全的非西班牙裔黑人成年人不太可能去看医生（0.56，95%CI 0.32，0.99）。住房不安全对糖尿病护理过程和自我护理行为有影响，这种关系因就业状况和种族/民族而异。糖尿病干预措施应包括围绕住房不安全的讨论，并考虑人口因素对糖尿病护理的影响差异。
The aim of this analysis was to examine the influence of housing insecurity on diabetes processes of care and self-care behaviors and determine if that relationship varied by employment status or race/ethnicity. Using nationally representative data from the Behavioral Risk Factor Surveillance System (2014-2015), 16,091 individuals were analyzed for the cross-sectional study. Housing insecurity was defined as how often respondents reported being worried or stressed about having enough money to pay rent/mortgage. Following unadjusted logistic models testing interactions between housing insecurity and either employment or race/ethnicity on diabetes processes of care and self-care behaviors, stratified models were adjusted for demographics, socioeconomic status, health insurance status, and comorbidity count. 38.1% of adults with diabetes reported housing insecurity. Those reporting housing insecurity who were employed were less likely to have a physicians visit (0.58, 95%CI 0.37,0.92), A1c check (0.45, 95%CI 0.26,0.78), and eye exam (0.61, 95%CI 0.44,0.83), while unemployed individuals were less likely to have a flu vaccine (0.84, 95%CI 0.70,0.99). Housing insecure White adults were less likely to receive an eye exam (0.67, 95%CI 0.54,0.83), flu vaccine (0.84, 95%CI 0.71,0.99) or engage in physical activity (0.82, 95%CI 0.69,0.96), while housing insecure Non-Hispanic Black adults were less likely to have a physicians visit (0.56, 95%CI 0.32,0.99). Housing insecurity had an influence on diabetes processes of care and self-care behaviors, and this relationship varied by employment status and race/ethnicity. Diabetes interventions should incorporate discussion surrounding housing insecurity and consider differences in the impact by demographic factors on diabetes care.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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