The relationship between food insecurity and overweight/obesity differs by birthplace and length of US residence

AbstractObjectiveTo examine whether the cross-sectional association between food insecurity and overweight/obesity varied according to birthplace and length of residence in the USA among California women.DesignUsing cross-sectional, population-based data from the California Women’s Health Survey (CWHS) 2009–2012, we examined whether the association between food insecurity and overweight or obesity varied by birthplace–length of US residence.SettingCalifornia, USA.SubjectsWomen (n16 008) aged 18 years or older.ResultsAmong US-born women, very low food security (prevalence ratio (PR)=1·21; 95 % CI 1·11, 1·31) and low food security (PR=1·19; 95 % CI 1·10, 1·28) were significantly associated with higher prevalence of overweight/obesity, after controlling for age, marital status, race/ethnicity, poverty and education. Among immigrant women who lived in the USA for 10 years or longer, very low food security was significantly associated with higher prevalence of overweight/obesity, after controlling for covariates (PR=1·16; 95 % CI 1·07, 1·27). Among immigrant women who had lived in the USA for less than 10 years, low and very low food security were not significantly associated with overweight/obesity, after controlling for covariates.ConclusionsFood insecurity may be an important pathway through which weight may increase with longer US residence among immigrant women. Public health programmes and policies should focus on increasing food security for all women, including immigrant women, as one strategy to reduce the prevalence of overweight/obesity.

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The Relationship between Food Security Status and Sleep Disturbance among Adults: A Cross-Sectional Study in an Indonesian Population

Nutrients ◽

10.3390/nu12113411 ◽

2020 ◽

Vol 12 (11) ◽

pp. 3411

Author(s):

Emyr Reisha Isaura ◽

Yang-Ching Chen ◽

Hsiu-Yueh Su ◽

Shwu-Huey Yang

Keyword(s):

Food Security ◽

Food Insecurity ◽

Sleep Disturbance ◽

Population Based ◽

Measurement Information ◽

Physical And Mental Health ◽

Cross Sectional ◽

Food Security Status ◽

Patient Reported ◽

The Relationship

Background: The relationship between food insecurity and the experience of sleep disturbance has received little attention among researchers, although food insecurity is associated with poor physical and mental health globally. This study aimed to investigate the relationship between food security status and sleep disturbance among adults 20–64 years old. Methods: The study’s population-based sample included 20,212 Indonesian adults who participated in the fifth wave of the Indonesia Family Life Survey (IFLS5) in 2014. Dietary intake data, gathered using a food frequency questionnaire (FFQ), were used to assess the food security status. Sleep disturbance was assessed using the 10-item Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. We used multiple linear and logistic regression models to test the study hypothesis. Results: A higher likelihood of experiencing sleep disturbance was recorded in people aged older than 56 years (OR = 1.78, 95% CI: 1.17–2.72, p = 0.007), people with depressive symptoms (OR = 3.57, 95% CI: 2.77–4.61, p < 0.001), and food-insecure people (OR = 1.32, 95% CI: 1.02–1.70, p = 0.036). A lower likelihood of experiencing sleep disturbance was recorded in people with low educational attainment (OR = 0.41, 95% CI: 0.30–0.57, p < 0.001). Sleep disturbance was dependent on the food consumption groups and food security status among men (p = 0.004). Conclusions: Sleep disturbance may be affected by the food-insecure status of adults, and later, may lead to serious health outcomes.

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Characteristics associated with changes in food security status among college students during the COVID-19 pandemic

Translational Behavioral Medicine ◽

10.1093/tbm/ibaa110 ◽

2020 ◽

Author(s):

Jessica Soldavini ◽

Hazael Andrew ◽

Maureen Berner

Keyword(s):

