Journal
HEALTH AFFAIRS
Volume 33, Issue 1, Pages 116-123Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.2013.0096
Keywords
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Funding
- Hellman Fellows Fund Award for Early Career Faculty
- National Institutes of Health/National Center for Research Resources/Office of the Director, University of California San Francisco, Clinical and Translational Science Institute [KL2 RR024130]
- National Institute of Diabetes and Digestive and Kidney Diseases [P30-DK092924]
- National Institute on Minority Health and Health Disparities [P60-MD006902]
- NATIONAL CENTER FOR RESEARCH RESOURCES [KL2RR024130] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [P30DK092924] Funding Source: NIH RePORTER
- National Institute on Minority Health and Health Disparities [P60MD006902] Funding Source: NIH RePORTER
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One in seven US households cannot reliably afford food. Food budgets are more frequently exhausted at the end of a month than at other points in time. We postulated that this monthly pattern influenced health outcomes, such as risk for hypoglycemia among people with diabetes. Using administrative data on inpatient admissions in California for 2000-08, we found that admissions for hypoglycemia were more common in the low-income than the high-income population (270 versus 200 admissions per 100,000). Risk for hypoglycemia admission increased 27 percent in the last week of the month compared to the first week in the low-income population, but we observed no similar temporal variation in the high-income population. These findings suggest that exhaustion of food budgets might be an important driver of health inequities. Policy solutions to improve stable access to nutrition in low-income populations and raise awareness of the health risks of food insecurity might be warranted.
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