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Functional limitation and chronic diseases are associated with food insecurity among U.S. adults
Author(s) -
Venci Brittany Jeanne,
Park Sohyun,
Lee SeungYeon
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.1054.7
Subject(s) - medicine , food security , odds , odds ratio , logistic regression , psychological intervention , environmental health , disease , diabetes mellitus , gerontology , psychiatry , biology , ecology , agriculture , endocrinology
We examined associations of functional limitation and chronic disease with food insecurity using the 2011 National Health Interview Survey for 30,010 adults (≥18 y). Multivariable logistic regression was used to estimate adjusted OR and 95% CI for having functional limitation due to any health problems and chronic disease with or without food insecurity after adjusting for sociodemographic and lifestyle factors. Food security scale was used to define food secure (score 0–2), low food secure (3–5), and very low food secure (6–10). About 87% were food secure, yet 13% were food insecure. Odds of having functional limitation was higher in low food secure adults (OR=1.87, 95% CI=1.63, 2.14) and very low food secure adults (OR=2.19, 95% CI=1.91, 2.52) than food secure adults. Those with low food security had higher odds for stroke (OR=1.51, 95% CI=1.12, 2.04), arthritis (OR=1.42, 95% CI=1.21, 1.68), and diabetes (OR=1.26, 95% CI=1.06, 1.51); those with very low food security had higher odds for CHD (OR=1.75, 95% CI=1.37, 2.24), arthritis (OR=1.74, 95% CI=1.49, 2.04), hypertension (OR=1.42, 95% CI=1.22, 1.65) and heart attack (OR=1.40, 95% CI=1.08, 1.81) than food secure adults. Findings indicate food insecurity is associated with functional limitation and chronic disease, while directionality is unknown. Interventions may need to include reducing food insecurity to reduce chronic diseases and functional limitation. Grant Funding Source : none