Housing Stability as a Social Determinant of Diabetes Prevention and Management Outcomes

Overview

This evaluation table synthesizes research examining the relationship between housing stability and diabetes outcomes across diverse populations. The literature demonstrates that unstable housing and poor housing conditions significantly increase diabetes risk, emergency department utilization, and disparate health outcomes, particularly among African Americans and homeless adults, while supportive housing interventions improve diabetes management and prevention.

What this literature review covers

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Evaluation Table Template

Authors/Year of Citation

Source

Data Collection Methods

Key Findings

Berkowitz, S. A., Kalkhoran, S., Edwards, S. T., Essien, U. R., & Baggett, T. P. (2018).

American Diabetes Association (website)

  • Used data from the 2014 Health Center Patient Survey
  • The data included non-homeless adults aged over 18 years with self-reported diabetes
  • 13.7% of subjects had experienced a diabetes related emergency department visit or hospitalization within 12 months.
  • Unstable housing was linked to greater odds of the emergency and hospitalization visits.

Burton, A. (2007)

Environmental Health Perspectives (website)

  • References to research material from the American Journal of Epidemiology.
  • Poor housing may increase risks and prevalence of developing diabetes in middle-aged African American women.
  • Diabetes risk factors such as obesity, smoking, and alcohol abuse are prevalent in poor housing areas.

Hilliard, M. E., Sparling, K. M., Hitchcock, J., Oser, T. K., & Hood, K. K. (2015)

Current Diabetes Review (Journal)

  • Analysis of diabetes related online content.
  • Observation of DOC writing excerpts in illustration of key themes.
  • Preparation of guidelines to assist meaningful participation in DOC by communities.
  • Common theme includes advocacy, peer support, and diabetes related information exchange.
  • The internet is vital and efficient in diabetes related communications.
  • Research is required to investigate the impact and outcomes of participation on DOC.

Lim, S., Miller-Archie, S. A., Singh, T. P., Wu, W. Y., Walters, S. C., & Gould, H. L. (2019)

American Journal of Epidemiology (journal)

  • Tested the link between supportive housing and diabetes outcomes among New York’s homeless adults eligible for supportive housing program (2007-2012)
  • Placed people had increased chances of receiving management and evaluation services.

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