Food insecurity and medication restricting behavior among persons with diabetes in the United States.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-06-01 Epub Date: 2022-07-25 DOI:10.1177/02601060221115588

Heather F McClintock, Brittany E Imel

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Abstract

Background: Medication restricting behaviours are common among persons with diabetes increasing risk for poor health outcomes. Persons with diabetes are more likely to experience food insecurity than persons without diabetes.

Aim: This study aimed to assess the relationship between food insecurity and medication restricting behaviour among persons with diabetes in the United States.

Methods: Data from the 2019 National Health Interview Survey (NHIS) data conducted in the United States was used for this analysis. Medication restricting behaviour was assessed by questions asking whether four restricting behaviours were present (skipped medication, took less medication, delayed filling a prescription and/or took less medication due to cost). Food insecurity status was obtained through a 10-item scale and participants were categorized as either food secure, low food security, or very low food security. Poisson regression evaluated the relationship between medication restricting behaviour and food insecurity controlling for confounders.

Results: Participants with very low food security had a significantly higher mean number of medication restricting behaviours than participants who were food secure (adjusted mean ratio (AMR) = 4.01; 95% confidence interval (CI) = (3.09, 5.21)). Similarly, participants with low food security had a significantly higher mean ratio than participants who were food secure (AMR = 3.76; 95% CI = (2.86. 4.94).

Conclusion: Persons with diabetes who have low or very low food security are at an increased risk for engaging in medication restricting behaviours.

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美国糖尿病患者的食物不安全和限制用药行为。

背景：限制用药行为在糖尿病患者中很常见，会增加不良健康后果的风险。与非糖尿病患者相比，糖尿病患者更有可能面临食物不安全问题。目的：本研究旨在评估美国糖尿病患者食物不安全与限制用药行为之间的关系：本分析采用了在美国进行的2019年全国健康访谈调查（NHIS）数据。限制用药行为是通过询问是否存在四种限制用药行为（跳过用药、减少用药、延迟开处方和/或因费用原因减少用药）来评估的。食物不安全状况通过 10 个项目的量表获得，参与者被分为食物安全、低食物安全或极低食物安全。泊松回归评估了限制用药行为与食物不安全之间的关系，并对混杂因素进行了控制：与有食物保障的参与者相比，食物保障极低的参与者限制用药行为的平均次数明显较多（调整后平均比率 (AMR) = 4.01; 95% 置信区间 (CI) = (3.09, 5.21)）。同样，食品安全程度低的参与者的平均比率也明显高于食品安全程度高的参与者（AMR = 3.76; 95% CI = (2.86. 4.94)）：结论：食物保障程度低或极低的糖尿病患者出现限制用药行为的风险更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.