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Published in: Journal of Community Health 3/2019

01-06-2019 | Original Paper

Food Insecurity, Food Deserts, and Waist-to-Height Ratio: Variation by Sex and Race/Ethnicity

Authors: Alexander Testa, Dylan B. Jackson

Published in: Journal of Community Health | Issue 3/2019

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Abstract

The purpose of this study is to investigate the association between two food-related hardships—food insecurity and living in a food desert—on waist-to-height ratio (WHtR). Data on participants from waves I and IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health) were analyzed. The association between food-related hardships and waist-to-height ratio were examined using logistic regression. Models were stratified by sex and race/ethnicity to examine potential moderating effects. Study results suggest food insecurity has a positive association with WHtR among female respondents (OR = 1.360, p = .017). Living in a food desert has a positive association with WHtR among both females (OR = 1.247, p = .026) and males (OR = 1.245, p = .024). In models stratified by race/ethnicity living in a food desert is positively associated with WHtR among White respondents (OR = 1.279, p = .003). Given the link between food-related hardships and obesity, targeted interventions that alleviate food insecurity and inadequate access to healthy food retailers could be effective in reducing obesity.
Literature
1.
go back to reference Hales, C. M., Fryar, C. D., Carroll, M. D., et al. (2018). Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007–2008 to 2015–2016. JAMA, 319, 1723–1725.CrossRefPubMedPubMedCentral Hales, C. M., Fryar, C. D., Carroll, M. D., et al. (2018). Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007–2008 to 2015–2016. JAMA, 319, 1723–1725.CrossRefPubMedPubMedCentral
2.
go back to reference Di Angelantonio, E., Bhupathiraju, S. N., Wormser, D., et al. (2016). Body-mass index and all-cause mortality: Individual-participant-data meta-analysis of 239 prospective studies in four continents. The Lancet, 388, 776–786.CrossRef Di Angelantonio, E., Bhupathiraju, S. N., Wormser, D., et al. (2016). Body-mass index and all-cause mortality: Individual-participant-data meta-analysis of 239 prospective studies in four continents. The Lancet, 388, 776–786.CrossRef
3.
go back to reference Gooding, H. C., Walls, C. E., & Richmond, T. K. (2012). Food insecurity and increased BMI in young adult women. Obesity, 20, 1896–1901.CrossRefPubMed Gooding, H. C., Walls, C. E., & Richmond, T. K. (2012). Food insecurity and increased BMI in young adult women. Obesity, 20, 1896–1901.CrossRefPubMed
4.
go back to reference Larson, N. I., Story, M. T., & Nelson, M. C. (2009). Neighborhood environments: Disparities in access to healthy foods in the US. American Journal of Preventive Medicine, 36, 74–81.CrossRefPubMed Larson, N. I., Story, M. T., & Nelson, M. C. (2009). Neighborhood environments: Disparities in access to healthy foods in the US. American Journal of Preventive Medicine, 36, 74–81.CrossRefPubMed
5.
6.
go back to reference Hernandez, D. C., Reesor, L. M., & Murillo, R. (2017). Food insecurity and adult overweight/obesity: Gender and race/ethnic disparities. Appetite, 117, 373–378.CrossRefPubMed Hernandez, D. C., Reesor, L. M., & Murillo, R. (2017). Food insecurity and adult overweight/obesity: Gender and race/ethnic disparities. Appetite, 117, 373–378.CrossRefPubMed
7.
go back to reference Bohr, A. D., Laurson, K., & McQueen, M. B. (2016). A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults. BMC Public Health, 16, 295.CrossRefPubMedPubMedCentral Bohr, A. D., Laurson, K., & McQueen, M. B. (2016). A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults. BMC Public Health, 16, 295.CrossRefPubMedPubMedCentral
8.
go back to reference Coleman-Jensen, A., Rabbit, M. P., Gregory, C. A., et al. (2017). Household food security in the United States in 2016. Washington, DC: U.S. Department of Agriculture. Coleman-Jensen, A., Rabbit, M. P., Gregory, C. A., et al. (2017). Household food security in the United States in 2016. Washington, DC: U.S. Department of Agriculture.
9.
go back to reference Gundersen, C., Kreider, B., & Pepper, J. (2011). The economics of food insecurity in the United States. Applied Economic Perspectives and Policy, 33, 281–303.CrossRef Gundersen, C., Kreider, B., & Pepper, J. (2011). The economics of food insecurity in the United States. Applied Economic Perspectives and Policy, 33, 281–303.CrossRef
10.
go back to reference Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs, 34, 1830–1839.CrossRefPubMed Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs, 34, 1830–1839.CrossRefPubMed
11.
go back to reference Dinour, L. M., Bergen, D., & Yeh, M. C. (2007). The food insecurity–obesity paradox: A review of the literature and the role food stamps may play. Journal of the American Dietetic Association, 107, 1952–1961.CrossRefPubMed Dinour, L. M., Bergen, D., & Yeh, M. C. (2007). The food insecurity–obesity paradox: A review of the literature and the role food stamps may play. Journal of the American Dietetic Association, 107, 1952–1961.CrossRefPubMed
