McClintock Heather F, Imel Brittany E
Department of Public Health, College of Health Sciences, Arcadia University, Glenside, PA, USA.
Nutr Health. 2024 Jun;30(2):341-347. doi: 10.1177/02601060221115588. Epub 2022 Jul 25.
Medication restricting behaviours are common among persons with diabetes increasing risk for poor health outcomes. Persons with diabetes are more likely to experience food insecurity than persons without diabetes.
This study aimed to assess the relationship between food insecurity and medication restricting behaviour among persons with diabetes in the United States.
Data from the 2019 National Health Interview Survey (NHIS) data conducted in the United States was used for this analysis. Medication restricting behaviour was assessed by questions asking whether four restricting behaviours were present (skipped medication, took less medication, delayed filling a prescription and/or took less medication due to cost). Food insecurity status was obtained through a 10-item scale and participants were categorized as either food secure, low food security, or very low food security. Poisson regression evaluated the relationship between medication restricting behaviour and food insecurity controlling for confounders.
Participants with very low food security had a significantly higher mean number of medication restricting behaviours than participants who were food secure (adjusted mean ratio (AMR) = 4.01; 95% confidence interval (CI) = (3.09, 5.21)). Similarly, participants with low food security had a significantly higher mean ratio than participants who were food secure (AMR = 3.76; 95% CI = (2.86. 4.94).
Persons with diabetes who have low or very low food security are at an increased risk for engaging in medication restricting behaviours.
药物限制行为在糖尿病患者中很常见，这增加了健康状况不佳的风险。糖尿病患者比非糖尿病患者更有可能经历粮食不安全问题。
本研究旨在评估美国糖尿病患者中粮食不安全与药物限制行为之间的关系。
本分析使用了在美国进行的2019年全国健康访谈调查（NHIS）的数据。通过询问是否存在四种限制行为（漏服药物、减少用药量、延迟配药和/或因费用而减少用药量）的问题来评估药物限制行为。粮食不安全状况通过一个10项量表获得，参与者被分为粮食安全、轻度粮食不安全或重度粮食不安全。泊松回归分析评估了药物限制行为与粮食不安全之间的关系，并对混杂因素进行了控制。
重度粮食不安全的参与者的药物限制行为平均数量显著高于粮食安全的参与者（调整后平均比率（AMR）=4.01；95%置信区间（CI）=（3.09，5.21））。同样，轻度粮食不安全的参与者的平均比率也显著高于粮食安全的参与者（AMR=3.76；95%CI=（2.86，4.94））。
粮食安全程度低或非常低的糖尿病患者从事药物限制行为的风险增加。
