Prevalence and Predictors of Household Food Insecurity and Supplemental Nutrition Assistance Program Use in Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study
Authors' conclusion
Almost one in three YYA with type 2 diabetes and more than one in six with type 1 diabetes reported HFI in the past year-a significantly higher prevalence than in the general U.S. population.
Study context
- Population
- Youth and young adults with youth-onset T1D or T2D, SEARCH for Diabetes in Youth study; age range 10–35 years, 79.6% ≤25 years
- Participants
- 2,561 respondents
- Exposure
- T2D vs T1D
- Type 1 diabetesn = 2,177reference
- Type 2 diabetesn = 384
- Outcome
- Household food insecurity (≥3 affirmations on 18-item U.S. Household Food Security Survey Module)
- Follow-up
- Past year
Main finding
As reported in the abstract
HFI prevalence
P < 0.01
- Overall household food insecurity (HFI) prevalence
- 19.7% (95% CI 18.1, 21.2)
Observational data: associations, not effects.
Further findings
SNAP participation · greater participation in T2D
P < 0.001
- Supplemental Nutrition Assistance Program (SNAP) participation — Overall SNAP participation
- 14.1% (95% CI 12.7, 15.5)
Predictors of HFI (multivariable regression)
- Greater odds of HFI with Medicaid or Medicare or no insurance, lower parental education, and lower household income
Original publication
Prevalence and Predictors of Household Food Insecurity and Supplemental Nutrition Assistance Program Use in Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study. Diabetes Care. Published 19 November 2022. doi:10. 2337/ dc21-0790
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