13.
go back to reference Adams, E. J., Grummer-Strawn, L., & Chavez, G. (2003). Food insecurity is associated with increased risk of obesity in California women. The Journal of Nutrition, 133, 1070–1074.CrossRefPubMed Adams, E. J., Grummer-Strawn, L., & Chavez, G. (2003). Food insecurity is associated with increased risk of obesity in California women. The Journal of Nutrition, 133, 1070–1074.CrossRefPubMed
14.
go back to reference Pan, L., Sherry, B., Njai, R., et al. (2012). Food insecurity is associated with obesity among US adults in 12 states. Journal of the Academy of Nutrition and Dietetics, 112, 1403–1409.CrossRefPubMedPubMedCentral Pan, L., Sherry, B., Njai, R., et al. (2012). Food insecurity is associated with obesity among US adults in 12 states. Journal of the Academy of Nutrition and Dietetics, 112, 1403–1409.CrossRefPubMedPubMedCentral
15.
go back to reference Cummins, S., & Macintyre, S. (2002). A systematic study of an urban foodscape: The price and availability of food in greater Glasgow. Urban Studies, 39, 2115–2130.CrossRef Cummins, S., & Macintyre, S. (2002). A systematic study of an urban foodscape: The price and availability of food in greater Glasgow. Urban Studies, 39, 2115–2130.CrossRef
16.
go back to reference National Research Council. (2009). The public health effects of food deserts. Washington, DC: National Academies Press. National Research Council. (2009). The public health effects of food deserts. Washington, DC: National Academies Press.
17.
go back to reference Caspi, C. E., Sorensen, G., Subramanian, S. V., et al. (2012). The local food environment and diet: A systematic review. Health Place, 18, 1172–1187.CrossRefPubMedPubMedCentral Caspi, C. E., Sorensen, G., Subramanian, S. V., et al. (2012). The local food environment and diet: A systematic review. Health Place, 18, 1172–1187.CrossRefPubMedPubMedCentral
18.
go back to reference Morland, K. B., & Evenson, K. R. (2009). Obesity prevalence and the local food environment. Health Place, 15, 491–495.CrossRefPubMed Morland, K. B., & Evenson, K. R. (2009). Obesity prevalence and the local food environment. Health Place, 15, 491–495.CrossRefPubMed
19.
go back to reference Cummins, S., Flint, E., Matthews, S. A. (2014). New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity. Health Affairs, 33(2), 283–291.CrossRefPubMed Cummins, S., Flint, E., Matthews, S. A. (2014). New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity. Health Affairs, 33(2), 283–291.CrossRefPubMed
20.
go back to reference Lewis, L. B., Sloane, D. C., Nascimento, L. M., et al. (2011). African Americans’ access to healthy food options in South Los Angeles restaurants. American Journal of Public Health, 95, 668–673.CrossRef Lewis, L. B., Sloane, D. C., Nascimento, L. M., et al. (2011). African Americans’ access to healthy food options in South Los Angeles restaurants. American Journal of Public Health, 95, 668–673.CrossRef
21.
go back to reference Gordon, C., Purciel-Hill, M., Ghai, N. R., et al. (2011). Measuring food deserts in New York City’s low-income neighborhoods. Health Place, 17, 696–700.CrossRefPubMed Gordon, C., Purciel-Hill, M., Ghai, N. R., et al. (2011). Measuring food deserts in New York City’s low-income neighborhoods. Health Place, 17, 696–700.CrossRefPubMed
22.
go back to reference Osypuk, T. L., Roux, A. V., Hadley, C., et al. (2009). Are immigrant enclaves healthy places to live? The multi-ethnic study of atherosclerosis. Social Science & Medicine, 69, 110–120.CrossRef Osypuk, T. L., Roux, A. V., Hadley, C., et al. (2009). Are immigrant enclaves healthy places to live? The multi-ethnic study of atherosclerosis. Social Science & Medicine, 69, 110–120.CrossRef
23.
go back to reference Ogden, C. L., Carroll, M. D., Fryar, C. D., et al. (2015). Prevalence of obesity among adults and youth: United States, 2011–2014. Atlanta: US Department of Health and Human Services. Ogden, C. L., Carroll, M. D., Fryar, C. D., et al. (2015). Prevalence of obesity among adults and youth: United States, 2011–2014. Atlanta: US Department of Health and Human Services.
24.
go back to reference Centers for Disease Control and Prevention. (2011). Census tract level state maps of the Modified Retail Food Environment Index (mRFEI). Atlanta: US Department of Health and Human Services. Centers for Disease Control and Prevention. (2011). Census tract level state maps of the Modified Retail Food Environment Index (mRFEI). Atlanta: US Department of Health and Human Services.
25.
go back to reference Santorelli, M. L., & Okeke, J. O. (2017). Evaluating community measures of healthy food access. Journal of Community Health, 42, 991–997.CrossRefPubMed Santorelli, M. L., & Okeke, J. O. (2017). Evaluating community measures of healthy food access. Journal of Community Health, 42, 991–997.CrossRefPubMed
26.
