Osborn Brandon, Albrecht Sandra S, Fleischer Nancy L, Ro Annie
Program in Public Health, University of California, Irvine, Anteater Instruction and Research Building (AIRB), Room 2030, 653 E. Peltason Road, Irvine, CA 92697-3957, United States.
Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 703, New York, NY 10032, United States.
Prev Med Rep. 2022 Jun 9;28:101856. doi: 10.1016/j.pmedr.2022.101856. eCollection 2022 Aug.
We examined associations between food security (FS) status and type 2 diabetes (T2D) prevalence and perceived T2D self-management by nativity and US duration of residence among Latinos living in California. We used the California Health Interview Survey (2012-2017) and included Latinos who lived below 200% of the federal poverty line (n = 16,254) and for our management outcome, those with T2D (n = 2284). Latinos with low FS (OR = 1.44, 95% CI 1.14-1.83) or very low FS (OR = 1.87, 95% CI 1.33-2.61) had a higher odds of T2D compared to their food-secure counterparts. When stratified by in the US, US-born Latinos and Latino immigrants with >10 years duration had a higher odds of T2D if they reported low FS (US-born: OR = 1.60, 95% CI 1.02-2.52; >10 yrs: OR = 1.48, 95% CI 1.12-1.97) or very low FS (US-born: OR = 2.37, 95% CI 1.45-3.86; >10 yrs: OR = 1.78, 95% CI 1.15-2.76) compared to their food-secure counterparts. There was no association among immigrants with <10 years duration. For perceived T2D self-management, those with low or very low FS had lower odds of reporting proper management (OR = 0.56, 95% CI 0.36-0.86; OR = 0.46, 95% CI 0.26-0.83) compared to their food-secure counterparts. When stratified by , the US-born did not differ in their perceived self-management by FS status, while immigrants with low or very FS had lower odds of perceived self-management (OR = 0.54, 95% CI 0.34-0.86; OR = 0.36, 95% CI 0.17-0.74), compared to their food-secure counterparts. Food insecurity may be an important contributor to T2D prevalence and perceived T2D self-management for Latino immigrants.
我们研究了加利福尼亚州拉丁裔人群中食品安全（FS）状况与2型糖尿病（T2D）患病率以及按出生地和在美国居住时长划分的T2D自我管理认知之间的关联。我们使用了加利福尼亚健康访谈调查（2012 - 2017年），纳入了生活在联邦贫困线200%以下的拉丁裔人群（n = 16254），对于自我管理结果，纳入了患有T2D的人群（n = 2284）。与食品安全状况良好的拉丁裔相比，食品安全状况较差（OR = 1.44，95% CI 1.14 - 1.83）或极差（OR = 1.87，95% CI 1.33 - 2.61）的拉丁裔患T2D的几率更高。按在美国的居住时长分层时，美国出生的拉丁裔和居住时长超过10年的拉丁裔移民如果报告食品安全状况较差（美国出生：OR = 1.60，95% CI 1.02 - 2.52；超过10年：OR = 1.48，95% CI 1.12 - 1.97）或极差（美国出生：OR = 2.37，95% CI 1.45 - 3.86；超过10年：OR = 1.78，95% CI 1.15 - 2.76），与食品安全状况良好的对应人群相比，患T2D的几率更高。居住时长不足10年的移民中未发现关联。对于T2D自我管理认知，与食品安全状况良好的对应人群相比，食品安全状况较差或极差的人群报告进行正确管理的几率较低（OR = 0.56，95% CI 0.36 - 0.86；OR = 0.46，95% CI 0.26 - 0.83）。按在美国的居住时长分层时，美国出生的人群在自我管理认知方面不因食品安全状况而有所不同，而食品安全状况较差或极差的移民自我管理认知的几率较低（OR = 0.54，95% CI 0.34 - 0.86；OR = 0.36，95% CI 0.17 - 0.74），与食品安全状况良好的对应人群相比。食品安全无保障可能是拉丁裔移民T2D患病率和T2D自我管理认知的一个重要影响因素。
