Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study

Overview

Journal Am J Public Health

Specialty Public Health

Date 2017 Jan 20

PMID 28103070

Citations 40

Authors

Valarie Blue Bird Jernigan

Marianna S Wetherill

Jordan Hearod

Tvli Jacob

Alicia L Salvatore

Tamela Cannady

Mandy Grammar

Joy Standridge

Jill Fox

Jennifer Spiegel

AnDina Wiley

Carolyn Noonan

Dedra Buchwald

Affiliations

Soon will be listed here.

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.

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