在接受免费医疗与自费医疗的患者中，粮食不安全与较差的血糖控制相关。
Food Insecurity Is Associated With Poorer Glycemic Control in Patients Receiving Free Versus Fee-Based Care.
作者信息
Holben David H, Brown Kara A, Shubrook Jay H
机构信息
The University of Mississippi School of Applied Sciences, University, MS.
Dunham U.S. Army Health Clinic, Carlisle Barracks, PA.
出版信息
Clin Diabetes. 2019 Jan;37(1):44-48. doi: 10.2337/cd17-0133.
Abstract
This study examined differences in household food security (HFS), household adult food security (HAFS), and indicators of diabetes management between clients using free and fee-for-service clinics for diabetes care and management. The study's 166 participants (free clinic, = 41; fee-for-service clinic, =125) had a mean age of 53 ± 16 years and were primarily Caucasian ( = 147 [91.9%]). Both HFS ( <0.001) and HAFS ( <0.001) differed between the clinic groups, as did A1C (free clinic 8.7 ± 1.7%; fee-for-service 7.8 ± 1.6%; = 0.005). A1C increased as HFS ( = 0.293, <0.001) and HAFS ( = 0.288, = 0.001) worsened.
摘要
本研究调查了使用免费诊所和收费诊所进行糖尿病护理与管理的患者在家庭粮食安全（HFS）、家庭成人粮食安全（HAFS）以及糖尿病管理指标方面的差异。该研究的166名参与者（免费诊所，n = 41；收费诊所，n = 125）平均年龄为53±16岁，主要为白种人（n = 147 [91.9%]）。诊所组之间的HFS（P<0.001）和HAFS（P<0.001）存在差异，糖化血红蛋白（A1C）也有差异（免费诊所8.7±1.7%；收费诊所7.8±1.6%；P = 0.005）。随着HFS（r = 0.293，P<0.001）和HAFS（r = 0.288，P = 0.001）恶化，A1C升高。
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