The Association of Levels of Food Insecurity and Disordered Eating Behaviors Among Youth and Young Adults With Diabetes: the SEARCH For Diabetes in Youth Study.

Details

• Alternative Title:
  The International Journal of Eating Disorders, 2025, v. 58, no. 6: The Association of Levels of Food Insecurity and Disordered Eating Behaviors Among Youth and Young Adults With Diabetes: the SEARCH For Diabetes in Youth Study.
• Journal Article:
  The International Journal of Eating Disorders
• Personal Author:
  Julceus, Emmanuel F. ; Liese, Angela D. ; Alfalki, Ali M. ; Brown, Andrea D. ; Pihoker, Catherine ; Qu, Pingping ; Malik, Faisal S. ; Jones-Smith, Jessica C. ; Crow, Scott ; Loots, Beth ; Reboussin, Beth A. ; Dolan, Lawrence M. ; Igudesman, Daria ; Sauder, Katherine A. ; Shapiro, Allison L. B. ; Turley, Christine B. ; Mendoza, Jason A.
• Description:
  To examine the relationship between levels of household food insecurity and disordered eating behaviors (DEB) among youth and young adults with youth-onset type 1 (T1D) and type 2 diabetes (T2D).
  
  We used cross-sectional data from the multicenter SEARCH for Diabetes in Youth Study (2015-2020). The Household Food Security Survey Module and the Diabetes Eating Problem Survey-Revised (DEPS-R) were utilized to measure household food insecurity and continuous scores for DEB. In each stratum of diabetes type, we evaluated the association of household food insecurity levels with DEB through linear regression adjusting for potential confounders.
  
  Participants (n = 2669) were on average 21.5 ± 5.1 years old and had a mean diabetes duration of 11.2 ± 3.3 years; 54.2% were female, 64.0% non-Hispanic white, and respectively 12.9%, 11.1%, and 8.43% experienced marginal, low, and very low food security. The overall unadjusted mean DEPS-R score was 13.5 ± 9.5, with scores of 18.6 ± 11.8 and 21.1 ± 11.7 among T1D and T2D participants with very low food security, and scores of 11.5 ± 8.9 and 15.2 ± 8.8 among T1D and T2D participants with high food security. Compared to participants who reported high food security, adjusted DEPS-R scores among those with very low food security were 5.8 points (95% CI: 4.3, 7.4) and 6.6 points (95% CI: 3.3, 9.2) higher, respectively, in those with T1D (n = 2274) and T2D (n = 395). Less severe levels of household food insecurity showed similar associations with smaller effect sizes.
  
  Addressing household food insecurity may decrease DEB and future adverse health outcomes for youth and young adults with diabetes.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Food Insecurity
  • Female
  • Male
  • Feeding and Eating Disorders
  • Cross-Sectional Studies
  • Adolescent
  • Young Adult
  • Diabetes Mellitus, Type 1
  • Diabetes Mellitus, Type 2
  More +
• Keywords:
  • household food insecurity
  • disordered eating behaviors
  • youth and young adults
  • diabetes
• Source:
  The International Journal of Eating Disorders, 2025, v. 58, no. 6
• DOI:
  https://doi.org/10.1002/eat.24411
• ISSN:
  0276-3478 ; 1098-108X
• Pubmed ID:
  40071446
• Pubmed Central ID:
  PMC12140889
• Document Type:
  Text
• Funding:
  1UC4DK108173/DK/NIDDK NIH HHSUnited States/ ; UC4 DK108173/DK/NIDDK NIH HHSUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006134/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006138/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006139/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; CC/CDC HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006131/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006136/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006133/DP/NCCDPHP CDC HHSUnited States/ ; R01 DK117461/DK/NIDDK NIH HHSUnited States/ ; R01DK117461/DK/NIDDK NIH HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/
• Genre:
  Journal Article
• Pages in Document:
  1039-1047 (16 pdf pages)
• Volume:
  58
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/261606/cdc_261606_DS1.pdf
• File Type:
  [PDF - 113.88 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:ea21b85839e5f42e656e2d74e86d274b4c62c6328e4687c11df7d3b96dababce9de18f77297e64c97e0df25e7f65e32f54be63a6287aa2eafe66a2c217551941