Valarie Blue Bird Jernigan1, Marianna S Wetherill1, Jordan Hearod1, Tvli Jacob1, Alicia L Salvatore1, Tamela Cannady1, Mandy Grammar1, Joy Standridge1, Jill Fox1, Jennifer Spiegel1, AnDina Wiley1, Carolyn Noonan1, Dedra Buchwald1. 1. Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Alicia L. Salvatore, and Tvli Jacob are with the College of Public Health, Department of Health Promotion Sciences, University of Oklahoma, Tulsa. Tamela Cannady and Mandy Grammar are with the Office of Preventive Health, Choctaw Nation of Oklahoma, Talihina, OK. Joy Standridge, Jill Fox, Jennifer Spiegel, and AnDina Wiley are with the Nutrition Services Department, Chickasaw Nation, Ada, OK. Carolyn Noonan and Dedra Buchwald are with Elson S. Floyd College of Medicine, Washington State University, Seattle.
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.
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.
Authors: Jennifer Coates; Edward A Frongillo; Beatrice Lorge Rogers; Patrick Webb; Parke E Wilde; Robert Houser Journal: J Nutr Date: 2006-05 Impact factor: 4.798
Authors: Meg Bruening; Richard MacLehose; Katie Loth; Mary Story; Dianne Neumark-Sztainer Journal: Am J Public Health Date: 2012-01-19 Impact factor: 9.308
Authors: Hilary K Seligman; Andrew B Bindman; Eric Vittinghoff; Alka M Kanaya; Margot B Kushel Journal: J Gen Intern Med Date: 2007-04-11 Impact factor: 5.128
Authors: Lucia L Kaiser; Marilyn S Townsend; Hugo R Melgar-Quiñonez; Mary L Fujii; Patricia B Crawford Journal: Am J Clin Nutr Date: 2004-11 Impact factor: 7.045
Authors: Valarie Blue Bird Jernigan; Alicia L Salvatore; Mary Williams; Marianna Wetherill; Tori Taniguchi; Tvli Jacob; Tamela Cannady; Mandy Grammar; Joy Standridge; Jill Fox; JoAnna Tingle Owens; Jennifer Spiegel; Charlotte Love; Travis Teague; Carolyn Noonan Journal: Am J Public Health Date: 2018-11-29 Impact factor: 9.308
Authors: Marianna S Wetherill; Mary B Williams; Tori Taniguchi; Alicia L Salvatore; Tvli Jacob; Tamela Cannady; Mandy Grammar; Joy Standridge; Jill Fox; Jennifer Spiegel; Valarie Blue Bird Jernigan Journal: Health Promot Pract Date: 2018-09-21
Authors: Alicia L Salvatore; Carolyn J Noonan; Mary B Williams; Marianna S Wetherill; Tvli Jacob; Tamela K Cannady; Joy Standridge; Mandy Grammar; Jill Fox; Andina Wiley; Jennifer Spiegel; Valarie Blue Bird Jernigan Journal: J Rural Health Date: 2018-10-24 Impact factor: 4.333