Rosenda Murillo1, Layton M Reesor2, Claudia W Scott3, Daphne C Hernandez4. 1. Assistant Professor, The University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX;, Email: rmurillo3@uh.edu. 2. Research Assistant, The University of Houston, Department of Health and Human Performance, Houston, TX. 3. Clinical Assistant Professor, The University of Houston, Department of Health and Human Performance, Houston, TX. 4. Assistant Professor, The University of Houston, Department of Health and Human Performance, Houston, TX.
Abstract
OBJECTIVE: We examined sex and race/ethnicity differences in the association between food insecurity status and prediabetes among adults. METHOD: We used cross-sectional 2011 and 2012 National Health Interview Survey data on non-Hispanic white, non-Hispanic black, and Hispanic adults aged 18-59 years whose household income was ≤ 299% Federal Poverty Line (N = 19,048). Food insecurity status was determined by 3 or more affirmative responses on the 10-item USDA Food Security Scale. Pre-diabetes was self-reported. Logistic regression analyses were used to estimate associations of food insecurity with pre-diabetes and adjusted for several demographic characteristics. All models were stratified by sex and race/ethnicity. RESULTS: In adjusted models, food insecure non-Hispanic white women and non-Hispanic black women had 53% and over 200% higher odds of being pre-diabetic, respectively. Food insecurity was not related to pre-diabetes for Hispanic women or men. CONCLUSION: Limited food resources appear to place non-Hispanic white and non-Hispanic black women at risk for pre-diabetes. Linking food assistance programs with community-based health education programs may be a comprehensive approach to support those who are food insecure with diabetes prevention.
OBJECTIVE: We examined sex and race/ethnicity differences in the association between food insecurity status and prediabetes among adults. METHOD: We used cross-sectional 2011 and 2012 National Health Interview Survey data on non-Hispanic white, non-Hispanic black, and Hispanic adults aged 18-59 years whose household income was ≤ 299% Federal Poverty Line (N = 19,048). Food insecurity status was determined by 3 or more affirmative responses on the 10-item USDA Food Security Scale. Pre-diabetes was self-reported. Logistic regression analyses were used to estimate associations of food insecurity with pre-diabetes and adjusted for several demographic characteristics. All models were stratified by sex and race/ethnicity. RESULTS: In adjusted models, food insecure non-Hispanic white women and non-Hispanic black women had 53% and over 200% higher odds of being pre-diabetic, respectively. Food insecurity was not related to pre-diabetes for Hispanic women or men. CONCLUSION: Limited food resources appear to place non-Hispanic white and non-Hispanic black women at risk for pre-diabetes. Linking food assistance programs with community-based health education programs may be a comprehensive approach to support those who are food insecure with diabetes prevention.
Authors: Andrea López-Cepero; Christine Frisard; Ganga Bey; Stephenie C Lemon; Milagros C Rosal Journal: Public Health Nutr Date: 2019-11-13 Impact factor: 4.022