College Students ◽

Food Security ◽

Food Insecurity ◽

Online Survey ◽

Individual Characteristics ◽

Cross Sectional ◽

Food Security Status ◽

The Usa ◽

Security Module ◽

Adult Food

Abstract The prevalence of food insecurity in the USA has increased since the start of the COVID-19 pandemic; however, past studies have not examined how the food security status of college students has been impacted. The purpose of this study was to examine changes in the prevalence of food insecurity; determine the proportion of students experiencing a change in food security status; and identify characteristics associated with changes in food security status from before to during the COVID-19 pandemic among a sample of college students. We administered a cross-sectional online survey to students from a large public university in the Southeastern USA. The 10-item U.S. Adult Food Security Module was used to assess food security status during the spring 2020 semester both before and during the COVID-19 pandemic, and students self-reported a variety of individual characteristics. The overall prevalence of food insecurity increased by approximately one-third during the spring 2020 semester from before to during the COVID-19 pandemic. When examining the types of changes in food security status experienced by students, 12% improved, 68% stayed the same, and 20% worsened. A variety of characteristics were associated with an improvement or worsening of food security status category from before to during the pandemic. Similar to what is seen in other reports, we found that the overall proportion of college students in our sample experiencing food insecurity increased during the COVID-19 pandemic; however, some students showed improvements in food security status. Approaches for addressing food insecurity during and beyond the pandemic are needed.

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Is COVID-19 a Disease of Poverty: The Relationship Between Food Insecurity and the Likelihood of Hospitalization in Patients with COVID-19

10.21203/rs.3.rs-132292/v1 ◽

2020 ◽

Author(s):

mohammad ariya ◽

Jalal Karimi ◽

Somayeh Abolghasemi ◽

Zeinab Hematdar ◽

Mohammad Mehdi Naghizadeh ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Recovery Period ◽

Length Of Hospital Stay ◽

Cross Sectional Study ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

Health Organization ◽

The Relationship

Abstract Background: The World Health Organization (WHO) has declared the Corona pandemic as a public health emergency. This pandemic affects the main pillars of food security. This study aimed to investigate the relationship between food insecurity and the probability of hospitalization and the length of the recovery period after getting COVID-19.Methods: This cross-sectional study was performed through the census on COVID-19 patients diagnosed in Fasa, Iran. Informed consent, demographic, and food security questionnaire were completed over the phone. Then, all patients were followed up until recovery. Data were analyzed using SPSS26 and Chi-square test, t-test, and logistic regression (P> 0.05).Results: In this study, 219 COVID-19 patients [100 (54.7%) male and 119 female (54.3%)] with a mean age of 40.05±15.54 years old were examined. Possibility of hospitalization and the length of the recovery period of more than one month was significantly longer in the food insecure group (P = 0.001) and (P = 0.76), respectively, but the mean length of hospital stay in the two groups was not significantly different (P = 0.76). After adjusting for all confounding variables, people with food insecurity were 3.9 times more likely to be hospitalized than those with food security. Conclusions: We observed that food-insecure people were significantly more likely to be hospitalized than the secure group.

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Food insecurity, acculturation and diagnosis of CHD and related health outcomes among immigrant adults in the USA

Public Health Nutrition ◽

10.1017/s1368980019001952 ◽

2019 ◽

Vol 23 (3) ◽

pp. 416-431 ◽

Cited By ~ 1

Author(s):

Michael D Smith ◽

Alisha Coleman-Jensen

Keyword(s):

Angina Pectoris ◽

Health Outcomes ◽

Food Insecurity ◽

Low Income ◽

Poor Health ◽

Cross Sectional ◽

Food Security Status ◽

The Usa ◽

Nationally Representative ◽

The Relationship

AbstractObjective:To deepen understanding of the relationship between food insecurity, acculturation, and diagnosis of CHD and related health outcomes among immigrant adults.Design:Using cross-sectional, nationally representative data from the National Health Interview Survey 2011 to 2015, we address two research questions. First, what is the relationship of household food insecurity and acculturation with: CHD, angina pectoris, heart attack, self-rated poor health and obesity? Second, what is the association of food insecurity with these health outcomes over years of living in the USA? We estimate multivariate logistic regressions without (question 1) and with (question 2) an interaction term between food insecurity and acculturation for CHD and related health outcomes.Setting:USA.Participants:Low-income immigrant adults.Results:Food insecurity and acculturation are both associated with diagnosis of CHD and related health outcomes among immigrant adults. Food insecurity and acculturation are associated with the health of female immigrants more than males. Also, the differences by food security status in the probability of having several poor health outcomes (self-rated heath, obesity, women’s angina pectoris) are largest for those in the USA for less than 5 years, decrease for those who have lived in the USA for 5–14 years, and are larger again for those in the USA for 15 or more years.Conclusions:Recent and long-term food-insecure immigrants are more vulnerable to CHD and related health outcomes than those in the USA for 5–14 years. Further research is needed to understand why.

