Healthcare and non-healthcare costs: youth with diabetes and food insecurity.

IF 4.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Alice M Ellyson, Jason A Mendoza, Angela D Liese, Ashley Tabah, Traci A Bekelman, A Caroline Rudisill, Dana Dabelea, Edward A Frongillo, Catherine Pihoker, Faisal S Malik, Davene R Wright
{"title":"Healthcare and non-healthcare costs: youth with diabetes and food insecurity.","authors":"Alice M Ellyson, Jason A Mendoza, Angela D Liese, Ashley Tabah, Traci A Bekelman, A Caroline Rudisill, Dana Dabelea, Edward A Frongillo, Catherine Pihoker, Faisal S Malik, Davene R Wright","doi":"10.1016/j.amepre.2025.108028","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This study prospectively evaluated the association of household food insecurity and acute care costs and productivity loss in youth and young adults (YYA) with type 1 and type 2 diabetes.</p><p><strong>Methods: </strong>This observational cohort study included 1,256 YYA with type 1 and type 2 diabetes from the SEARCH for Diabetes in Youth Food Security Study with data collected at three time points between 2015-2022. Both household food insecurity (HFI, measured using the US Household Food Security Survey Module) and costs (measured using survey responses on utilization and productivity losses) were self-reported by young adult participants or caregivers of adolescents. The relationship between HFI and costs was analyzed using generalized adjusted linear regression. We also analyzed the moderating role of continuous health insurance coverage.</p><p><strong>Results: </strong>Each additional 1-point increase in the HFI score was associated with a $1,077 (95%CI= [663, 1,491]) increase in measured 12-month costs. Costs were $4,384 (95%CI=[2,635, 6,133]) higher in households that were experiencing HFI versus those who were not. Youth and young adults with continuous health insurance coverage saw smaller increases in costs ($864, 95%CI=[461, 1,267]) compared to those without continuous coverage ($1,820, 95%CI=[379, 3,261]).</p><p><strong>Conclusions: </strong>This study found a positive association between HFI and costs for YYA with diabetes, and this relationship was modified by continuous health insurance coverage. Future work should use linked claims and electronic health record data to better inform efforts aiming to reduce HFI burden and improve the continuity of insurance coverage for this population.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108028"},"PeriodicalIF":4.5000,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Preventive Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amepre.2025.108028","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: This study prospectively evaluated the association of household food insecurity and acute care costs and productivity loss in youth and young adults (YYA) with type 1 and type 2 diabetes.

Methods: This observational cohort study included 1,256 YYA with type 1 and type 2 diabetes from the SEARCH for Diabetes in Youth Food Security Study with data collected at three time points between 2015-2022. Both household food insecurity (HFI, measured using the US Household Food Security Survey Module) and costs (measured using survey responses on utilization and productivity losses) were self-reported by young adult participants or caregivers of adolescents. The relationship between HFI and costs was analyzed using generalized adjusted linear regression. We also analyzed the moderating role of continuous health insurance coverage.

Results: Each additional 1-point increase in the HFI score was associated with a $1,077 (95%CI= [663, 1,491]) increase in measured 12-month costs. Costs were $4,384 (95%CI=[2,635, 6,133]) higher in households that were experiencing HFI versus those who were not. Youth and young adults with continuous health insurance coverage saw smaller increases in costs ($864, 95%CI=[461, 1,267]) compared to those without continuous coverage ($1,820, 95%CI=[379, 3,261]).

Conclusions: This study found a positive association between HFI and costs for YYA with diabetes, and this relationship was modified by continuous health insurance coverage. Future work should use linked claims and electronic health record data to better inform efforts aiming to reduce HFI burden and improve the continuity of insurance coverage for this population.

医疗保健和非医疗保健费用:青年糖尿病患者和粮食不安全。
本研究前瞻性地评估了1型和2型糖尿病青年和青年会(YYA)的家庭粮食不安全与急性护理成本和生产力损失的关系。方法:本观察性队列研究纳入了2015-2022年三个时间点收集的数据,其中包括来自青年食品安全研究中糖尿病搜索的1,256名1型和2型糖尿病青少年。家庭粮食不安全(HFI,使用美国家庭粮食安全调查模块进行测量)和成本(使用利用率和生产力损失的调查回复进行测量)均由年轻成年参与者或青少年的照顾者自我报告。采用广义调整线性回归分析了HFI与成本之间的关系。我们还分析了连续健康保险覆盖的调节作用。结果:HFI评分每增加1分,测量的12个月成本增加1,077美元(95%CI=[663, 1,491])。与没有经历HFI的家庭相比,经历HFI的家庭的成本高出4,384美元(95%CI=[2,635, 6,133])。与没有持续医疗保险的年轻人(1,820美元,95%CI=[379, 3,261])相比,拥有持续医疗保险的年轻人和年轻人的成本增幅较小(864美元,95%CI=[461, 1,267])。结论:本研究发现HFI与YYA合并糖尿病的费用呈正相关,并且这种关系被持续的健康保险覆盖所修正。未来的工作应使用相关的索赔和电子健康记录数据,以更好地为旨在减轻HFI负担和改善该人群保险覆盖连续性的工作提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
American Journal of Preventive Medicine
American Journal of Preventive Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.60
自引率
1.80%
发文量
395
审稿时长
32 days
期刊介绍: The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health. Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信