OBJECTIVE To evaluate the relation between household food insecurity (HFI) and fear of hypoglycemia among young adults with type 1 and type 2 diabetes and adolescents with type 1 diabetes and their parents. RESEARCH DESIGN AND METHODS We analyzed cross-sectional data of 1,676 young adults with youth-onset diabetes (84% type 1, 16% type 2) and 568 adolescents (<18 years old; mean age 15.1 years) with type 1 diabetes from the SEARCH for Diabetes in Youth study. Adult participants and parents of adolescent participants completed the U.S. Household Food Security Survey Module. Adults, adolescents, and parents of adolescents completed the Hypoglycemia Fear Survey, where answers range from 1 to 4. The outcomes were mean score for fear of hypoglycemia and the behavior and worry subscale scores. Linear regression models identified associations between HFI and fear of hypoglycemia scores. RESULTS Adults with type 1 diabetes experiencing HFI had higher fear of hypoglycemia scores (0.22 units higher for behavior, 0.55 units for worry, 0.40 units for total; all P < 0.0001) than those without HFI. No differences by HFI status were found for adolescents with type 1 diabetes. Parents of adolescents reporting HFI had a 0.18 unit higher worry score than those not reporting HFI (P < 0.05). Adults with type 2 diabetes experiencing HFI had higher fear of hypoglycemia scores (0.19 units higher for behavior, 0.35 units for worry, 0.28 units for total; all P < 0.05) than those in food secure households. CONCLUSIONS Screening for HFI and fear of hypoglycemia among people with diabetes can help providers tailor diabetes education for those who have HFI and therefore fear hypoglycemia.

中文翻译：

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患有糖尿病的青少年和年轻人以及患有糖尿病的年轻人的父母的家庭粮食不安全和对低血糖的恐惧

目的 评估年轻 1 型和 2 型糖尿病患者和青少年 1 型糖尿病患者及其父母的家庭粮食不安全 (HFI) 与低血糖恐惧之间的关系。研究设青少年糖尿病研究。成年参与者和青少年参与者的父母完成了美国家庭粮食安全调查模块。成人、青少年和青少年的父母完成了低血糖恐惧调查，答案范围从 1 到 4。结果是对低血糖恐惧的平均得分以及行为和担忧分量表得分。线性回归模型确定了 HFI 与低血糖恐惧评分之间的关​​联。结果 患有 HFI 的 1 型糖尿病成人对低血糖的恐惧评分高于没有 HFI 的人（行为高 0.22 个单位，担心高 0.55 个单位，总共 0.40 个单位；所有 P < 0.0001）。对于患有 1 型糖尿病的青少年，未发现 HFI 状态存在差异。报告 HFI 的青少年父母的担忧得分比未报告 HFI 的父母高 0.18 个单位（P < 0.05）。与食品安全家庭相比，患有 HFI 的 2 型糖尿病成人对低血糖的恐惧评分更高（行为高 0.19 个单位，担心高 0.35 个单位，总共 0.28 个单位；所有 P < 0.05）。