Analyzing the Eff ffect that Living Arrangements have on Control - - PowerPoint PPT Presentation
Analyzing the Eff ffect that Living Arrangements have on Control of Diabetes Mellitus La Nyia J. Od Odoms, , M.Ed MD/MSPH Candidate 2016, Meharry Medical College, School of Medicine, Nashville, TN GE-National Medical Fellowships, Primary
La’ Nyia J. Od Odoms, , M.Ed
MD/MSPH Candidate 2016, Meharry Medical College, School of Medicine, Nashville, TN GE-National Medical Fellowships, Primary Care Leadership Program Health Care Center for the Homeless Orlando, FL July 26th, 2013
Health th Care Center for the Homeles ess NCQA Patient-Centered Medical Home- Level 2 Celebrating 20
Diabetes is a major cause of heart disease and stroke, and continues to be the leading cause of kidney failure, nontraumatic lower-extremity amputations, and blindness among adults, aged 20-74 (National Diabetes Fact Sheet, 2007). Homeless people suffer from significant levels of morbidity and mortality, but there is little evidence that homeless- ness has a direct adverse effect on health outcomes.
levels to improve glycemic control
PRACTICE CTICE ANALYTIC TICS S
demographics from diabetic patients whose date of last visit was between June 2011-May 2013
hemoglobinA1C levels SPSS SS
for demographics and for demographics w/n two housing categories
T- Tests for demographics and for demographics w/n two housing categories
(ANOVA) tests for race and for race w/n two housing categories
HOUSING STATUS Frequency
Percent Valid Percent Cumulative Percent Valid Housed Homeless Total 434 121 555 78.2 21.8 100.0 78.2 21.8 100.0 78.2 100.0
GENDER
Frequency Percent Valid Percent Cumulative Percent Valid Male Female Total 249 306 555 44.9 55.1 100.0 44.9 55.1 100.0 44.9 100.0
ETHNICITY
Frequency Percent Valid Percent Cumulative Percent Valid Non-Hispanic Hispanic Total 431 124 555 77.7 22.3 100.0 77.7 22.3 100.0 77.7 100.0
RACE Frequency Percent Valid Percent Cumulative Percent Valid Unknown African American White Haitian Hispanic Amer Indian Asia Total 57 274 93 56 63 5 7 555 10.3 49.4 16.8 10.1 11.4 .9 1.3 100.0 10.3 49.4 16.8 10.1 11.4 .9 1.3 100.0 10.3 59.6 76.4 86.5 97.8 98.7 100.0
8.40 8.73 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Housed Homeless Percent Mean Hemoglobin A1C Levels- Housing Status Mean difference NOT statistically significant (p = .136)
8.34 8.63 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Female Male Percent
Mean Hemoglobin A1C Levels- Gender
Mean difference NOT statistically significant (p = .128)
8.27 8.70 8.58 8.76 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Female Female Male Male Percent
Mean Hemoglobin A1C Levels- Gender
Housed Homeless
Mean differences were NOT statistically significant (p = .143 housed/ p= .898 homeless)
8.24 8.54 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Hispanic Non-Hispanic Percent
Mean Hemoglobin A1C Levels- Ethnicity
Mean difference was NOT statistically significant (p = .175)
8.20 8.43 8.46 8.80 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Hispanic Hispanic Non-Hispanic Non-Hispanic Percent
Mean Hemoglobin A1C Levels- Ethnicity
Housed Homeless
Mean differences were NOT statistically significant (p = .275 housed/ p= .498 homeless)
8.68 8.16 8.35 8.29 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 African American White Haitian Hispanic Percent
Mean Hemoglobin A1C Levels- Race
Mean difference was NOT statistically significant (p = .172)
8.69 8.67 7.97 8.64 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 African American African American White White Percent
Mean Hemoglobin A1C Levels- Race
Housed Homeless
Mean difference was NOT statistically significant (p = .063 housed/ p= .759 homeless)
8.25 9.23 8.13 9.50 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00 12.00 Haitian Haitian Hispanic Hispanic Percent
Mean Hemoglobin A1C Levels- Race
Housed Homeless
Mean differences were NOT statistically significant (p = .063 housed/ p= .759 homeless)
No statistically significant difference in mean hemoglobin A1C between homeless and housed patients, nor across gender, race, and ethnicity. When homeless and housed (housing status) were used as categorical controls, no statistically significant difference was found between the aforementioned demographics. Data Collection: Quest Diagnostics vs. Florida Hospital Endocrinology Referrals Access to services at main clinical site Promising Diabetic Profile
Mehrin Islam, Former AmeriCorps Intern
GE-NMF Primary Care Leadership Program Health Care Center for the Homeless Staff & Patients