Bomberg Eric M, Neuhaus John, Hake Monica M, Engelhard Emily M, Seligman Hilary K
Department of Medicine, Division of Endocrinology, University of California, San Francisco, CA 94143.
Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94143.
J Hunger Environ Nutr. 2019;14(1-2):4-17. doi: 10.1080/19320248.2018.1512926. Epub 2018 Sep 6.
Limited access to healthy food caused by food insecurity makes diabetes mellitus (DM) self-management more challenging. Using data from (n = 60,122 US food pantry users), we sought to understand food preferences and coping strategy utilization (e.g. choosing between paying for food and medical care) among households seeking assistance from US food pantries with and without DM members. The prevalence of wanting and not obtaining fruits, vegetables, dairy, and protein was high among all households. After adjusting for sociodemographic characteristics, households with DM members were more likely to want and not obtain fruits, vegetables, and dairy, and were also more likely to use several coping strategies to increase food access, compared to households without DM members. These results highlight the high demand for healthy food items among clients from US food pantries, particularly among households with DM, as well as the extra burden DM may place on food insecure households.
粮食不安全导致获取健康食品的机会有限，这使得糖尿病（DM）的自我管理更具挑战性。利用（n = 60,122名美国食品救济站使用者）的数据，我们试图了解有和没有糖尿病患者的家庭在美国食品救济站寻求援助时的食物偏好和应对策略的使用情况（例如在购买食物和医疗保健之间做出选择）。所有家庭中想要但未获得水果、蔬菜、乳制品和蛋白质的比例都很高。在调整了社会人口学特征后，与没有糖尿病患者的家庭相比，有糖尿病患者的家庭更有可能想要但未获得水果、蔬菜和乳制品，并且也更有可能使用多种应对策略来增加食物获取机会。这些结果凸显了美国食品救济站的客户，尤其是有糖尿病患者的家庭对健康食品的高需求，以及糖尿病可能给粮食不安全家庭带来的额外负担。
