The Association of Homelessness With Rates of Diabetes Complications: A Population-Based Cohort Study
Authors' conclusion
These findings contribute to our understanding of the impact of homelessness on long-term diabetes outcomes. The higher rates of complications among people with a history of homelessness present an opportunity for tailored interventions to mitigate these disparities.
Study context
- Population
- People with diabetes and ≥1 hospital encounter between April 2006 and March 2019, administrative health data, Ontario, Canadaeligible
- Participants
- 1,076,437 people
- Exposure
- History of homelessness vs matched nonhomeless controls
- Homelessn = 6,944
- Outcome
- Diabetes complications and revascularization procedures
Methodological detailspropensity-matched
- Propensity-matched
Main finding
As reported in the abstract
Homeless vs Nonhomeless controlsRelative risk (95% CI)
Macrovascular complications
1.85(1.64–2.07)
Hospitalization for glycemia
5.64(4.07–7.81)
Skin/soft tissue infections
3.78(3.31–4.32)
Coronary revascularization procedures
0.76(0.62–0.94)
Observational data: associations, not effects.
Original publication
The Association of Homelessness With Rates of Diabetes Complications: A Population-Based Cohort Study. Diabetes Care. Published 5 June 2023. doi:10.
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