Food insecurity and cardiovascular health: Findings from a statewide population health survey in Wisconsin

PREVENTIVE MEDICINE

卷:93

Article

Saiz, Augustine M., Jr.¹  Aul, Allison M.¹  Malecki, Kristen M.²  Bersch, Andrew J.²  Bergmans, Rachel S.²  LeCaire, Tamara J.²  Nieto, F. Javier² 

[1] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53706 USA

[2] Univ Wisconsin, Sch Med & Publ Hlth, Dept Populat Hlth Sci, Madison, WI 53706 USA

关键词: Epidemiology;    Food security;    Cardiovascular disease;    Heart disease;   

DOI  :  10.1016/j.ypmed.2016.09.002

来源: Elsevier

【 摘 要 】

Background. The social and economic environment has become a major area of interest regarding the determinants of cardiovascular health. Among markers of economic distress, food insecurity has been found associated with metabolic disorders, dyslipidemia, and obesity, but no previous studies have examined its association with overall cardiovascular health. Methods and results. We conducted a cross-sectional analysis among 2935 participants in the Survey of the Health of Wisconsin (SHOW), a state wide population-based representative sample. The presence of food insecurity was determined by an affirmative answer to the question In the last 12 months, have you been concerned about having enough food for you or your family? Cardiovascular health (CVH) was defined based on the American Heart Association Life's Simple 7 criteria and classified as poor,intermediate, or ideal using previously published criteria. Good CVH was defined as having no poor in any of the seven criteria (any amount of intermediate or ideal). Crude and adjusted odds ratios (OR) of good CVH according to presence of food insecurity were calculated using logistic regression models. Overall, food insecurity was associated with a decreased likelihood of good CVH(OR 0.53; 95% Confidence Interval 0.31 to 0.92; p=0.02). This association persisted in models controlling for age, gender, race, and urbanization. Conclusions. Participants who were food insecure were significantly less likely to have good CVH compared to participants who were food secure. Even though this study cannot confirm causality, these results suggest that food insecurity might be one of several socio-economic barriers contributing to poor CVH. (C) 2016 Elsevier Inc. All rights reserved.

【 授权许可】

Free