William J. Heerman|Kenneth A. Wallston|Chandra Y. Osborn|Aihua Bian|David G. Schlundt|Shari Barto|Russell L. Rothman
Food insecurity is associated with diabetes self?care behaviours and glycaemic control
Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt Health|Vanderbilt Health|University School of Nashville|Vanderbilt University|Vanderbilt Health|Vanderbilt University Medical Center|Vanderbilt Health|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt Health|Vanderbilt Health|Vanderbilt University|Vanderbilt Health
food insecurity limited uncertain availability nutritionally adequate safe foods objective examine association food insecurity diabetes selfcare glycaemic controlwe conducted crosssectional analysis baseline data adult patients type 2 diabetes enrolled randomized trial evaluating health literacyfocused diabetes intervention safety net primary care clinics middle tennessee food insecurity assessed three items us household food security survey diabetes selfcare behaviours assessed summary diabetes selfcare activities scale personal diabetes questionnaire adherence refills medication scale glycaemic control assessed hba1c sample consisted 401 participants 73 reported level food insecurity food insecurity significantly associated selfcare behaviours including less adherence general diet adjusted odds ratio aor 09 p 002 less physical activity aor 09 p 004 greater occurrence medication nonadherence aor 12 p 0002 calorie restriction aor 11 p 002 food insecurity also associated worse glycaemic control adjusted 01 p 003 none selfcare behaviours significantly associated hba1c limiting ability test selfcare mechanism linking food insecurity glycaemic controlthere high rate food insecurity sample patients type 2 diabetes low socioeconomic status food insecurity associated less adherence recommended selfcare behaviours worse glycaemic control