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Food insecurity and diabetes self-management among food pantry clients.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ippolito, Matthew M. Lyles, Courtney Rees Prendergast, Kimberly Marshall, Michelle Berger Waxman, Elaine Seligman, Hilary Kessler |
| Copyright Year | 2017 |
| Abstract | OBJECTIVE To examine the association between level of food security and diabetes self-management among food pantry clients, which is largely not possible using clinic-based sampling methods. DESIGN Cross-sectional descriptive study. SETTING Community-based food pantries in California, Ohio and Texas, USA, from March 2012 through March 2014. SUBJECTS Convenience sample of adults with diabetes queuing at pantries (n 1237; 83 % response). Sampled adults were stratified as food secure, low food secure or very low food secure. We used point-of-care glycated Hb (HbA1c) testing to determine glycaemic control and captured diabetes self-management using validated survey items. RESULTS The sample was 70 % female, 55 % Latino/Hispanic, 25 % white and 10 % black/African American, with a mean age of 56 years. Eighty-four per cent were food insecure, one-half of whom had very low food security. Mean HbA1c was 8ยท1 % and did not vary significantly by food security status. In adjusted models, very-low-food-secure participants, compared with both low-food-secure and food-secure participants, had poorer diabetes self-efficacy, greater diabetes distress, greater medication non-adherence, higher prevalence of severe hypoglycaemic episodes, higher prevalence of depressive symptoms, more medication affordability challenges, and more food and medicine or health supply trade-offs. CONCLUSIONS Few studies of the health impact of food security have been able to examine very low food security. In a food pantry sample with high rates of food insecurity, we found that diabetes self-management becomes increasingly difficult as food security worsens. The efficacy of interventions to improve diabetes self-management may increase if food security is simultaneously addressed. |
| Starting Page | 183 |
| Ending Page | 189 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| DOI | 10.1017/S1368980016001786 |
| PubMed reference number | 27406399 |
| Journal | Medline |
| Volume Number | 20 |
| Issue Number | 1 |
| Alternate Webpage(s) | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/FA1C87069D9C83B13F75E8ED8D4E3F9E/S1368980016001786a.pdf/food_insecurity_and_diabetes_selfmanagement_among_food_pantry_clients.pdf |
| Alternate Webpage(s) | http://hungerandhealth.feedingamerica.org/wp-content/uploads/legacy/mp/files/tool_and_resources/files/ippolito-et-al-fi-and-dsm-7-2016.pdf |
| Alternate Webpage(s) | https://doi.org/10.1017/S1368980016001786 |
| Journal | Public health nutrition |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
