Disparities in diabetes processes of care among people experiencing homelessness: An opportunity for intervention
Authors' conclusion
Disparities in diabetes care are evident for people with a history of homelessness and contribute to excess morbidity in this population. These data provide an impetus for investment in tailored interventions to improve healthcare equity and prevent long-term complications.
Study context
- Population
- People with diabetes in administrative healthcare data, Ontario, Canada, April 2006–March 20195,219 matched pairs
- Exposure
- History of homelessness vs non-homeless controls
- Outcome
- Processes of diabetes care: glucose monitoring tests, screening for microvascular complications, physician follow-up
Methodological detailspropensity matched
- Propensity matched
Main finding
As reported in the abstract
Processes of diabetes care
Homeless vs Non-homeless controlsRelative risk (95% CI)
HbA1c tests
0.63(0.60–0.67)
LDL-C tests
0.80(0.78–0.82)
Serum creatinine tests
0.94(0.92–0.97)
Urine protein quantification
0.62(0.59–0.66)
Eye examinations
0.74(0.71–0.77)
Primary care use for diabetes management
0.62(0.59–0.66)
Specialist care use
0.87(0.83–0.91)
Observational data: associations, not effects.
Original publication
Disparities in diabetes processes of care among people experiencing homelessness: An opportunity for intervention. Diabetes Res Clin Pract. Published 15 June 2024. doi:10.
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