title: Food insecurity and increased BMI in young adult women.
abstract: Food insecurity has been associated with weight status in children and adults although results have been mixed. We aimed to identify whether food insecurity was associated with BMI in young adults and whether this association differed by gender and was modified by food stamp use and the presence of children in the home. Cross-sectional data from wave 4 (2007-2008) of the National Longitudinal Study of Adolescent Health were analyzed. Multiple linear regression was used to investigate the association between food insecurity and BMI in gender stratified models of young adult women (n = 7,116) and men (n = 6,604) controlling for age, race/ethnicity, income, education, physical activity, smoking, alcohol use, the presence of children in the home, and food stamp use in young adulthood and/or adolescence. Food insecurity was more common in young adult women (14%) than young adult men (9%). After controlling for a variety of individual variables, food insecure women had a BMI that was on average 0.9 kg/m(2) units higher than women who were food secure. This difference in BMI persisted after controlling for recent or past food stamp use and was not different among women with or without children in the household. No relationship was found between food insecurity and BMI in young adult men. Providers should inquire about food insecurity, especially when treating obesity, and policy initiatives should address the role of access to healthy food in those facing food insecurity.
authors.affiliation: Division of Adolescent and Young Adult Medicine, Department of Medicine, Children's Hospital Boston, Boston, Massachusetts, USA. holly.gooding@childrens.harvard.edu
authors.forename: Holly C
authors.initials: HC
authors.lastname: Gooding
authors.forename: Courtney E
authors.initials: CE
authors.lastname: Walls
authors.forename: Tracy K
authors.initials: TK
authors.lastname: Richmond
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D063105:Food Assistance / Q000191:economics* / Q000706:statistics & numerical data*; D005523:Food Supply / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009765:Obesity / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control; D011050:Policy Making; D012737:Sex Factors; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult