Housing Instability and Type 2 Diabetes Outcomes
Main finding · Mean HbA1cResult — go to the resultDifference −0.12 % 95% CI −0.16% to −0.07%Authors' conclusion
In this cohort study, housing stability was associated with small differences in type 2 diabetes outcomes; combining housing stability interventions with other diabetes interventions may be needed to improve type 2 diabetes outcomes more substantially.
Study context
- Population
- Adults with T2D, US community-based health centers, June 2016 to April 2023; mean age 55.4 years, 56.3% female
- Participants
- 90,233 adults
- Exposure
- Stable vs unstable housing
- Unstable housingn = 15,713reference
- Outcome
- Mean HbA1c
- Follow-up
- 12 months after initial assessment
Methodological detailselectronic health record data, targeted minimum loss estimation, adjusted for age, date of assessment, sex, race and ethnicity, language, comorbidities, health insurance, income and census-tract social vulnerability index
- Electronic health record data
- Targeted minimum loss estimation
- Adjusted for age, date of assessment, sex, race and ethnicity, language, comorbidities, health insurance, income and census-tract social vulnerability index
Main finding
As reported in the abstract
12 months
Difference
−0.12 %
95% CI −0.16% to −0.07%
P < 0.001
Stable housingvs Unstable housing
difference −0.12 % (95% CI −0.16% to −0.07%); P < 0.001
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Difference (mm Hg) (95% CI) | P value | |
|---|---|---|---|
| SBP · 12 months | −0.77 (−1.14 mm Hg to −0.39 mm Hg) | P < 0.001 | |
| DBP · 12 months | −0.27 (−0.49 mm Hg to −0.06 mm Hg) | P = 0.01 | |
| −1.5−1−0.500.5Difference, mm Hg (linear scale) |
| Outcome | Estimated difference (mg/dL) (95% CI) | P value | |
|---|---|---|---|
| LDL-C · 12 monthsWould not have been lower | −1.46 (−2.96 mg/dL to 0.03 mg/dL) | P = 0.05 | |
| −4−202Difference, mg/dL (linear scale) |
Hemoglobin A1c (HbA1c), SBP, DBP and LDL-C at other time points · 6, 18, 24, 30, and 36 months
- Numerically similar results at other time points
Original publication
Housing Instability and Type 2 Diabetes Outcomes. JAMA Netw Open. Published 1 April 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →