TY - JOUR
T1 - SNAP participation moderates the association between household food insecurity and HbA1c among Cambodian Americans with depression
AU - Bermúdez-Millán, Angela
AU - Feinn, Richard
AU - Hahn, Chelsey
AU - Jui, Shanjida A.
AU - Berthold, S. Megan
AU - Buckley, Thomas
AU - Buxton, Orfeu
AU - Kong, Sengly
AU - Kuoch, Theanvy
AU - Scully, Mary
AU - Wagner, Julie
N1 - Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
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U2 - 10.1080/13557858.2021.1939272
DO - 10.1080/13557858.2021.1939272
M3 - Article
C2 - 34121523
AN - SCOPUS:85107779538
SN - 1355-7858
VL - 27
SP - 1718
EP - 1731
JO - Ethnicity and Health
JF - Ethnicity and Health
IS - 7
ER -