Food Insecurity, Diabetes, and Perceived Diabetes Self-Management Among Latinos in California: Differences by Nativity and Duration of Residence (Preventive Medicine Reports)
Summary: Researchers examined associations between food security (FS) status and type 2 diabetes (T2D) prevalence and perceived T2D self-management by nativity and U.S. duration of residence among Latinos living in California. They used 2012–2017 California Health Interview Survey (CHIS) and included Latinos who lived below 200% of the federal poverty line and for the management outcome, those with T2D.
Findings: Latinos with low FS or very low FS had a higher odd of T2D compared to their food-secure counterparts. When stratified by nativity/duration in the U.S., U.S.-born Latinos and Latino immigrants with more than 10 years duration had a higher odd of T2D if they reported low FS or very low FS compared to their food-secure counterparts.
There was no association among immigrants with less than 10 years duration. For perceived T2D self-management, those with low or very low FS had lower odds of reporting proper management compared to their food-secure counterparts. When stratified by nativity, the U.S.-born did not differ in their perceived self-management by FS status, while immigrants with low or very low FS had lower odds of perceived self-management, compared to their food-secure counterparts. Food insecurity may be an important contributor to T2D prevalence and perceived T2D self-management for Latino immigrants.
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