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Factors associated with food insecurity among older homeless adults: results from the HOPE HOME study

Journal of Public Health ◽

10.1093/pubmed/fdy063 ◽

2018 ◽

Vol 41 (2) ◽

pp. 240-249 ◽

Cited By ~ 8

Author(s):

M Tong ◽

L Tieu ◽

C T Lee ◽

C Ponath ◽

D Guzman ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Risk Groups ◽

Population Based ◽

Food Assistance ◽

Homeless Population ◽

Cross Sectional ◽

Homeless Adults ◽

Targeted Interventions ◽

Factors Associated

Abstract Background The US homeless population is aging. Older adults and those living in poverty are at a high risk of food insecurity. Methods We conducted a cross-sectional analysis of baseline data from a population-based study of 350 homeless adults aged ≥50. We assessed food security and receipt of food assistance. We used multivariable logistic regression to examine factors associated with very low food security. Results The majority of the cohort was male and African American. Over half (55.4%) met criteria for food insecurity, 24.3% reported very low food security. Half (51.7%) reported receiving monetary food assistance. In the multivariable model, those who were primarily sheltered in the prior 6 months, (multi-institution users [AOR = 0.44, 95% CI: 0.22–0.86]) had less than half the odds of very low food security compared with those who were unsheltered. Depressive symptoms (AOR = 3.01, 1.69–5.38), oral pain (AOR = 2.15, 1.24–3.74) and cognitive impairment (AOR = 2.21, 1.12–4.35) were associated with increased odds of very low food security. Conclusions Older homeless adults experience a high prevalence of food insecurity. To alleviate food insecurity in this population, targeted interventions must address specific risk groups.

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Food insecurity among people who inject drugs in Los Angeles and San Francisco

Public Health Nutrition ◽

10.1017/s1368980016000306 ◽

2016 ◽

Vol 19 (12) ◽

pp. 2204-2212 ◽

Cited By ~ 7

Author(s):

Jane Schmitz ◽

Alex H Kral ◽

Daniel Chu ◽

Lynn D Wenger ◽

Ricky N Bluthenthal

Keyword(s):

Food Security ◽

Los Angeles ◽

Food Insecurity ◽

San Francisco ◽

People Who Inject Drugs ◽

Prevalence Ratio ◽

High Risk Population ◽

Cross Sectional ◽

The Us ◽

Two Cities

AbstractObjectiveWe estimated the prevalence of food insecurity among people who inject drugs (PWID) in Los Angeles and San Francisco and explored correlates of food insecurity.DesignA cross-sectional study that measured 30 d food insecurity using the US Adult Food Security Survey ten-item Module developed by the US Department of Agriculture. Food insecurity was defined as including low and very low food security.SettingTwo cities in the state of California, USA.SubjectsMale and female active PWID (n 777).ResultsAmong participants, 58 % reported food insecurity and 41 % reported very low food security. Food-insecure PWID were more likely to report being homeless (prevalence ratio (PR)=1·20; 95 % CI 1·05, 1·37), chest pain in the past 12 months (PR=1·19; CI 1·06, 1·35), acquiring syringes from someone who goes to a syringe exchange programme (PR=1·27; 95 % CI 1·13, 1·43) and feeling at risk for arrest for possession of drug paraphernalia (PR=1·30; 95 % CI 1·15, 1·46).ConclusionsCurrent food insecurity was common among PWID in these two cities, yet few factors were independently associated with food insecurity. These data suggest that broad strategies to improve food access for this high-risk population are urgently needed.

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OVERWEIGHT IN ADOLESCENTS: FOOD INSECURITY AND MULTIFACTORIALITY IN SEMIARID REGIONS OF PERNAMBUCO

Revista Paulista de Pediatria ◽

10.1590/1984-0462/2020/38/2018177 ◽

2020 ◽

Vol 38 ◽

Author(s):

Natália Fernandes dos Santos ◽

Pedro Israel Cabral de Lira ◽

Fernanda Cristina de Lima Pinto Tavares ◽

Vanessa de Sá Leal ◽

Juliana Souza Oliveira ◽

...

