title: Exploration of the relationship between household food insecurity and diabetes in Canada.
abstract: OBJECTIVE
  To determine the household food insecurity (HFI) prevalence in Canadians with diabetes and its relationship with diabetes management, self-care practices, and health status.
  
  
  METHODS
  We analyzed data from Canadians with diabetes aged >or=12 years (n = 6,237) from cycle 3.1 of the Canadian Community Health Survey, a population-based cross-sectional survey conducted in 2005. The HFI prevalence in Canadians with diabetes was compared with that in those without diabetes. The relationships between HFI and management services, self-care practices, and health status were examined for Ontarians with diabetes (n = 2,523).
  
  
  RESULTS
  HFI was more prevalent among individuals with diabetes (9.3% [8.2-10.4]) than among those without diabetes (6.8% [6.5-7.0]) and was not associated with diabetes management services but was associated with physical inactivity (odds ratio 1.54 [95% CI 1.10-2.17]), lower fruit and vegetable consumption (0.52 [0.33-0.81]), current smoking (1.71 [1.09-2.69]), unmet health care needs (2.71 [1.74-4.23]), having been an overnight patient (2.08 [1.43-3.04]), having a mood disorder (2.18 [1.54-3.08]), having effects from a stroke (2.39 [1.32-4.32]), lower satisfaction with life (0.28 [0.18-0.43]), self-rated general (0.37 [0.21-0.66]) and mental (0.17 [0.10-0.29]) health, and higher self-perceived stress (2.04 [1.30-3.20]). The odds of HFI were higher for an individual in whom diabetes was diagnosed at age <40 years (3.08 [1.96-4.84]).
  
  
  CONCLUSIONS
  HFI prevalence is higher among Canadians with diabetes and is associated with an increased likelihood of unhealthy behaviors, psychological distress, and poorer physical health.
authors.affiliation: Ryerson University, Toronto, Ontario, Canada. egucciar@ryerson.ca
authors.forename: Enza
authors.initials: E
authors.lastname: Gucciardi
authors.forename: Janet A
authors.initials: JA
authors.lastname: Vogt
authors.forename: Margaret
authors.initials: M
authors.lastname: DeMelo
authors.forename: Donna E
authors.initials: DE
authors.lastname: Stewart
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002170:Canada / Q000453:epidemiology; D002648:Child; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000453:epidemiology / Q000523:psychology; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000523:psychology; D004651:Employment; D015444:Exercise; D005260:Female; D005523:Food Supply; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009864:Ontario / Q000453:epidemiology; D010465:Perception; D010549:Personal Satisfaction; D011203:Poverty; D015995:Prevalence; D020521:Stroke / Q000453:epidemiology