The longitudinal relationship between food insecurity in older adults with diabetes and emergency department visits, hospitalizations, hemoglobin A1c, and medication adherence.

ABSTRACT:

Aims

To examine the relationship between food insecurity and emergency department (ED) visits, hospitalizations, A1c, and diabetes medication adherence over one year of follow-up among individuals >65 years with diabetes mellitus.

Methods

We conducted a longitudinal cohort study of adults >65 years with diabetes who did (n = 742) or did not (n = 2226) report food insecurity at baseline. We used conditional logistic regression for the ED visits or hospitalization outcomes, and mixed effects models for A1c and non-insulin diabetes medication adherence.

Results

In bivariate analyses, individuals with food insecurity were more likely to have an ED visit (OR = 1.40, 95% CI 1.15-1.72) or hospitalization (OR = 1.41, 95% CI 1.11-1.78) in the year after the food security asses

SUBMITTER: Schroeder EB 

PROVIDER: S-EPMC6660013 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature