Household Food Insecurity and Fear of Hypoglycemia in Adolescents and Young Adults With Diabetes and Parents of Youth With Diabetes.

Autor:	Reid LA; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC., Zheng S; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC., Mendoza JA; Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA., Reboussin BA; Wake Forest School of Medicine, Winston Salem, NC., Roberts AJ; Seattle Children's Research Institute and University of Washington, Seattle, WA., Sauder KA; University of Colorado School of Medicine, Aurora, CO., Lawrence JM; Division of Epidemiologic Research, Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA., Jensen E; Wake Forest School of Medicine, Winston Salem, NC., Henkin L; Wake Forest School of Medicine, Winston Salem, NC., Flory K; Department of Psychology, University of South Carolina, Columbia, SC., Knight LM; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC., Pihoker C; Seattle Children's Research Institute and University of Washington, Seattle, WA., Dolan LM; Division of Endocrinology, Department of Pediatrics, University of Cincinnati, Cincinnati, OH., Apperson EM; Prisma Health - Upstate, Greenville, SC., Liese AD; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC.
Jazyk:	angličtina
Zdroj:	Diabetes care [Diabetes Care] 2023 Feb 01; Vol. 46 (2), pp. 262-269.
DOI:	10.2337/dc21-1807
Abstrakt:	Objective: To evaluate the relation between household food insecurity (HFI) and fear of hypoglycemia among young adults with type 1 and type 2 diabetes and adolescents with type 1 diabetes and their parents. Research Design and Methods: We analyzed cross-sectional data of 1,676 young adults with youth-onset diabetes (84% type 1, 16% type 2) and 568 adolescents (<18 years old; mean age 15.1 years) with type 1 diabetes from the SEARCH for Diabetes in Youth study. Adult participants and parents of adolescent participants completed the U.S. Household Food Security Survey Module. Adults, adolescents, and parents of adolescents completed the Hypoglycemia Fear Survey, where answers range from 1 to 4. The outcomes were mean score for fear of hypoglycemia and the behavior and worry subscale scores. Linear regression models identified associations between HFI and fear of hypoglycemia scores. Results: Adults with type 1 diabetes experiencing HFI had higher fear of hypoglycemia scores (0.22 units higher for behavior, 0.55 units for worry, 0.40 units for total; all P < 0.0001) than those without HFI. No differences by HFI status were found for adolescents with type 1 diabetes. Parents of adolescents reporting HFI had a 0.18 unit higher worry score than those not reporting HFI (P < 0.05). Adults with type 2 diabetes experiencing HFI had higher fear of hypoglycemia scores (0.19 units higher for behavior, 0.35 units for worry, 0.28 units for total; all P < 0.05) than those in food secure households. Conclusions: Screening for HFI and fear of hypoglycemia among people with diabetes can help providers tailor diabetes education for those who have HFI and therefore fear hypoglycemia. (© 2023 by the American Diabetes Association.)
Databáze:	MEDLINE
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