Abstract MP04: Food Insecurity And Blood Pressure Control: The Coronary Artery Risk In Young Adults (cardia) Study
| Autor: | Sabira Taher, Mandy Wong, Mercedes R Carnethon, Namratha Kandula, Catarina I Kiefe, Kiarri Kershaw |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Circulation. 145 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Background: Food insecurity (FI), the limited access to healthy and affordable food, is a social determinant of health that hinders blood pressure (BP) control in individuals with hypertension. Cross-sectional studies that examine this relationship do not allow for observations over time. We used longitudinal data on CARDIA Study participants with hypertension to examine the association between FI and BP control over 15 years. Methods: Generalized estimating equations were used to examine the association between FI and BP control across repeated observations on 605 participants with physician diagnosed and self-reported hypertension. Participants had some FI if they endorsed any of the following statements: “We have enough food to eat, but not always the kinds of food we want to eat”; “Sometimes we don’t have enough food to eat”; “Often we don’t have enough food to eat.” We estimated odds ratios (OR) and 95% confidence interval (CI) for control of systolic blood pressure (SBP) Results: FI was reported by 21.7% of study participants (N=131). FI was reported in Black participants (N=106), and women (N=89) most. Gender modified the association of FI with BP control, whereby food insecure women were less likely to control BP Table 1. Other interactions were not significant. Conclusions: Food insecure women had more difficulty with BP control than food insecure men. Explanations for the differential influence of FI on men and women should be studied so that targeted interventions can be developed. |
| Databáze: | OpenAIRE |
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