The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study.
A pervasive and persistent finding is the health disadvantage experienced by those in food insecure households. While clear associations have been identified between food insecurity and diabetes risk factors, less is known about the relationship between food insecurity and incident type 2 diabetes....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5965821?pdf=render |
| _version_ | 1828522296772395008 |
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| author | Christopher A Tait Mary R L'Abbé Peter M Smith Laura C Rosella |
| author_facet | Christopher A Tait Mary R L'Abbé Peter M Smith Laura C Rosella |
| author_sort | Christopher A Tait |
| collection | DOAJ |
| description | A pervasive and persistent finding is the health disadvantage experienced by those in food insecure households. While clear associations have been identified between food insecurity and diabetes risk factors, less is known about the relationship between food insecurity and incident type 2 diabetes. The objective of this study is to investigate the association between household food insecurity and the future development of type 2 diabetes.We used data from Ontario adult respondents to the 2004 Canadian Community Health Survey, linked to health administrative data (n = 4,739). Food insecurity was assessed with the Household Food Security Survey Module and incident type 2 diabetes cases were identified by the Ontario Diabetes Database. Multivariable adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for type 2 diabetes as a function of food insecurity.Canadians in food insecure households had more than 2 times the risk of developing type 2 diabetes compared to those in food secure households [HR = 2.40, 95% CI = 1.17-4.94]. Additional adjustment for BMI attenuated the association between food insecurity and type 2 diabetes [HR = 2.08, 95% CI = 0.99, 4.36].Our findings indicate that food insecurity is independently associated with increased diabetes risk, even after adjustment for a broad set of measured confounders. Examining diabetes risk from a broader perspective, including a comprehensive understanding of socioeconomic and biological pathways is paramount for informing policies and interventions aimed at mitigating the future burden of type 2 diabetes. |
| first_indexed | 2024-12-11T20:05:09Z |
| format | Article |
| id | doaj.art-dbf6a6f4525f441785631ff32333bb84 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T20:05:09Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-dbf6a6f4525f441785631ff32333bb842022-12-22T00:52:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01135e019596210.1371/journal.pone.0195962The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study.Christopher A TaitMary R L'AbbéPeter M SmithLaura C RosellaA pervasive and persistent finding is the health disadvantage experienced by those in food insecure households. While clear associations have been identified between food insecurity and diabetes risk factors, less is known about the relationship between food insecurity and incident type 2 diabetes. The objective of this study is to investigate the association between household food insecurity and the future development of type 2 diabetes.We used data from Ontario adult respondents to the 2004 Canadian Community Health Survey, linked to health administrative data (n = 4,739). Food insecurity was assessed with the Household Food Security Survey Module and incident type 2 diabetes cases were identified by the Ontario Diabetes Database. Multivariable adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for type 2 diabetes as a function of food insecurity.Canadians in food insecure households had more than 2 times the risk of developing type 2 diabetes compared to those in food secure households [HR = 2.40, 95% CI = 1.17-4.94]. Additional adjustment for BMI attenuated the association between food insecurity and type 2 diabetes [HR = 2.08, 95% CI = 0.99, 4.36].Our findings indicate that food insecurity is independently associated with increased diabetes risk, even after adjustment for a broad set of measured confounders. Examining diabetes risk from a broader perspective, including a comprehensive understanding of socioeconomic and biological pathways is paramount for informing policies and interventions aimed at mitigating the future burden of type 2 diabetes.http://europepmc.org/articles/PMC5965821?pdf=render |
| spellingShingle | Christopher A Tait Mary R L'Abbé Peter M Smith Laura C Rosella The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. PLoS ONE |
| title | The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. |
| title_full | The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. |
| title_fullStr | The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. |
| title_full_unstemmed | The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. |
| title_short | The association between food insecurity and incident type 2 diabetes in Canada: A population-based cohort study. |
| title_sort | association between food insecurity and incident type 2 diabetes in canada a population based cohort study |
| url | http://europepmc.org/articles/PMC5965821?pdf=render |
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