Erika R Cheng1, Mandy Luo2, Meghan Perkins2, Tiffany Blake-Lamb2,3, Milton Kotelchuck2,3, Alexy Arauz Boudreau2, Elsie M Taveras2,4,5. 1. Division of Children's Health Services Research, Department of Pediatrics, Indiana University School of Medicine; 410 W. 10th Street, Suite 2000. Indianapolis, IN 46220. 2. Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, 125 Nashua St, Suite 860, Boston, MA 02114. 3. Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA 02114. 4. Kraft Center for Community Health, Massachusetts General Hospital, 125 Nashua St, Suite 860, Boston, MA 02114. 5. Department of Nutrition, Harvard T.H. Chan School of Public Health; 665 Huntington Avenue, Boston, MA 02115.
Abstract
OBJECTIVE: To examine associations of household food insecurity with health and obesogenic behaviors among pregnant women enrolled in an obesity prevention program in the greater Boston area. DESIGN: Cross-sectional evaluation. Data were collected from structured questionnaires that included a validated 2-item screener to assess household food insecurity. We used separate multivariable linear and logistic regression models to quantify the association between household food insecurity and maternal health behaviors (daily consumption of fruits and vegetables, sugar sweetened beverages and fast food; physical activity; screen time; and sleep), mental health outcomes (depression and stress), hyperglycemia status, and gestational weight gain. SETTING: Three community health centers that primarily serve low-income and racial/ethnic minority patients in Revere, Chelsea, and Dorchester, Massachusetts. PARTICIPANTS: 858 pregnant women participating in the First 1,000 Days Program, a quasi-experimental trial. RESULTS: Approximately 21% of women reported household food insecurity. In adjusted analysis, household food insecurity was associated with low fruit and vegetable intake (beta=-0.31 daily servings; 95% CI: -0.52, -0.10), more screen time (beta=0.32 daily hours; CI: 0.04, 0.61), less sleep (beta=-0.32 daily hours; CI: -0.63, -0.01), and greater odds of current (AOR 4.42; CI: 2.33, 8.35) or past depression (AOR 3.01; CI: 2.08, 4.35), and high stress (AOR 2.91; CI: 1.98, 4.28). CONCLUSIONS: In our sample of mostly low-income, racial/ethnic minority pregnant women, household food insecurity was associated with mental health and behaviors known to increase the likelihood of obesity.
OBJECTIVE: To examine associations of household food insecurity with health and obesogenic behaviors among pregnant women enrolled in an obesity prevention program in the greater Boston area. DESIGN: Cross-sectional evaluation. Data were collected from structured questionnaires that included a validated 2-item screener to assess household food insecurity. We used separate multivariable linear and logistic regression models to quantify the association between household food insecurity and maternal health behaviors (daily consumption of fruits and vegetables, sugar sweetened beverages and fast food; physical activity; screen time; and sleep), mental health outcomes (depression and stress), hyperglycemia status, and gestational weight gain. SETTING: Three community health centers that primarily serve low-income and racial/ethnic minority patients in Revere, Chelsea, and Dorchester, Massachusetts. PARTICIPANTS: 858 pregnant women participating in the First 1,000 Days Program, a quasi-experimental trial. RESULTS: Approximately 21% of women reported household food insecurity. In adjusted analysis, household food insecurity was associated with low fruit and vegetable intake (beta=-0.31 daily servings; 95% CI: -0.52, -0.10), more screen time (beta=0.32 daily hours; CI: 0.04, 0.61), less sleep (beta=-0.32 daily hours; CI: -0.63, -0.01), and greater odds of current (AOR 4.42; CI: 2.33, 8.35) or past depression (AOR 3.01; CI: 2.08, 4.35), and high stress (AOR 2.91; CI: 1.98, 4.28). CONCLUSIONS: In our sample of mostly low-income, racial/ethnic minority pregnant women, household food insecurity was associated with mental health and behaviors known to increase the likelihood of obesity.
Entities:
Keywords:
Boston MA; health behaviors; household food insecurity; nutrition; obesity; pregnancy
Authors: Jennifer A Woo Baidal; Lindsey M Locks; Erika R Cheng; Tiffany L Blake-Lamb; Meghan E Perkins; Elsie M Taveras Journal: Am J Prev Med Date: 2016-02-22 Impact factor: 5.043
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Authors: Rachel S Gross; Alan L Mendelsohn; Michelle B Gross; Roberta Scheinmann; Mary Jo Messito Journal: Acad Pediatr Date: 2016-02-06 Impact factor: 3.107
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