go back to reference United States Department of Agriculture Economic Research Service. (2015). Rural-urban commuting area codes. Washington, DC: U.S. Department of Agriculture. United States Department of Agriculture Economic Research Service. (2015). Rural-urban commuting area codes. Washington, DC: U.S. Department of Agriculture.
27.
go back to reference Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: Systematic review and meta-analysis. Obesity Reviews, 13, 275–286.CrossRefPubMed Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: Systematic review and meta-analysis. Obesity Reviews, 13, 275–286.CrossRefPubMed
28.
go back to reference Ashwell, M., Mayhew, L., Richardson, J., et al. (2014). Waist-to-height ratio is more predictive of years of life lost than body mass index. PLoS ONE, 9, e103483.CrossRefPubMedPubMedCentral Ashwell, M., Mayhew, L., Richardson, J., et al. (2014). Waist-to-height ratio is more predictive of years of life lost than body mass index. PLoS ONE, 9, e103483.CrossRefPubMedPubMedCentral
29.
go back to reference Entzel, P., Whitsel, E. A., Richardson, A., et al. (2009). Add health wave IV documentation: Cardiovascular and anthropometric measures. Chapel Hill: UNC Population Research Center. Entzel, P., Whitsel, E. A., Richardson, A., et al. (2009). Add health wave IV documentation: Cardiovascular and anthropometric measures. Chapel Hill: UNC Population Research Center.
30.
go back to reference Paternoster, R., Brame, R., Mazerolle, P., et al. (1998). Using the correct statistical test for the equality of regression coefficients. Criminology, 36, 859–866.CrossRef Paternoster, R., Brame, R., Mazerolle, P., et al. (1998). Using the correct statistical test for the equality of regression coefficients. Criminology, 36, 859–866.CrossRef
31.
go back to reference Shin, J. I., Bautista, L. E., Walsh, M. C., et al. (2015). Food insecurity and dyslipidemia in a representative population-based sample in the US. Preventive Medicine, 77, 186–190.CrossRefPubMedPubMedCentral Shin, J. I., Bautista, L. E., Walsh, M. C., et al. (2015). Food insecurity and dyslipidemia in a representative population-based sample in the US. Preventive Medicine, 77, 186–190.CrossRefPubMedPubMedCentral
32.
go back to reference Assari, S., & Lankarani, M. M. (2016). Depressive symptoms are associated with more hopelessness among white than black older adults. Frontiers in Public Health, 4, 82.PubMedPubMedCentral Assari, S., & Lankarani, M. M. (2016). Depressive symptoms are associated with more hopelessness among white than black older adults. Frontiers in Public Health, 4, 82.PubMedPubMedCentral
33.
go back to reference Graham, C., & Pinto, S. (2018). Unequal hopes and lives in the USA: Optimism, race, place, and premature mortality. Journal of Population Economics, 1–69. Graham, C., & Pinto, S. (2018). Unequal hopes and lives in the USA: Optimism, race, place, and premature mortality. Journal of Population Economics, 1–69.
34.
go back to reference Nord, M., Andrews, M., & Carlson, A. (2009). Household food security in the United States, 2008. Washington, DC: U.S. Department of Agriculture. Nord, M., Andrews, M., & Carlson, A. (2009). Household food security in the United States, 2008. Washington, DC: U.S. Department of Agriculture.
35.
go back to reference Hager, E. R., Cockerham, A., O’Reilly, N., et al. (2017). Food swamps and food deserts in Baltimore City, MD, USA: Associations with dietary behaviours among urban adolescent girls. Public Health Nutrition, 20, 2598–2607.CrossRefPubMed Hager, E. R., Cockerham, A., O’Reilly, N., et al. (2017). Food swamps and food deserts in Baltimore City, MD, USA: Associations with dietary behaviours among urban adolescent girls. Public Health Nutrition, 20, 2598–2607.CrossRefPubMed
36.
go back to reference Feeding America. (2018). Mobile food pantry program. Chicago: Feeding America. Feeding America. (2018). Mobile food pantry program. Chicago: Feeding America.
37.
go back to reference Flournoy, R. (2011). Healthy food, Healthy communities: Promising strategies to improve access to fresh, healthy food and transform communities. Oakland: PolicyLink. Flournoy, R. (2011). Healthy food, Healthy communities: Promising strategies to improve access to fresh, healthy food and transform communities. Oakland: PolicyLink.
38.
go back to reference Moore, L. V., & Diez Roux, A. V. (2006). Associations of neighborhood characteristics with the location and type of food stores. American Journal of Public Health, 96, 325–331.CrossRefPubMedPubMedCentral Moore, L. V., & Diez Roux, A. V. (2006). Associations of neighborhood characteristics with the location and type of food stores. American Journal of Public Health, 96, 325–331.CrossRefPubMedPubMedCentral
Metadata
Title
Food Insecurity, Food Deserts, and Waist-to-Height Ratio: Variation by Sex and Race/Ethnicity
Authors
Alexander Testa
Dylan B. Jackson
Publication date
01-06-2019
Publisher
Springer US
Published in
Journal of Community Health / Issue 3/2019
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-018-00601-w

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