Impact of Food Affordability on Diabetes-Related Preventable Hospitalization.
In: American Journal of Managed Care, Jg. 28 (2022-11-01), Heft 11, S. 574-580
Online
academicJournal
Zugriff:
OBJECTIVES: This study aims to estimate the burden of food affordability on diabetes-related preventable hospitalizations among Medicaid enrollees in the United States. STUDY DESIGN: This study used a retrospective observational design with Medicaid administrative claims data from 17 states from 2014. METHODS: Data were linked with county-level social determinants of health (SDOH) from the American Community Survey. The rate of diabetes-related preventable hospitalizations was measured using the Agency for Healthcare Research and Quality's Prevention Quality Diabetes Composite, which includes hospitalization for short-term complications, long-term complications, lower extremity amputations, and uncontrolled diabetes. Multivariable logistic regression was used to predict the occurrence of diabetes-related preventable hospitalization. RESULTS: Among the 16 million eligible individuals, diabetes-related preventable hospitalizations were identified at the rate of 1.91 per 1000 individuals and contributed to more than $160 million in charges. Rates were higher among men compared with women (0.25% vs 0.15%; P < .001) and among Black adults compared with White adults (0.29% vs 0.18%; P < .001). Compared with individuals residing in counties with low food affordability, those residing in counties with high (odds ratio [OR], 0.84; 95% CI, 0.78-0.91; P < .001) or medium (OR, 0.85; 95% CI, 0.81-0.90; P < .001) food affordability had lower odds of hospitalization. CONCLUSIONS: This study provides real-world evidence about the impact of SDOH on diabetes-related preventable hospitalizations. Federal and state policies that can help improve accessibility of healthy foods are needed to ameliorate the burden of diabetes on society. [ABSTRACT FROM AUTHOR]
Titel: |
Impact of Food Affordability on Diabetes-Related Preventable Hospitalization.
|
---|---|
Autor/in / Beteiligte Person: | Ramachandran, Sujith ; Zhang, Yiqiao ; Dunn, Tyler J. ; Goswami, Swarnali ; Pittman, Eric ; Mann, Georgianna ; Cafer, Annie |
Link: | |
Zeitschrift: | American Journal of Managed Care, Jg. 28 (2022-11-01), Heft 11, S. 574-580 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 1088-0224 (print) |
DOI: | 10.37765/ajmc.2022.89260 |
Schlagwort: |
|
Sonstiges: |
|