Food insecurity, Supplemental Nutrition Assistance Program (SNAP) participation and glycemic control in low-income adults with predominantly type 2 diabetes: a cross-sectional analysis using National Health and Nutrition Examination Survey (NHANES) 2007–2018 data
Authors' conclusion
For low-income individuals with T2D in the USA, health insurance may be among the most critical predictors of glycemic control. Additionally, SDoH associated with race and ethnicity plays an important role. SNAP participation may not affect glycemic control because of inadequate benefit amounts or lack of incentives for healthy purchases. These findings have implications for community engaged interventions and healthcare and food policy.
Study context
- Population
- Adults with likely T2D and income <185% of the federal poverty level, NHANES 2007–2018; 90% >40 years, 55% female, 41% SNAP participants, 36% low or very low food security
- Participants
- 2,084 adults
- Exposure
- Food insecurity vs food security; SNAP participation as effect modifier
- Outcome
- Glycemic control (HbA1c 7.0%-8.5% depending on age and comorbidities)
Methodological detailsNHANES 2007-2018, multivariable logistic regression
- NHANES 2007-2018
- Multivariable logistic regression
Main finding
As reported in the abstract
Food insecurity not associated with glycemic control (adjusted model), aOR
1.181
0.877–1.589
Observational data: associations, not effects.
Further findings
Factors associated with poor glycemic control
- Insulin use, lack of health insurance, and Hispanic or another race and ethnicity were among the strongest associations with poor glycemic control (adjusted model)
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →