Association between adult food insecurity and mortality among adults aged 20–79 years with diabetes: A population‐based retrospective cohort study
Main finding · All-cause mortalityResult — go to the resultMultivariate-adjusted HR 1.48 CI 1.12–1.95Authors' conclusion
Food insecurity was associated with increased all-cause mortality and compromised diet quality, especially in individuals experiencing very low food security. Future strategies may necessitate the monitoring of and interventions for food insecurity among individuals with diabetes.
Study context
- Population
- Adults with diabetes, National Health and Nutrition Examination Survey cycles 2003–2018, followed up until 31 December 2019
- Participants
- 5,749 adults
- Exposure
- Food insecurity categories vs full food security
- Outcome
- All-cause and cause-specific mortality
Main finding
All-cause mortality
Multivariate-adjusted HR
1.48
CI 1.12–1.95
P = 0.010 for trend
Very low food securityvs Full food security
multivariate-adjusted HR 1.48 (CI 1.12–1.95); P for trend = 0.010
As reported in the abstract
- Deaths over 42,272.0 person-years of follow-up
- 1091
Observational data: associations, not effects.
Further findings
Weighted prevalence of food security categories
Cause-specific deaths
- CVD deaths
- 370
- Cancer deaths
- 180
Diet quality
- Food insecurity significantly correlated with diminished diet quality and reduced consumption of healthy foods
Original publication
Association between adult food insecurity and mortality among adults aged 20–79 years with diabetes: A population‐based retrospective cohort study. Diabet Med. Published 23 December 2023. doi:10.
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