Background: Food insecurity (FI), defined as limited access to nutritious foods, hampers dietary management of dysglycemia. We examined the prevalence of and risk factors for FI among adults with dysglycemia.
Methods: We performed a cross-sectional analysis of data among adults with dysglycemia from the 2013-2017 National Health Interview Survey. We defined dysglycemia as self-reported prediabetes or diabetes diagnosis. FI was defined by an affirmative response on ≥3 questions on the 10-item Food Security Scale. We used Poisson regression and multivariable logistic regressions to estimate the prevalence of and risk factors for FI.
Results: We included 26,960 adults with dysglycemia; mean age was 61 years, and 56% were female. The prevalence of FI among those with dysglycemia was 10%. Risk factors for FI identified included being Nnon-Hispanic black (OR: 1.30; 95% CI: 1.11-1.53), Other race (OR: 1.72; 95% CI: 1.12-2.62); having some college (OR: 1.17; 95% CI: 1.01-1.35), unemployed (OR: 1.57; 95% CI: 1.35-1.83), benefiting from the Supplemental Nutrition Assistance Program (OR: 2.31; 95% CI: 2.02-2.65), and insured (OR:1.51; 95% CI: 1.20-1.91) (Table).
L. Francis: None. R.N. Turkson-Ocran: None. E. Spaulding: None. B. Koirala: None. D. Baptiste: None. J.B. Echouffo Tcheugui: None. Y. Commodore-Mensah: None.
National Institute of Nursing Research (to R-A.N.T-O.), (F31DR017328, T32NR012704 to E.S.); National Institute of Diabetes and Digestive and Kidney Diseases (T32NR012704, 3T32DK062707 to R-A.N.T-O.); Ruth L. Kirschstein National Research Service Award (to E.S.); Johns Hopkins Clinical Research Scholars Program (5KL2TR001077-05 to Y.C.M.)