Food Insecurity and Health Disparities: Experiences from New York City

Author(s):  
Kimberly Libman
2011 ◽  
Author(s):  
Arien K. Muzacz ◽  
Kimberly Johnson ◽  
Meighan Rogers ◽  
Louis F. Cuoco

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Emily DiMango ◽  
Kaitlyn Simpson ◽  
Elizabeth Menten ◽  
Claire Keating ◽  
Weijia Fan ◽  
...  

Abstract Background Evidence is conflicting regarding differential health outcomes in racial and ethnic minorities with cystic fibrosis (CF), a rare genetic disease affecting approximately 28,000 Americans. We performed a cross-sectional analysis of health outcomes in Black/Latinx patients compared with non-Hispanic Caucasian patients cared for in a CF center in New York City. Adult patients enrolled in the CF Foundation Patient Registry at the Columbia University Adult CF Program and seen at least once during 2019 were included. Health metrics were compared between Black/Latinx and non-Hispanic Caucasian patients. Results 262 patients were eligible. 39 patients (15%) identified as Black/Latinx or non-Hispanic Caucasian. Descriptive statistics are reported with mean (standard deviation). Current age was 35.9 (13.3) years for non-Hispanic Caucasian and 32.0 (9.3) years for Black/Latinx patients (p = 0.087). Age of diagnosis did not differ between groups; 9.56 (15.96) years versus 11.59 (15.8) years for non-Hispanic Caucasian versus Black/Latinx respectively (p = 0.464). Pulmonary function, measured as mean forced expiratory volume in one second (FEV1) was 70.6 (22.5) percent predicted in non-Hispanic Caucasian versus 59.50 (27.9) percent predicted in Black/Latinx patients (p = 0.010). Number of visits to the CF clinic were similar between groups. When controlled for age, gender, co-morbidities, median income, and insurance status, there was a continued association between minority status and lower FEV1. Conclusions Minorities with CF have significantly lower pulmonary function, the major marker of survival, than non-Hispanic Caucasians, even when controlled for a variety of demographic and socioeconomic factors that are known to affect health status in CF. Significant health disparities based on race and ethnicity exist at a single CF center in New York City, despite apparent similarities in access to guideline based care at an accredited CF Center. This data confirms the importance of design of culturally appropriate preventative and management strategies to better understand how to direct interventions to this vulnerable population with a rare disease.


Medical Care ◽  
2011 ◽  
Vol 49 (7) ◽  
pp. 658-661 ◽  
Author(s):  
Arati Karnik ◽  
Byron Alexander Foster ◽  
Victoria Mayer ◽  
Vanessa Pratomo ◽  
Diane McKee ◽  
...  

2020 ◽  
Vol 34 (6) ◽  
pp. 664-667
Author(s):  
Christina N. Wysota ◽  
Scott E. Sherman ◽  
Elizabeth Vargas ◽  
Erin S. Rogers

Purpose: To identify rates and sociodemographic correlates of food insecurity among low-income smokers. Design: Cross-sectional analysis of baseline survey data from a randomized controlled trial (N = 403) testing a smoking cessation intervention for low-income smokers. Setting: Two safety-net hospitals in New York City. Sample: Current smokers with annual household income <200% of the federal poverty level. Measures: Food insecurity was measured using the United States Department of Agriculture 6-item food security module. Participant sociodemographics were assessed by self-reported survey responses. Analysis: We used frequencies to calculate the proportion of smokers experiencing food insecurity and multivariable logistic regression to identify factors associated with being food insecure. Results: Fifty-eight percent of participants were food insecure, with 29% reporting very high food insecurity. Compared to married participants, separated, widowed, or divorced participants were more likely to be food insecure (adjusted odds ratio [AOR] = 2.33, 95% confidence interval [CI]: 1.25-4.33), as were never married participants (AOR = 2.81, 95% CI: 1.54-5.14). Conclusions: Health promotion approaches that target multiple health risks (eg, smoking and food access) may be needed for low-income populations. Interventions which seek to alleviate food insecurity may benefit from targeting socially isolated smokers.


2015 ◽  
Vol 12 ◽  
Author(s):  
Stephanie A. Grilo ◽  
Amanda J. Shallcross ◽  
Gbenga Ogedegbe ◽  
Taiye Odedosu ◽  
Natalie Levy ◽  
...  

2020 ◽  
pp. 1-18
Author(s):  
Alexander Testa ◽  
Dylan B. Jackson

Abstract Objective: Food insecurity is a serious public health concern that disproportionately impacts minority groups. However, limited research has assessed food insecurity among sexual minorities. The current study investigates whether individuals identifying as lesbian/gay, or bisexual (LGB) sexual orientation were more likely to experience food insecurity relative to heterosexual persons. Design: Data are from the 2017 and 2018 New York City Community Health Survey. Multinomial logistic regression is used to assess the association between sexual orientation and food insecurity. Setting: A sample of adults (18 years and older) who identify as heterosexual, gay/lesbian, or bisexual living in New York City in 2017 and 2018. Subjects: 18,610 non-institutionalized adults. Results: Bisexual individuals have significantly higher rates of both mild (RRR = 1.719, 95% CI = 1.148, 2.573) and moderate-to-severe food insecurity (RRR = 1.851, 95% CI = 1.097, 3.122) relative to heterosexual individuals, net of covariates from demographic, household, and socioeconomic characteristics. Study findings showed no difference in the likelihood of food insecurity between gay/lesbian individuals and heterosexual individuals. Conclusion: Results illustrate a complex interplay between sexual orientation and food insecurity among adults living in New York City. Findings suggest that efforts to connect LGB individuals to public assistance programs such as SNAP, as well as providing information and connections to food assistance through local LGBTQ+ centers, government agencies (i.e., NYC Human Resources Administration), and non-profit organizations (i.e., Food Bank for New York City) may be beneficial approaches to alleviate food insecurity among this population.


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