ArticlePublic health nutrition2018
Pathways between food insecurity and glycaemic control in individuals with type 2 diabetes.
Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Focusing attention on the important association between food insecurity and psychological distress: a systematic review and meta-analysis.BMC nutrition · 2024Pooled it
- Disparities in Cardiovascular Disease-Related Outcomes Among Cancer Survivors in the United States: A Systematic Review of the Literature.Heart, lung & circulation · 2024Pooled it
- The Impact of Providing Material Benefits to Improve Access to Food on Clinical Parameters, Dietary Intake, and Household Food Insecurity in People with Diabetes: A Systematic Review with Narrative Synthesis.Advances in nutrition (Bethesda, Md.) · 2023Pooled it
- Food insecurity and binge eating: A systematic review and meta-analysis.The International journal of eating disorders · 2023Pooled it
- From pantry to physiology: A narrative review linking food insecurity to biological dysfunction.Dialogues in health · 2026Review
- Metformin Prescription Orders among Patients with Prediabetes in a National Network of Federally Qualified Health Centers.Journal of general internal medicine · 2026Article
- Association of Social Support with Diabetes-Related Outcomes for Adults with and without Food Insecurity at an Urban Federally Qualified Health Center.Journal of hunger & environmental nutrition · 2025Article
- Binge Eating Disorder and Metabolic Syndrome: Shared Mechanisms and Clinical Implications.Healthcare (Basel, Switzerland) · 2025Review
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Structural Racism as an Upstream Social Determinant of Diabetes Outcomes: A Scoping Review.Diabetes care · 2023Article
- Implementation Support for a Social Risk Screening and Referral Process in Community Health Centers.NEJM catalyst innovations in care delivery · 2023Article
- Medically tailored meals for food insecurity and type 2 diabetes: Protocol for the Food as Medicine for Diabetes (FAME-D) trial.Contemporary clinical trials · 2023Article
- Cross-Sectional Associations: Social Risks and Diabetes Care Quality, Outcomes.American journal of preventive medicine · 2022Article
- Article
- Food Insecurity and Cardiometabolic Conditions: a Review of Recent Research.Current nutrition reports · 2021Review
- Household food insecurity and health in a high-migration area in rural Honduras.SSM - population health · 2021Article
- Food insecurity is associated with magnetic resonance-determined nonalcoholic fatty liver and liver fibrosis in low-income, middle-aged adults with and without HIV.The American journal of clinical nutrition · 2021Article
- Social Determinants of Health and Diabetes: A Scientific Review.Diabetes care · 2020Review
- A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure.BMC public health · 2020Article
- The socioeconomic aspects of nonalcoholic fatty liver disease: food insecurity as a novel risk factor for steatosis and liver fibrosis.Hepatobiliary surgery and nutrition · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveFood insecurity is reported in approximately 28 % of individuals with diabetes in the USA and is associated with poor glycaemic and lipid control. The present study aimed to understand the direct and indirect pathways through which food insecurity impacts glycaemic control in individuals with diabetes.Design/Setting/SubjectsAdults (n 615) with type 2 diabetes completed validated questionnaires after recruitment from two primary care clinics. Structural equation modelling was used to investigate mechanisms through which food insecurity influences diabetes self-care behaviours and glycaemic control, including investigation into possible direct and indirect effects of perceived stress and social support.
resultsThe final model showed that higher food insecurity was directly significantly related to increased stress (r=0·14, P<0·001) and increased glycosylated Hb (r=0·66, P=0·03). Higher stress was significantly related to poorer self-care (r=-0·54, P<0·001) and lower social support (r=-0·41, P<0·001). There was no significant direct association between food insecurity and self-care, or between perceived stress and glycaemic control.
conclusionsFood insecurity had both a direct effect on glycaemic control and an indirect effect on self-care through stress. The indirect pathway suggests that efforts to address stress may influence the ability of individuals to perform diabetes self-care behaviours. The direct effect on glycaemic control suggests that pathways independent of self-care behaviours may also be necessary to improve diabetes outcomes. Results from the study suggest a multipronged approach is necessary to address food insecurity in individuals with diabetes.
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