title: Food insecurity, cigarette smoking, and acculturation among Latinos: data from NHANES 1999-2008.
abstract: Prevalence of food insecurity (FI) among Latinos in the United States is almost double the national average. To better understand FI among Latinos, potential risk factors beyond poverty, including acculturation indicators and smoking status, were explored. Cross-sectional data from 6,681 Latino adults from the 1999-2008 National Health and Nutrition Examination Surveys were used. Partial proportional odds (PPO) models were used to estimate associations of FI, including cigarette smoking and acculturation. The PPO models indicated that compared with never smokers, current smokers had significantly higher odds of FI (odds ratios ranged from 1.32 to 1.51 across models). Lower levels of acculturation and poverty and being a younger or middle-aged adult were also significantly associated with FI. Among Latinos, current smoking and low acculturation are important risk factors for FI. Current smoking and low acculturation may exacerbate nutritional deprivation in a population that is already disproportionally affected by poverty and poor health outcomes.
authors.affiliation: Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, MSC 9761, Bethesda, MD, 20892-9761, USA.
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Iglesias-Rios
authors.forename: Julie E
authors.initials: JE
authors.lastname: Bromberg
authors.forename: Richard P
authors.initials: RP
authors.lastname: Moser
authors.forename: Erik M
authors.initials: EM
authors.lastname: Augustson
mesh_terms: D000069:Acculturation; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012307:Risk Factors; D012907:Smoking / Q000208:ethnology*; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology