Food Insecurity and Obesity Among American Indians and Alaska Natives and Whites in California.
Food Insecurity and Obesity Among American Indians and Alaska Natives and Whites in California.
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DOI：
10.1080/19320248.2013.816987
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发表时间：
2013
影响因子：
1.6
通讯作者：
Buchwald D
中科院分区：
文献类型：
--
作者：
Jernigan VB;Garroutte E;Krantz EM;Buchwald D
粮食不安全与一些但不是所有种族和族裔人口的肥胖有关。我们研究了美国印第安人（AIs）和阿拉斯加原住民（ANs）以及白人对照组之间的粮食不安全和肥胖之间的关联。使用2009年加州健康访谈调查，我们分析了来自592个AI/AN和7371个家庭收入在或低于联邦贫困线200%的白色成年人的回答。粮食不安全是用标准的6项量表衡量的。社会人口统计学、运动和肥胖都是使用自我报告的调查数据获得的。Logistic回归用于估计相关性。食物不安全的患病率在AIs/AN和白人中相似（38.7%对39.3%）。在调整社会人口统计学和运动的分析中，食物不安全与肥胖无关。对于低收入的加州人来说，无论种族如何，购买高质量食物的能力都非常有限。卫生政策的讨论必须包括更加关注穷人，包括缺乏数据的受影响者/受影响者获得健康食品的问题。
Food insecurity is linked to obesity among some, but not all, racial and ethnic populations. We examined the prevalence of food insecurity and the association between food insecurity and obesity among American Indians (AIs) and Alaska Natives (ANs) and a comparison group of whites. Using the 2009 California Health Interview Survey, we analyzed responses from 592 AIs/ANs and 7371 white adults with household incomes at or below 200% of the federal poverty level. Food insecurity was measured using a standard 6-item scale. Sociodemographics, exercise, and obesity were all obtained using self-reported survey data. Logistic regression was used to estimate associations. The prevalence of food insecurity was similar among AIs/ANs and whites (38.7% vs 39.3%). Food insecurity was not associated with obesity in either group in analyses adjusted for sociodemographics and exercise. The ability to afford high-quality foods is extremely limited for low-income Californians regardless of race. Health policy discussions must include increased attention on healthy food access among the poor, including AIs/ANs, for whom little data exist.