TY - JOUR
T1 - Food insecurity is associated with increased risk of obesity in California women
AU - Adams, Elizabeth J.
AU - Grummer-Strawn, Laurence
AU - Chavez, Gilberto
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2003/4/1
Y1 - 2003/4/1
N2 - Food insecurity, the limited or uncertain availability of nutritionally adequate and safe foods, may be associated with disordered eating and a poor diet, potentially increasing risk for obesity and health problems. Patterns of food insecurity in California women are described and relationships between food insecurity and obesity (body mass index ≥ 30 kg/m2) are evaluated using data from the 1998 and 1999 California Women's Health Survey. A total of 8169 women aged ≥ 18 y were randomly selected and interviewed by telephone. Food insecurity was evaluated by use of four questions adapted from the U.S. Household Food Security Module. Logistic regression was used to examine the relationship between food insecurity and obesity, controlling for income, race/ethnicity, education, country of birth, general health status and walking. Food insecurity without hunger affected 13.9% of the population and food insecurity with hunger, 4.3%. Almost one fifth (18.8%) of the population was obese. Obesity was more prevalent in food insecure (31.0%) than in food secure women (16.2%). Food insecurity without hunger was associated with increased risk of obesity in whites [odds ratio (OR) = 1.36] and others (OR = 1.47). Food insecurity with hunger was associated with increased risk of obesity for Asians, Blacks and Hispanics (OR = 2.81) but not for non-Hispanic Whites (OR = 0.82). Food insecurity is associated with increased likelihood of obesity and risk is greatest in nonwhites.
AB - Food insecurity, the limited or uncertain availability of nutritionally adequate and safe foods, may be associated with disordered eating and a poor diet, potentially increasing risk for obesity and health problems. Patterns of food insecurity in California women are described and relationships between food insecurity and obesity (body mass index ≥ 30 kg/m2) are evaluated using data from the 1998 and 1999 California Women's Health Survey. A total of 8169 women aged ≥ 18 y were randomly selected and interviewed by telephone. Food insecurity was evaluated by use of four questions adapted from the U.S. Household Food Security Module. Logistic regression was used to examine the relationship between food insecurity and obesity, controlling for income, race/ethnicity, education, country of birth, general health status and walking. Food insecurity without hunger affected 13.9% of the population and food insecurity with hunger, 4.3%. Almost one fifth (18.8%) of the population was obese. Obesity was more prevalent in food insecure (31.0%) than in food secure women (16.2%). Food insecurity without hunger was associated with increased risk of obesity in whites [odds ratio (OR) = 1.36] and others (OR = 1.47). Food insecurity with hunger was associated with increased risk of obesity for Asians, Blacks and Hispanics (OR = 2.81) but not for non-Hispanic Whites (OR = 0.82). Food insecurity is associated with increased likelihood of obesity and risk is greatest in nonwhites.
KW - California
KW - Food insecurity
KW - Hunger
KW - Obesity
KW - Women
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U2 - 10.1093/jn/133.4.1070
DO - 10.1093/jn/133.4.1070
M3 - Article
C2 - 12672921
AN - SCOPUS:0037384738
SN - 0022-3166
VL - 133
SP - 1070
EP - 1074
JO - Journal of Nutrition
JF - Journal of Nutrition
IS - 4
ER -