{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:54:45Z","timestamp":1786668885502,"version":"build-2736575974"},"reference-count":40,"publisher":"American Diabetes Association","issue":"2","license":[{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["N01-HC65235"],"award-info":[{"award-number":["N01-HC65235"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30DK111022"],"award-info":[{"award-number":["P30DK111022"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DK121896"],"award-info":[{"award-number":["R01DK121896"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R03HL140265"],"award-info":[{"award-number":["R03HL140265"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>We analyzed data from the second clinical visit (2014\u20132017) 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).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc22-1477","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T19:15:40Z","timestamp":1671045340000},"page":"455-462","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":4,"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\u20132020"],"prefix":"10.2337","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1323-0556","authenticated-orcid":false,"given":"Earle C.","family":"Chambers","sequence":"first","affiliation":[{"name":"1Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY"},{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simin","family":"Hua","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Lin","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryung S.","family":"Kim","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marston E.","family":"Youngblood","sequence":"additional","affiliation":[{"name":"3Department of Social Medicine, University of North Carolina, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista M.","family":"Perreira","sequence":"additional","affiliation":[{"name":"3Department of Social Medicine, University of North Carolina, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda C.","family":"Gallo","sequence":"additional","affiliation":[{"name":"4Department of Psychology, San Diego State University, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida L.","family":"Giachello","sequence":"additional","affiliation":[{"name":"5Department of Preventive Medicine, Northwestern University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Kaplan","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Crespo-Figueroa","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8882-9865","authenticated-orcid":false,"given":"Matthew J.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"5Department of Preventive Medicine, Northwestern University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc D.","family":"Gellman","sequence":"additional","affiliation":[{"name":"6Behavioral Medicine Research Center, Department of Psychology, University of Miami, Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen R.","family":"Isasi","sequence":"additional","affiliation":[{"name":"2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"key":"2023012619553077000_B1","unstructured":"Johnson\n              D\n            \n          . 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The health consequences of shared housing and \u201cdoubling up\u201d","volume":"59","author":"Ahrentzen","year":"2003","journal-title":"J Soc Issues"},{"key":"2023012619553077000_B12","doi-asserted-by":"crossref","first-page":"2155","DOI":"10.1007\/s13524-014-0347-0","article-title":"The effect of unemployment on household composition and doubling up","volume":"51","author":"Wiemers","year":"2014","journal-title":"Demography"},{"key":"2023012619553077000_B13","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1525\/sp.2003.50.1.111","article-title":"Creating networks for survival and mobility: social capital among African-American and Latin-American low-income mothers","volume":"50","author":"Dominguez","year":"2003","journal-title":"Soc Probl"},{"key":"2023012619553077000_B14","first-page":"122","article-title":"Finding and keeping affordable housing: Analyzing the experiences of single-mother families in North Philadelphia","volume":"30","author":"Clampet-Lundquist","year":"2003","journal-title":"J Sociol Soc Welf"},{"key":"2023012619553077000_B15","unstructured":"Mykyta\n              L\n            , PilkauskasN. 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Available from https:\/\/www.pewresearch.org\/fact-tank\/2018\/04\/05\/a-record-64-million-americans-live-in-multigenerational-households\/"},{"key":"2023012619553077000_B28","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1007\/s10903-021-01258-9","article-title":"Housing insecurity among Latinxs","volume":"24","author":"Chinchilla","year":"2022","journal-title":"J Immigr Minor Health"},{"key":"2023012619553077000_B29","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1479-5868-7-47","article-title":"The \u201cfit but fat\u201d concept revisited: population-based estimates using NHANES","volume":"7","author":"Duncan","year":"2010","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2023012619553077000_B30","first-page":"547","article-title":"The prevalence of diabetes, pre-diabetes and the metabolic syndrome in an Irish regional homeless population","volume":"106","author":"Scott","year":"2013","journal-title":"QJM"},{"key":"2023012619553077000_B31","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1590\/S0102-311X2012000800010","article-title":"Risk factors for cardiovascular disease among the homeless and in the general population of the city of Porto, Portugal","volume":"28","author":"Oliveira","year":"2012","journal-title":"Cad Saude Publica"},{"key":"2023012619553077000_B32","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/01.FCH.0000336090.37280.2e","article-title":"Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters","volume":"31","author":"Kim","year":"2008","journal-title":"Fam Community Health"},{"key":"2023012619553077000_B33","unstructured":"Centers for Disease Control and Prevention\n          . 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