SNAP 参与度调节了美籍柬埔寨抑郁症患者家庭食物不安全与 HbA1c 之间的关联。
SNAP participation moderates the association between household food insecurity and HbA1c among Cambodian Americans with depression.
机构信息
Department of Public Health Sciences, School of Medicine, UConn Health, Program in Applied Public Health Sciences, Farmington, CT, USA.
School of Medicine, Quinnipiac University, Hamden, CT, USA.
出版信息
Ethn Health. 2022 Oct;27(7):1718-1731. doi: 10.1080/13557858.2021.1939272. Epub 2021 Jun 13.
OBJECTIVES
We tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) moderated the relation between household food insecurity and HbA1c among Cambodian Americans with depression enrolled in a diabetes prevention trial.
METHODS
Community health workers assessed household food insecurity and SNAP participation. HbA1c was ascertained using direct enzymatic assay.
RESULTS
Among the n = 189 respondents, 19% were food insecure, 41% received SNAP benefits, and mean HbA1c = 5.5%. There was a significant interaction between SNAP and food insecurity. HbA1c was highest among participants without SNAP who were food insecure. Simple effects analysis revealed a significant difference within the no SNAP group [Mean (SD): Secure = 5.38 (0.38), Insecure = 5.78 (0.36)] and no difference within the SNAP group [Secure = 5.61(0.44), Insecure = 5.61(0.55)]. Differences remained significant after controlling for demographic, socioeconomic, and clinical indicators.
CONCLUSIONS
SNAP may protect against the deleterious association between household food insecurity and HbA1c.
目的
我们检验了补充营养援助计划（SNAP）的参与是否调节了参加糖尿病预防试验的患有抑郁症的美国柬埔寨人家庭食物不安全与糖化血红蛋白（HbA1c）之间的关系。
方法
社区卫生工作者评估了家庭食物不安全和 SNAP 的参与情况。使用直接酶法测定 HbA1c。
结果
在 189 名应答者中，19%的人存在食物不安全，41%的人接受 SNAP 福利，平均 HbA1c 为 5.5%。SNAP 和食物不安全之间存在显著的交互作用。没有 SNAP 且食物不安全的参与者的 HbA1c 最高。简单效应分析显示，在没有 SNAP 的组内存在显著差异[平均值（SD）：安全=5.38（0.38），不安全=5.78（0.36）]，而在 SNAP 组内则没有差异[安全=5.61（0.44），不安全=5.61（0.55）]。在控制人口统计学、社会经济和临床指标后，差异仍然显著。
结论
SNAP 可能可以预防家庭食物不安全与 HbA1c 之间的有害关联。
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