title: Household food insecurity is associated with adult health status.
abstract: The prevalence of household food security, which reflects adequacy and stability of the food supply, has been measured periodically in the United States and occasionally in high-risk groups or specific regions. Despite a plausible biological mechanism to suggest negative health outcomes of food insecurity, this relation has not been adequately evaluated. This study was conducted in the Lower Mississippi Delta region to examine the association between household food insecurity and self-reported health status in adults. A two-stage stratified cluster sample representative of the population in 36 counties in the Delta region of Arkansas, Louisiana, and Mississippi was selected using list-assisted random digit dialing telephone methodology. After households were selected and screened, a randomly selected adult was interviewed within each sampled household. Data were collected to measure food security status and self-reported mental, physical, and general health status, using the U.S. Food Security Survey Module and the Short Form 12-item Health Survey (SF-12). Data were reported on a sample of 1488 households. Adults in food-insecure households were significantly more likely to rate their health as poor/fair and scored significantly lower on the physical and mental health scales of the SF-12. In regression models controlling for income, gender, and ethnicity, the interaction between food insecurity status and race was a significant predictor of fair/poor health and lower scores on physical and mental health. Household food insecurity is associated with poorer self-reported health status of adults in this rural, high-risk sample in the Lower Mississippi Delta.
authors.affiliation: U.S. Department of Agriculture/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA. jstuff@bcm.tmc.edu
authors.forename: Janice E
authors.initials: JE
authors.lastname: Stuff
authors.forename: Patrick H
authors.initials: PH
authors.lastname: Casey
authors.forename: Kitty L
authors.initials: KL
authors.lastname: Szeto
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Gossett
authors.forename: James M
authors.initials: JM
authors.lastname: Robbins
authors.forename: Pippa M
authors.initials: PM
authors.lastname: Simpson
authors.forename: Carol
authors.initials: C
authors.lastname: Connell
authors.forename: Margaret L
authors.initials: ML
authors.lastname: Bogle
mesh_terms: D000328:Adult; D001131:Arkansas; D044383:Black People; D016000:Cluster Analysis; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D005523:Food Supply; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008145:Louisiana; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008922:Mississippi; D012044:Regression Analysis; D044465:White People; D001741:Black or African American