Household food insecurity and dietary patterns in rural and urban American Indian families with young children

Autor: Emily J. Tomayko, Kathryn L. Mosso, Kate A. Cronin, Lakeesha Carmichael, KyungMann Kim, Tassy Parker, Amy L. Yaroch, Alexandra K. Adams
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Public Health, Vol 17, Iss 1, Pp 1-10 (2017)
Druh dokumentu: article
ISSN: 1471-2458
DOI: 10.1186/s12889-017-4498-y
Popis: Abstract Background High food insecurity has been demonstrated in rural American Indian households, but little is known about American Indian families in urban settings or the association of food insecurity with diet for these families. The purpose of this study was to examine the prevalence of food insecurity in American Indian households by urban-rural status, correlates of food insecurity in these households, and the relationship between food insecurity and diet in these households. Methods Dyads consisting of an adult caregiver and a child (2–5 years old) from the same household in five urban and rural American Indian communities were included. Demographic information was collected, and food insecurity was assessed using two validated items from the USDA Household Food Security Survey. Factors associated with food insecurity were examined using logistic regression. Child and adult diets were assessed using food screeners. Coping strategies were assessed through focus group discussions. These cross-sectional baseline data were collected from 2/2013 through 4/2015 for the Healthy Children, Strong Families 2 randomized controlled trial of a healthy lifestyles intervention for American Indian families. Results A high prevalence of food insecurity was determined (61%) and was associated with American Indian ethnicity, lower educational level, single adult households, WIC participation, and urban settings (p = 0.05). Food insecure adults had significantly lower intake of vegetables (p
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