Relationship between food insecurity and a gestational diabetes risk reduction intervention: outcomes among American Indian and Alaska Native adolescent and young adult females.
Relationship between food insecurity and a gestational diabetes risk reduction intervention: outcomes among American Indian and Alaska Native adolescent and young adult females.
复制标题
DOI：
10.1093/tbm/ibad029
复制
发表时间：
2023-09-12
影响因子：
3.6
通讯作者：
Sereika, Susan M.
中科院分区：
文献类型：
--
作者：
Stotz, Sarah A.;Hebert, Luciana E.;Charron-Prochownik, Denise;Scarton, Lisa;Moore, Kelly R.;Sereika, Susan M.
关键词：
美国印第安人和阿拉斯加原住民（AI/AN）不成比例地受到妊娠糖尿病（GDM），随后的2型糖尿病和粮食不安全的影响。在AI/AN社区，降低妊娠前GDM的风险以减少糖尿病的代际循环是谨慎的。本研究的目的是描述和研究AI/AN女性（12-24岁）的食物不安全、健康饮食自我效能和健康饮食行为与GDM风险降低的关系。方法包括：健康饮食自我效能和行为的二次分析，以及来自一项随机对照试验的家庭水平食物不安全措施，该试验测试了从基线到3个月随访期间参与GDM风险降低教育干预对GDM风险降低的知识，行为和自我效能的影响。参与者是AI/AN女儿（12-24岁）和他们的母亲（N = 149对）。研究人员发现，超过三分之一（38.1%）的人报告粮食不安全。在基线时，食物不安全与全样本（p = 0.045）和同居二人组（p = 0.002）中吃蔬菜和水果的水平较高相关。到3个月时，对照组的健康饮食自我效能（p = 0.048）和两餐之间限制零食（p = 0.031）的改善程度高于干预组。对于整个样本，干预组吃蔬菜（p = 0.022）和水果（p = 0.015）的时间增加，而对照组则下降。在完整样本中，食物不安全并没有通过时间相互作用影响该群体的健康饮食自我效能（p ≥ .05），但通过时间相互作用影响了该群体喝苏打水的时间（p = .004）和吃早餐的天数（p = 0.013）。对于同居的二人组，食物不安全对一日三餐（p = 0.024）和吃早餐的天数（p = 0.012）的自我效能感有中度影响。这些结果表明，粮食不安全是一个重要的因素，旨在减少GDM风险的干预措施的有效性，并提供独特的见解“上游原因”的GDM健康差异AI/AN社区。获得健康食品的机会有限（例如，食物不安全）是影响妊娠糖尿病风险和美国印第安人和阿拉斯加土著女性相关差异的健康的社会决定因素。
American Indian and Alaska Natives (AI/ANs) are disproportionately impacted by gestational diabetes mellitus (GDM), subsequent type 2 diabetes, and food insecurity. It is prudent to decrease risk of GDM prior to pregnancy to decrease the intergenerational cycle of diabetes in AI/AN communities. The purpose of this project is to describe and examine food insecurity, healthy eating self-efficacy, and healthy eating behaviors among AI/AN females (12–24 years old) as related to GDM risk reduction. Methods included: secondary analysis of healthy eating self-efficacy and behaviors, and household-level food insecurity measures from an randomized controlled trial that tested the effect of engagement in a GDM risk reduction educational intervention on knowledge, behavior, and self-efficacy for GDM risk reduction from baseline to 3-month follow-up. Participants were AI/AN daughters (12–24 years old) and their mothers (N = 149 dyads). Researchers found that more than one-third (38.1%) reported food insecurity. At baseline food insecurity was associated with higher levels of eating vegetables and fruit for the full sample (p = .045) and cohabitating dyads (p = .002). By 3 months healthy eating self-efficacy (p = .048) and limiting snacking between meals (p = .031) improved more in the control group than the intervention group only for cohabitating dyads. For the full sample, the intervention group had increases in times eating vegetables (p = .022) and fruit (p = .015), whereas the control group had declines. In the full sample, food insecurity did not moderate the group by time interaction for self-efficacy for healthy eating (p ≥ .05) but did moderate the group by time interaction for times drinking soda (p = .004) and days eating breakfast (p = .013). For cohabitating dyads, food insecurity did moderate self-efficacy for eating 3 meals a day (p = .024) and days eating breakfast (p = .012). These results suggest food insecurity is an important factor regarding the efficacy of interventions designed to reduce GDM risk and offer unique insight on “upstream causes” of GDM health disparities among AI/AN communities. Limited access to healthful food (e.g., food insecurity) is a social determinant of health that impacts gestational diabetes risk and related disparities for American Indian and Alaska Native females.
登录
查看更多内容
影响因子：
5.4
作者：
Burton, Melissa;Reid, Mike;Mavondo, Felix
通讯作者：
Mavondo, Felix
影响因子：
4.8
作者：
Eaton DK;Olsen EO;Brener ND;Scanlon KS;Kim SA;Demissie Z;Yaroch AL
通讯作者：
Yaroch AL
影响因子：
3.8
作者：
Bartfield, Judi;Dunifon, Rachel
通讯作者：
Dunifon, Rachel
影响因子：
12.7
作者：
Bauer, Katherine W.;Widome, Rachel;Story, Mary
通讯作者：
Story, Mary
DOI：
10.20431/2455-5983.0301005
发表时间：
2017-01-01
期刊：
ARC journal of diabetes and endocrinology
影响因子：
--
作者：
Daley, Christine M;Hale, Jason W;He, Jianghua
通讯作者：
He, Jianghua