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The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults.
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2011 Nov; Vol. 22 (4), pp. 1279-91. - Publication Year :
- 2011
-
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.
- Subjects :
- Adult
Black or African American psychology
Aged
Blood Glucose Self-Monitoring
California
Chicago
Cross-Sectional Studies
Diabetes Mellitus ethnology
Female
Food Supply statistics & numerical data
Housing economics
Humans
Logistic Models
Male
Medication Adherence statistics & numerical data
Mexican Americans psychology
Middle Aged
Risk Factors
Socioeconomic Factors
White People psychology
Diabetes Mellitus psychology
Food Supply economics
Housing statistics & numerical data
Hunger ethnology
Poverty ethnology
Self Efficacy
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 22080709
- Full Text :
- https://doi.org/10.1353/hpu.2011.0131