Document Detail


The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults.
MedLine Citation:
PMID:  22080709     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract:Limited data exist on whether structural factors associated with poverty such as inadequate housing and food insecurity affect diabetes care. In a sample of low-income participants with diabetes (N=711), we sought to determine if housing instability was associated with lower diabetes self-efficacy, and whether this relationship was mediated by food insecurity. We ordered housing from most to least stable. We observed a linear decrease in diabetes self-efficacy as housing instability increased (p<.01). After adjusting for age, sex, race/ethnicity, and alcohol or substance use, adults lacking a usual place to stay had lower self-efficacy than those who owned their own home (ß-coefficient -0.94, 95% CI -1.88, -0.01). Food insecurity mediated the association between housing instability and diabetes self-efficacy (ß-coefficient -0.64, 95% CI -1.57, 0.31). Our findings suggest that inadequate access to food lowers self-efficacy among adults with diabetes, and supports provision of food to unstably housed adults as part of diabetes care.
Authors:
Maya Vijayaraghavan; Elizabeth A Jacobs; Hilary Seligman; Alicia Fernandez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  22     ISSN:  1548-6869     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2011  
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1279-91     Citation Subset:  IM    
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