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
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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.
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.