Identifying diagnosed major chronic diseases associated with recent housing instability among aging adults: data from the 'All of Us' research program.

Hind A Beydoun, Christian A Mayno Vieytes, May A Beydoun, Austin Lampros, Jack Tsai
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Abstract

Background: Housing instability is a known barrier to healthcare utilization potentially affecting the prevention, diagnosis and treatment of chronic diseases among diverse groups of adults. We examined the intersection of recent housing instability with prevalent cardiovascular disease, diabetes, cancer and psychiatric diagnoses among aging adults.

Methods: Cross-sectional data on 147 465 participants of the 'All of Us' Research Program (6 May 2018-1 July 2022), ≥50 years of age at enrollment, were analyzed. Self-reported housing instability over the past 6 months was examined in relation to diagnosed conditions at age ≥50 years based on electronic health records. Multivariable logistic regression models sequentially adjusting for demographic and socioeconomic characteristics were constructed to estimate odds ratios (OR) with their 95% confidence intervals (CI).

Results: After adjusting for confounders, past 6 months housing instability was associated with lower odds of diagnosed cardiovascular disease (OR = 0.89, 95% CI: 0.87, 0.93) and cancer (OR = 0.82, 95% CI: 0.78, 0.86), higher odds of diagnosed psychiatric (OR = 1.35, 95% CI: 1.30, 1.40) conditions, but was unrelated to diagnosed diabetes (OR = 0.98, 95% CI: 0.94, 1.01).

Conclusions: Recent housing instability among aging adults is positively associated with psychiatric diagnoses, but negatively associated with cardiovascular and cancer diagnoses, with implications for chronic disease prevention.

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确定与老年人近期住房不稳定相关的主要慢性疾病诊断结果:"我们大家 "研究计划提供的数据。
背景:众所周知,住房不稳定是影响医疗保健利用率的一个障碍,可能会影响不同成年人群体慢性病的预防、诊断和治疗。我们研究了近期住房不稳定性与高龄成年人心血管疾病、糖尿病、癌症和精神疾病流行诊断之间的交叉关系:分析了 "我们所有人 "研究计划(2018 年 5 月 6 日至 2022 年 7 月 1 日)的 147 465 名参与者的横截面数据,这些参与者在注册时年龄≥50 岁。根据电子健康记录,研究了过去 6 个月中自我报告的住房不稳定性与年龄≥50 岁时诊断出的疾病之间的关系。在对人口和社会经济特征进行调整后,建立了多变量逻辑回归模型,以估算出几率比(OR)及其 95% 的置信区间(CI):调整混杂因素后,过去 6 个月住房不稳定与确诊心血管疾病(OR = 0.89,95% CI:0.87,0.93)和癌症(OR = 0.82,95% CI:0.78,0.86)的几率较低、确诊精神疾病(OR = 1.35,95% CI:1.30,1.40)的几率较高有关,但与确诊糖尿病(OR = 0.98,95% CI:0.94,1.01)无关:结论:老年人近期住房的不稳定性与精神病诊断呈正相关,但与心血管疾病和癌症诊断呈负相关,这对慢性疾病的预防具有重要意义。
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