Marianna S Wetherill1, Mary B Williams2, Kayla C White3, Hilary K Seligman4. 1. Department of Health Promotion Sciences, Hudson College of Public Health and Department of Family and Community Medicine, OU-TU School of Community Medicine, University of Oklahoma-Tulsa Schusterman Center, Tulsa, Oklahoma. 2. Department of Biostatistics and Epidemiology, Hudson College of Public Health and Department of Family and Community Medicine, OU-TU School of Community Medicine, University of Oklahoma-Tulsa Schusterman Center, Tulsa, Oklahoma. 3. Hudson College of Public Health, University of Oklahoma-Tulsa Schusterman Center, Tulsa, Oklahoma. 4. Department of Medicine, University of California San Francisco, San Francisco, California and Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital, San Francisco, California.
Abstract
PURPOSE: The purpose of this study is to explore the associations between food insecurity (FI) and coping strategies of relevance to diabetes self-management among households of people with diabetes (HHDM) who access US food pantry programs. METHODS: The authors conducted a secondary data analysis of HHDM accessing US food pantry programs from the Hunger in America 2014 study (n = 16 826). Weighted analyses included descriptive statistics for household sociodemographics, food pantry service utilization, FI, and coping behaviors. The authors used chi-square and logistic regression to estimate the relationship between FI and coping behaviors. RESULTS: Nearly one-half of HHDM reported visiting food pantries at least 6 times in the past year. Most HHDM were FI, with the majority experiencing the most severe form of FI. Over one-fifth of households reported lacking health insurance. The majority of HHDM reported purchasing inexpensive unhealthy foods to ensure household food adequacy, and many reported watering down food and beverages. The odds of reporting these behaviors significantly increased as FI worsened. CONCLUSION: Food pantries represent an opportunity for the delivery of community-based diabetes self-management education and support programs. These programs should be adapted to address population barriers to self-management and to support access to healthful foods and medical care.
PURPOSE: The purpose of this study is to explore the associations between food insecurity (FI) and coping strategies of relevance to diabetes self-management among households of people with diabetes (HHDM) who access US food pantry programs. METHODS: The authors conducted a secondary data analysis of HHDM accessing US food pantry programs from the Hunger in America 2014 study (n = 16 826). Weighted analyses included descriptive statistics for household sociodemographics, food pantry service utilization, FI, and coping behaviors. The authors used chi-square and logistic regression to estimate the relationship between FI and coping behaviors. RESULTS: Nearly one-half of HHDM reported visiting food pantries at least 6 times in the past year. Most HHDM were FI, with the majority experiencing the most severe form of FI. Over one-fifth of households reported lacking health insurance. The majority of HHDM reported purchasing inexpensive unhealthy foods to ensure household food adequacy, and many reported watering down food and beverages. The odds of reporting these behaviors significantly increased as FI worsened. CONCLUSION: Food pantries represent an opportunity for the delivery of community-based diabetes self-management education and support programs. These programs should be adapted to address population barriers to self-management and to support access to healthful foods and medical care.
Authors: Margaret A Powers; Joan Bardsley; Marjorie Cypress; Paulina Duker; Martha M Funnell; Amy Hess Fischl; Melinda D Maryniuk; Linda Siminerio; Eva Vivian Journal: Diabetes Care Date: 2015-06-05 Impact factor: 19.112
Authors: Hilary K Seligman; Courtney Lyles; Michelle B Marshall; Kimberly Prendergast; Morgan C Smith; Amy Headings; Georgiana Bradshaw; Sophie Rosenmoss; Elaine Waxman Journal: Health Aff (Millwood) Date: 2015-11 Impact factor: 6.301