{"doi":"10.2337/dc22-1477","title":"Doubled-Up Households, Self-Management Behaviors, Diabetes Preventive Care Services, and Hospital Use in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) 2015–2020","abstract":"OBJECTIVE: We investigated associations of living in a doubled-up household (i.e., adults living with adult children, other related adults, or other unrelated adults) with diabetes self-management behaviors, occurrence of diabetes preventive care services, and hospital use by Hispanic/Latino adults with diabetes. RESEARCH DESIGN AND METHODS: We analyzed data from the second clinical visit (2014-2017) through subsequent annual follow-up interviews completed through January 2020 of all participants with diabetes in the Hispanic Community Health Study/Study of Latinos. Multivariable regression was used to test associations between doubled-up status with diabetes self-management behaviors (i.e., checking blood glucose level, checking feet for sores), diabetes preventive care services done by a doctor (i.e., dilated-eye examination, feet checked, hemoglobin A1c measured, urine analysis for kidney function), and hospital use (i.e., emergency department [ED] visits and hospitalizations). RESULTS: Hispanic/Latino adults living doubled up were less likely to have their urine checked by a doctor for kidney disease compared with adults not in doubled-up households. Doubled-up status was not associated with diabetes self-management behaviors. Adults living doubled up in a household with other related adults had a 33% increased risk of ED visits compared with adults living doubled up in a household with adult children. CONCLUSIONS: Health care settings where Hispanic/Latino adults with diabetes receive trusted care should add housing characteristics such as doubled-up status to social-needs screening to identify residents in need of connecting with housing or social services and more targeted diabetes management services.","journal":"Diabetes Care","year":2022,"id":287061,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9041,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":368851,"name":"Simin Hua","orcid":"0000-0002-6282-8116","position":1,"is_corresponding":false},{"id":710309,"name":"Juan Lin","orcid":"0000-0001-5143-8158","position":2,"is_corresponding":false},{"id":522293,"name":"Ryung S. Kim","orcid":"0000-0002-9603-7726","position":3,"is_corresponding":false},{"id":500075,"name":"Marston Youngblood","orcid":null,"position":4,"is_corresponding":false},{"id":303807,"name":"Krista M. Perreira","orcid":"0000-0003-2906-0261","position":5,"is_corresponding":false},{"id":421766,"name":"Linda C. Gallo","orcid":"0000-0002-3678-5888","position":6,"is_corresponding":false},{"id":341422,"name":"Aida L. Giachello","orcid":"0000-0003-0079-3883","position":7,"is_corresponding":false},{"id":21964,"name":"Robert C. Kaplan","orcid":"0000-0003-1571-4615","position":8,"is_corresponding":false},{"id":500078,"name":"Madeline Crespo-Figueroa","orcid":null,"position":9,"is_corresponding":false},{"id":473372,"name":"Matthew J. O’Brien","orcid":"0000-0001-8882-9865","position":10,"is_corresponding":false},{"id":336203,"name":"Marc D. Gellman","orcid":"0000-0003-4989-8627","position":11,"is_corresponding":false},{"id":91398,"name":"Carmen R. Isasi","orcid":"0000-0003-2700-9593","position":12,"is_corresponding":false},{"id":443940,"name":"Earle C. Chambers","orcid":"0000-0002-1323-0556","position":0,"is_corresponding":true}],"reference_count":34,"raw_metadata":null,"created_at":"2026-07-19T00:29:56.781756Z","pmid":"36516296","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}