SNAP participation moderates the association between household food insecurity and HbA1c among Cambodian Americans with depression

被引：6

作者：

Bermudez-Millan, Angela ^{[1
]}

Feinn, Richard ^{[2
]}

Hahn, Chelsey ^{[1
]}

Jui, Shanjida A. ^{[1
]}

Berthold, S. Megan ^{[3
]}

Buckley, Thomas ^{[4
]}

Buxton, Orfeu ^{[5
]}

Kong, Sengly ^{[6
]}

Kuoch, Theanvy ^{[6
]}

Scully, Mary ^{[6
]}

Wagner, Julie ^{[7
]}

机构：

[1] UConn Hlth, Dept Publ Hlth Sci, Sch Med, Program Appl Publ Hlth Sci, 263 Farmington Ave, Farmington, CT 06030 USA

[2] Quinnipiac Univ, Sch Med, Hamden, CT 06518 USA

[3] Univ Connecticut, Sch Social Work, Hartford, CT 06112 USA

[4] Univ Connecticut, Sch Pharm, Dept Pharm Practice, Storrs, CT USA

[5] Penn State Univ, Biobehav Hlth, University Pk, PA 16802 USA

[6] Khmer Hlth Advocates, Hartford, CT USA

[7] UConn Hlth, Dept Behav Sci & Community Hlth, Sch Dent Med, Farmington, CT USA

来源：

ETHNICITY & HEALTH | 2022年 / 27卷 / 07期

关键词：

Food insecurity; food assistance; HbA1c; depression; Cambodian; diabetes; REFUGEE WOMEN; DIETARY PRACTICES; 2; DECADES; NUTRITION; SECURITY; ACCULTURATION; PROGRAM; QUALITY; HEALTH; INFLAMMATION;

D O I：

10.1080/13557858.2021.1939272

中图分类号：

C95 [民族学、文化人类学];

学科分类号：

0304 ; 030401 ;

摘要：

Objectives We tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) moderated the relation between household food insecurity and HbA1c among Cambodian Americans with depression enrolled in a diabetes prevention trial. Methods Community health workers assessed household food insecurity and SNAP participation. HbA1c was ascertained using direct enzymatic assay. Results Among the n = 189 respondents, 19% were food insecure, 41% received SNAP benefits, and mean HbA1c = 5.5%. There was a significant interaction between SNAP and food insecurity. HbA1c was highest among participants without SNAP who were food insecure. Simple effects analysis revealed a significant difference within the no SNAP group [Mean (SD): Secure = 5.38 (0.38), Insecure = 5.78 (0.36)] and no difference within the SNAP group [Secure = 5.61(0.44), Insecure = 5.61(0.55)]. Differences remained significant after controlling for demographic, socioeconomic, and clinical indicators. Conclusions SNAP may protect against the deleterious association between household food insecurity and HbA1c.

引用

页码：1718 / 1731

页数：14