Pathways between food insecurity and glycaemic control in individuals with type 2 diabetes
Bibliographic Data
| ID | 15091462 |
|---|---|
| Authors | Rebekah J Walker (0000-0002-7773-557X, Medical College of Wisconsin, corresponding author), Joni S Williams (0000-0001-8988-3556, Medical College of Wisconsin), L E Egede (0000-0003-1546-1515, Medical College of Wisconsin) |
| Year | 2018 |
| Volume | 21 |
| Issue | 17 |
| Pages | 3237-3244 |
| Publication date | 2018-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980018001908 |
| PMID | 30088467 |
| OpenAlex | W2887174499 |
| Language | EN |
| Citations received | 5 |
| References cited | 29 |
Objective Food insecurity is reported in approximately 28 % of individuals with diabetes in the USA and is associated with poor glycaemic and lipid control. The present study aimed to understand the direct and indirect pathways through which food insecurity impacts glycaemic control in individuals with diabetes. Design/Setting/Subjects Adults ( n 615) with type 2 diabetes completed validated questionnaires after recruitment from two primary care clinics. Structural equation modelling was used to investigate mechanisms through which food insecurity influences diabetes self-care behaviours and glycaemic control, including investigation into possible direct and indirect effects of perceived stress and social support. Results The final model showed that higher food insecurity was directly significantly related to increased stress ( r =0·14, P r =0·66, P =0·03). Higher stress was significantly related to poorer self-care ( r =−0·54, P r =−0·41, P Conclusions Food insecurity had both a direct effect on glycaemic control and an indirect effect on self-care through stress. The indirect pathway suggests that efforts to address stress may influence the ability of individuals to perform diabetes self-care behaviours. The direct effect on glycaemic control suggests that pathways independent of self-care behaviours may also be necessary to improve diabetes outcomes. Results from the study suggest a multipronged approach is necessary to address food insecurity in individuals with diabetes
Biology · Diabetes mellitus · Environmental health · Food insecurity · Food security · Structural equation modeling · Type 2 diabetes · Child Nutrition and Feeding Issues · Food Security and Health in Diverse Populations · Medicine · Obesity and Health Practices · Psychology · Endocrinology · Gerontology
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| Citations per year | 0.83 |
|---|---|
| Citation span | 2020 - 2024 (5) |
| Highly cited | No |