Murillo Rosenda, Reesor Layton M, Scott Claudia W, Hernandez Daphne C
Assistant Professor, The University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX;, Email:
Research Assistant, The University of Houston, Department of Health and Human Performance, Houston, TX.
Am J Health Behav. 2017 Jul 1;41(4):428-436. doi: 10.5993/AJHB.41.4.7.
We examined sex and race/ethnicity differences in the association between food insecurity status and prediabetes among adults.
We used cross-sectional 2011 and 2012 National Health Interview Survey data on non-Hispanic white, non-Hispanic black, and Hispanic adults aged 18-59 years whose household income was ≤ 299% Federal Poverty Line (N = 19,048). Food insecurity status was determined by 3 or more affirmative responses on the 10-item USDA Food Security Scale. Pre-diabetes was self-reported. Logistic regression analyses were used to estimate associations of food insecurity with pre-diabetes and adjusted for several demographic characteristics. All models were stratified by sex and race/ethnicity.
In adjusted models, food insecure non-Hispanic white women and non-Hispanic black women had 53% and over 200% higher odds of being pre-diabetic, respectively. Food insecurity was not related to pre-diabetes for Hispanic women or men.
Limited food resources appear to place non-Hispanic white and non-Hispanic black women at risk for pre-diabetes. Linking food assistance programs with community-based health education programs may be a comprehensive approach to support those who are food insecure with diabetes prevention.
我们研究了成年人中粮食不安全状况与糖尿病前期之间关联的性别及种族/族裔差异。
我们使用了2011年和2012年全国健康访谈调查的横断面数据，这些数据来自家庭收入≤299%联邦贫困线的18 - 59岁非西班牙裔白人、非西班牙裔黑人及西班牙裔成年人（N = 19,048）。粮食不安全状况通过美国农业部10项粮食安全量表上3个或更多肯定回答来确定。糖尿病前期为自我报告。采用逻辑回归分析来估计粮食不安全与糖尿病前期的关联，并对若干人口统计学特征进行了调整。所有模型按性别和种族/族裔分层。
在调整模型中，粮食不安全的非西班牙裔白人女性和非西班牙裔黑人女性患糖尿病前期的几率分别高出53%和200%以上。粮食不安全与西班牙裔女性或男性的糖尿病前期无关。
有限的食物资源似乎使非西班牙裔白人和非西班牙裔黑人女性面临糖尿病前期风险。将粮食援助项目与社区健康教育项目相结合可能是一种全面的方法，以支持那些粮食不安全的人群预防糖尿病。
