Understanding Food Security as a Social Determinant of Diabetes-Related Health during Pregnancy.
Understanding Food Security as a Social Determinant of Diabetes-Related Health during Pregnancy.
复制标题
了解粮食安全是妊娠期糖尿病相关健康的社会决定因素。
DOI：
10.1055/s-0041-1740194
复制
发表时间：
2023
影响因子：
2
通讯作者：
Yee,LynnM
中科院分区：
文献类型：
--
作者：
Gomez,Helen;DiTosto,JuliaD;Niznik,CharlotteM;Yee,LynnM
Gestational and pregestational diabetes during pregnancy are substantial and growing public health issues. Low-income individuals and individuals who identify as racial and ethnic minorities are disproportionately affected. Food security, which is defined as the degree to which individuals have capacity to access and obtain food, is at the center of nutritional resources and decisions for individuals with diabetes. While increasingly recognized as an important mediator of health disparities in the United States, food insecurity is understudied during pregnancy and specifically among pregnant individuals with diabetes, for whom the impact of food-related resources may be even greater. Previous research has suggested that food insecurity is associated with type 2 diabetes mellitus diagnoses and disease exacerbation in the general adult population. An emerging body of research has suggested that food insecurity during pregnancy is associated with gestational diabetes mellitus diagnoses and adverse diabetes-related outcomes. Additionally, food insecurity during pregnancy may be associated with adverse maternal and neonatal outcomes. Future research and clinical work should aim to further examine these relationships and subsequently develop evidence-based interventions to improve diabetes-related outcomes among pregnant individuals with food insecurity. The purpose of this article is to offer a working definition of food security, briefly review issues of food insecurity and diabetes, summarize research on food insecurity and diabetes-related pregnancy health, and discuss clinical recommendations and areas for future investigation.Key Points
