Association Between Food Insecurity and Inability to Obtain Provider-Recommended Medications, Multidisciplinary Services, and Technology in Youth and Young Adults With Diabetes: A Cross-Sectional Study
Authors' conclusion
YYA with diabetes and FI face constraints in obtaining medications, diabetes technology, and multidisciplinary services, largely due to financial and structural reasons. New strategies are needed to bridge the gap between medical care required vs obtained by YYA with diabetes.
Study context
- Population
- Youth and Young Adults (YYA) with T1D and T2D, SEARCH Food Security Cohort Study Follow-up 1 (2018–2021)911 T1D, 144 T2D · YYA with T1D 911 · T2D 144
- Exposure
- Food insecurity vs food security
- Outcome
- Self-reported inability to obtain recommended diabetes medications, technology and multidisciplinary services
Main finding
As reported in the abstract
Not obtaining recommended treatments, T1D
FI vs Food securityOdds ratio (95% CI)
Not obtaining insulin
3.2(1.2–8.4)
Not obtaining mental health counseling
3.3(1.3–8.2)
Not obtaining diabetes education
3.6(1.4–9.3)
Not obtaining insulin pump
2.2(1.2–4.4)
Not obtaining CGM
2.5(1.5–4.4)
- YYA with T1D and food insecurity (FI) not obtaining ≥1 recommended treatment
- Almost 30%
- YYA with T2D and FI not obtaining ≥1 recommended treatment
- 20%
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Not obtaining dietician services, T2D | 8.1 (1.2–53.8) | |
| 0.050.21520Odds ratio (log scale) |
Reasons for not obtaining CGM, T1D
- FI participants reported more financial reasons vs food secure
Original publication
Association Between Food Insecurity and Inability to Obtain Provider-Recommended Medications, Multidisciplinary Services, and Technology in Youth and Young Adults With Diabetes: A Cross-Sectional Study. Endocr Pract. Published 4 December 2024. doi:10.
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