Department of Nutritional Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Ethn Dis. 2011 Summer;21(3):328-34.
To examine the independent association of food insecurity with type 2 diabetes (T2D), and to identify the T2D risk factors related to food insecurity among Latinas.
Case-control study in a convenience sample of 201 Latinas (100 cases with T2D, 101 controls) aged 35-60 years and living in an urban setting. Self-reported data, including food insecurity, T2D status, depression symptoms, and socioeconomic, demographic, and lifestyle characteristics (food and alcohol intake, cigarette smoking, physical activity) were collected, and height, weight and waist circumference were measured. Separate multivariate logistic regression models were specified for T2D and food insecurity.
Participants with very low food security were 3.3 times more likely to have T2D (OR 3.33, 95% CI 1.34-8.23) independently of employment status, acculturation, waist circumference, and lifestyle characteristics. High waist circumference (>88cm) (OR 2.46, 95% CI 1.13-5.38) and being in the lowest quartile of physical activity level (OR 3.75, 95% CI 1.21-11.62) were also risk factors for T2D. Elevated depression symptoms and participation in the Supplemental Nutrition Assistance Program (SNAP) were positively related to low and very low food security after adjusting for waist circumference (P<.01); cigarette smoking was positively associated with very low food security, and nutrition knowledge was negatively related to low food security (P<.01).
These results highlight the need for interventions focusing on prevention of depression and food insecurity among Latinas with T2D.
研究食物不安全与 2 型糖尿病（T2D）的独立关联，并确定拉丁裔人群中与食物不安全相关的 T2D 危险因素。
在一个便利样本中进行病例对照研究，共纳入 201 名年龄在 35-60 岁、居住在城市环境中的拉丁裔女性（100 例 T2D 患者，101 例对照）。收集自我报告的数据，包括食物不安全状况、T2D 状况、抑郁症状以及社会经济、人口统计学和生活方式特征（食物和酒精摄入、吸烟、身体活动），并测量身高、体重和腰围。针对 T2D 和食物不安全分别指定了单独的多变量逻辑回归模型。
在独立于就业状况、文化适应、腰围和生活方式特征的情况下，食物安全极低的参与者发生 T2D 的可能性是食物安全较高的参与者的 3.3 倍（OR 3.33，95%CI 1.34-8.23）。高腰围（>88cm）（OR 2.46，95%CI 1.13-5.38）和处于最低四分位的体力活动水平（OR 3.75，95%CI 1.21-11.62）也是 T2D 的危险因素。在调整腰围后，抑郁症状升高和参与补充营养援助计划（SNAP）与低和极低食物安全呈正相关（P<.01）；吸烟与极低食物安全呈正相关，营养知识与低食物安全呈负相关（P<.01）。
这些结果强调需要针对 T2D 拉丁裔人群中的抑郁和食物不安全问题开展干预措施。