Keyword(s):

Food Security ◽

Alcohol Consumption ◽

Food Insecurity ◽

Rural Areas ◽

Population Based ◽

Cross Sectional Study ◽

Cross Sectional ◽

Perceived Weight ◽

Food And Nutritional Security ◽

Age Range

ABSTRACT Objective: To investigate context of overweight adolescents from the semiarid and rural areas of Pernambuco, considering the multifactorial nature of the determinants of being overweight, and the food and nutritional insecurity conditions of the region. Methods: A population based cross-sectional study was conducted from September to October 2015. The nutritional status of adolescents was assessed by body mass index (BMI) and classified by the BMI/Age indicator, according to sex. To analyze the factors associated with being overweight, the variables were grouped into: socioeconomic, demographic, environmental, lifestyle, psychological, biological and food and nutritional security. Poisson regression was used to verify the association between being overweight and independent variables. Results: The prevalence of excessive weight found was 20.1%, namely: 13.4% overweight and 6.7% obese. After adjusting for the confounding variables, the variables: occupancy situation (rented house), alcohol consumption, food security and light food insecurity, body perception (overweight and obese) and age range (10 to 14 years), were associated with being overweight. High food and nutritional insecurity was identified in 80.4% of the population. The moderate and severe forms were more frequent, and precarious social conditions were still prevalent in the region. Conclusions: The prevalence of being overweight was high, exceeding the expected for a population with better living conditions. The determinants of being overweight were: alcohol consumption, occupancy situation, self-perceived weight, age and food security/mild food insecurity.

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The relation of cash transfer programs and food insecurity among families with preschool children living in semiarid climates in Brazil

Cadernos Saúde Coletiva ◽

10.1590/1414-462x201800010341 ◽

2018 ◽

Vol 26 (1) ◽

pp. 53-62 ◽

Cited By ~ 1

Author(s):

Luciano Lima Correia ◽

Hermano Alexandre Lima Rocha ◽

Álvaro Jorge Madeiro Leite ◽

Anamaria Cavalcante e Silva ◽

Jocileide Sales Campos ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Logistic Models ◽

Population Based ◽

Cross Sectional Study ◽

The State ◽

Cash Transfer ◽

Residential Setting ◽

Cross Sectional ◽

Transfer Programs

Abstract Background Food insecurity has important effects on human health, particularly in children’s. It continues to increase, with an estimated prevalence of 14.9% in the USA and 35% in Brazil. There have been few studies on the effect of cash transfer programs (CTPs) on the prevalence of food security in Brazil. Objective Evaluate the association between cash transfer programs and reductions in inequity and food insecurity. Method Population-based cross-sectional study in the state of Ceará, Northeast Brazil, with a sample of 8.000 households. Ceará is one of the poorest states. The state population of 8.5 million inhabitants, social security benefits and government grants, “ Bolsa Família”, have become the most stable source of income. The main outcomes measures were food insecurity and CTP participation. Multivariate logistic models were constructed to assess the association between participation in CTPs and food security. Results Participation in CTPs was found to be independently related to the prevalence of food security (APR 2.29 95% CI 1.57-3.33), as are education level, residential setting, and children’s nutritional status. Conclusions CTPs and investment in education are initiatives that might be used to reduce food insecurity.

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Diurnal Salivary Cortisol in Sarcopenic Postmenopausal Women: The OsteoLaus Cohort

Calcified Tissue International ◽

10.1007/s00223-021-00863-y ◽

2021 ◽

Author(s):

Elena Gonzalez Rodriguez ◽

Pedro Marques-Vidal ◽

Bérengère Aubry-Rozier ◽

Georgios Papadakis ◽

Martin Preisig ◽

...

