ABSTRACT

Objectives

We tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) moderated the relation between household food insecurity and HbA1c among Cambodian Americans with depression enrolled in a diabetes prevention trial.

Methods

Community health workers assessed household food insecurity and SNAP participation. HbA1c was ascertained using direct enzymatic assay.

Results

Among the n = 189 respondents, 19% were food insecure, 41% received SNAP benefits, and mean HbA1c = 5.5%. There was a significant interaction between SNAP and food insecurity. HbA1c was highest among participants without SNAP who were food insecure. Simple effects analysis revealed a significant difference within the no SNAP group [Mean (SD): Secure = 5.38 (0.38), Insecure = 5.78 (0.36)] and no difference within the SNAP group [Secure = 5.61(0.44), Insecure = 5.61(0.55)]. Differences remained significant after controlling for demographic, socioeconomic, and clinical indicators.

Conclusions

SNAP may protect against the deleterious association between household food insecurity and HbA1c.

中文翻译：

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SNAP 参与缓和了患有抑郁症的柬埔寨裔美国人的家庭粮食不安全与 HbA1c 之间的关联

摘要

目标

我们在参加糖尿病预防试验的患有抑郁症的柬埔寨裔美国人中测试了参与补充营养援助计划 (SNAP) 是否能缓和家庭粮食不安全与 HbA1c 之间的关系。

方法

社区卫生工作者评估了家庭粮食不安全和 SNAP 参与情况。使用直接酶法测定 HbA1c。

结果

在 n = 189 名受访者中，19% 的人粮食不安全，41% 获得 SNAP 福利，平均 HbA1c = 5.5%。SNAP 与粮食不安全之间存在显着的相互作用。HbA1c 在没有 SNAP 且食物不安全的参与者中最高。简单效应分析显示无 SNAP 组内有显​​着差异 [平均值 (SD)：安全 = 5.38 (0.38)，不安全 = 5.78 (0.36)]，在 SNAP 组内没有差异 [安全 = 5.61(0.44)，不安全 = 5.61 (0.55)]。在控制人口、社会经济和临床指标后，差异仍然显着。

结论

SNAP 可以防止家庭粮食不安全与 HbA1c 之间的有害关联。