Then I Found Housing and Everything Changed': Transitions to Rent-Assisted Housing and Diabetes Self-Management
Then I Found Housing and Everything Changed': Transitions to Rent-Assisted Housing and Diabetes Self-Management
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DOI：
10.2307/26472170
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发表时间：
2018-01-01
期刊：
影响因子：
0.6
通讯作者：
Ndumele, Chima
中科院分区：
文献类型：
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作者：
Keene, Danya E.;Henry, Mariana;Ndumele, Chima
目的：本研究利用定性访谈数据来研究过渡到租赁辅助住房与糖尿病自我管理行为的关系。方法：我们对康涅狄格州纽黑文诊断为2型糖尿病的低收入居民进行了定性访谈。为了研究过渡到租金援助住房的经历，我们对基线访谈时居住在租金援助住房的参与者（n = 18）和在基线和9个月随访期间过渡到租金援助住房的参与者（n = 5）进行了访谈。访谈调查了参与者的住房和糖尿病经历。分析遵循归纳扎根理论方法。结果：我们的数据表明，糖尿病自我管理的改善伴随着租金援助的接受。通过向那些以前没有自己住所的参与者提供住房，租赁援助促进了环境控制，支持糖尿病常规。通过使住房更容易负担，租金援助还提高了一些参与者负担糖尿病相关费用的能力，减轻了不利于健康的经济压力。此外，对一些参与者来说，租赁援助提供了稳定的住所，有助于获得促进健康的当地社会支持。结论：虽然需要更多的研究，但这些数据表明，扩大获得租赁援助的机会既可以改善人口健康，又可以减少与可预防的糖尿病相关并发症相关的医疗保健支出。
Objective: This study draws on qualitative interview data to examine transitions into rent-assisted housing as they relate to diabetes self-management behaviors.Methods: We conducted qualitative interviews with low-income residents of New Haven, Connecticut, who had a diagnosis of type 2 diabetes. To examine experiences of transition into rent-assisted housing, we drew on interviews with those participants who were living in rent-assisted housing at the baseline interview (n = 18) and participants (n = 5) who transitioned into rent-assisted housing between baseline and a 9-month followup. Interviews probed participants' housing and diabetes experiences. Analysis followed an inductive grounded theory approach.Results: Our data suggest that improvements in diabetes self-management accompanied the receipt of rental assistance. By providing housing access to those participants who previously had no place of their own, rental assistance facilitated environmental control that supported diabetes routines. By making housing more affordable, rental assistance also improved some participants' ability to afford diabetes-related expenses and mitigated health-demoting financial stress. Additionally, for some participants, rental assistance provided residential stability that facilitated access to health-promoting local social support.Conclusions: Although more research is needed, these data suggest that expanded access to rental assistance could both improve population health and reduce healthcare spending associated with preventable diabetes-related complications.