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Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study.
- Source :
-
American Journal of Public Health . Mar2017, Vol. 107 Issue 3, p441-446. 6p. - Publication Year :
- 2017
-
Abstract
- Objectives. To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of diabetes (28.4% vs 18.4%), obesity (60.0% vs 48.3%), and hypertension (54.1% vs 41.6%) was higher among participants with inadequate food quantity than among those with adequate food quantity. These associations did not reach statistical significance after adjustment for age, gender, study site, education, and income. The unadjusted prevalence of obesity (60.7% vs 45.8%), diabetes (27.3% vs 18.8%), and hypertension (52.5% vs 42.5%)was higher among those with inadequate food quality than among those with adequate food quality, even after adjustment for age, gender, study site, education, and income. Conclusions. Tribal, federal, and state policymakers, as well as businesses and nonprofit organizations, must collaboratively take aggressive action to address food insecurity and its underlying causes, including improving tribal food environments, reducing barriers to healthy foods, and increasing living wages. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FOOD security
*NATIVE Americans
*CHRONIC diseases
*PATIENTS
*CARDIOVASCULAR diseases
*HEALTH outcome assessment
*RURAL Americans
*OBESITY & society
*FOOD quality research
*HEALTH
*STATISTICS
*ACTION research
*FOOD supply statistics
*CONFIDENCE intervals
*FOOD relief
*POISSON distribution
*RESEARCH funding
*RURAL population
*SOCIOECONOMIC factors
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 107
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 121193375
- Full Text :
- https://doi.org/10.2105/AJPH.2016.303605