Keyword(s):

Postmenopausal Women ◽

Salivary Cortisol ◽

Population Based ◽

Cross Sectional Study ◽

Body Composition Assessment ◽

Cross Sectional ◽

X Ray ◽

Free Cortisol ◽

Cortisol Levels ◽

The Relationship

AbstractSarcopenia, similar to hypercortisolism, is characterized by loss of muscle mass and strength. Cortisol circadian rhythm changes with aging (blunted late-day nadir values) were suggested to contribute to this decline. We aimed to explore the relationship between diurnal salivary cortisol values and sarcopenia diagnosis and its components in postmenopausal women. This is a cross-sectional study within the OsteoLaus population-based cohort in Lausanne (Switzerland). Participants had a body composition assessment by dual X-ray absorptiometry (DXA), a grip strength (GS) measure, and salivary cortisol measures (at awakening, 30 min thereafter, 11 AM (sc-11AM) and 8 PM (sc-8PM)). Associations between salivary cortisol and sarcopenia diagnosed by six different criteria (based on appendicular lean mass (ALM) assessed by DXA, and muscle strength by GS), and its components, were analyzed. 471 women aged > 50 years (63.0 ± 7.5) were included. Various definitions identified different participants as sarcopenic, who consistently presented higher salivary cortisol at 11 AM and/or 8 PM. There were no associations between salivary cortisol levels and ALM measures, either absolute or after correction to height squared (ALM index) or body mass index. GS was inversely correlated to sc-11AM (r = − 0.153, p < 0.001) and sc-8PM (r = − 0.118, p = 0.002). Each 10 nmol/l increase of sc-11AM, respectively sc-8PM, was associated with a GS decrease of 1.758 (SE 0.472) kg, respectively 2.929 (SE 1.115) kg. In postmenopausal women, sarcopenia is associated with higher salivary cortisol levels at 11 AM and 8 PM. An increase of daily free cortisol levels in the physiological range could participate to sarcopenia development by decreasing muscle function in postmenopausal women.

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Determinants of COVID-19 preventive behaviours among adults with chronic diseases in the USA: an analysis of the nationally representative COVID-19 impact survey

BMJ Open ◽

10.1136/bmjopen-2020-044600 ◽

2021 ◽

Vol 11 (2) ◽

pp. e044600

Author(s):

Jessica Y. Islam ◽

Denise C. Vidot ◽

Marlene Camacho-Rivera

Keyword(s):

Chronic Diseases ◽

Rural Areas ◽

Prevalence Ratio ◽

Face Mask ◽

Chronic Obstructive ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

High School Degree ◽

The Usa ◽

Nationally Representative

BackgroundPreventive behaviours have been recommended to control the spread of SARS-CoV-2. Adults with chronic diseases (CDs) are at higher risk of COVID-19-related mortality compared to the general population. Our objective was to evaluate adherence to COVID-19 preventive behaviours among adults without CDs compared with those with CDs and identify determinants of non-adherence to COVID-19 preventive behaviours.Study designCross-sectional.Setting and participantsWe used data from the nationally representative COVID-19 Impact Survey (n=10 760) conducted in the USA.Primary measuresAdults with CDs were categorised based on a self-reported diagnosis of diabetes, high blood pressure, heart disease/heart attack/stroke, asthma, chronic obstructive pulmonary disease (COPD), bronchitis or emphysema, cystic fibrosis, liver disease, compromised immune system, or cancer (54%).ResultsCompared with adults without CDs, adults with CDs were more likely to adhere to preventive behaviours including wearing a face mask (χ2-p<0.001), social distancing (χ2-p<0.001), washing or sanitising hands (χ2-p<0.001), and avoiding some or all restaurants (χ2-p=0.002) and public or crowded places (χ2-p=0.001). Adults with a high school degree or below [Adjusted prevalence ratio (aPR):1.82, 95% Confidence interval (CI)1.04 to 3.17], household income <US$50 000 (aPR:2.03, 95% CI 1.34 to 2.72), uninsured (aPR:1.65, 95% CI1.09 to 2.52), employed (aPR:1.48, 95% CI 1.02 to 2.17), residing in rural areas (aPR:1.70, 95% CI 1.01 to 2.85) and without any CD (aPR:1.78, 95% CI 1.24 to 2.55) were more likely to not adhere to COVID-19 preventive behaviours.ConclusionAdults with CDs are more likely to adhere to recommended COVID-19 preventive behaviours. Public health messaging targeting specific demographic groups and geographic areas, such as adults without CD or adults living in rural areas, should be prioritised.

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