Psychosocial Risk Factors for Food Insecurity in Puerto Ricans Living in the USA from Baseline to 5-Year Follow-Up.
Hispanic minorities
depression
food insecurity
longitudinal study
stress
Journal
The Journal of nutrition
ISSN: 1541-6100
Titre abrégé: J Nutr
Pays: United States
ID NLM: 0404243
Informations de publication
Date de publication:
01 08 2020
01 08 2020
Historique:
received:
14
02
2020
revised:
25
03
2020
accepted:
02
06
2020
pubmed:
3
7
2020
medline:
11
11
2020
entrez:
3
7
2020
Statut:
ppublish
Résumé
Food insecurity is prevalent among Puerto Rican adults in the USA and is associated with adverse psychosocial outcomes. However, the direction of this association has not been established in this understudied population. In this study, we aimed to examine the longitudinal association between a group of psychosocial risk factors and subsequent food insecurity in a cohort of Puerto Rican adults. Secondary analysis was conducted using data from the prospective Boston Puerto Rican Health Study. A total of 517 Puerto Rican participants aged 45-75 y in the Boston area who were food secure at baseline, and who completed food security surveys at baseline and 5 y were included. Psychosocial factors, including depressive symptoms, stress, tangible social support, and acculturation were assessed with validated instruments. Multivariable logistic regression models were used to examine the risk of food insecurity at 5 y, as a function of psychosocial factors at baseline and their changes over 5 y, adjusting for age, sex, education, baseline and change in total annual household income, and in family size. The cumulative incidence of food insecurity at 5 y was 12.6%. The odds of incident food insecurity was significantly associated with baseline depressive symptom score [OR = 1.78 (1.16, 2.76) per each 10 score units], with change in depressive symptom score [OR = 1.50 (1.07, 2.09) per each 10-unit increase], and with change in perceived stress [OR = 1.59 (1.01, 2.51) per each 10-unit increase], after adjusting for potential confounders. In this cohort of Puerto Rican adults, depressive symptoms at baseline, and increases in depressive symptoms and perceived stress over 5 y were associated with a higher risk of food insecurity. Psychosocial health and environment appear to play important roles in predicting risk of food insecurity in the Puerto Rican community.
Sections du résumé
BACKGROUND
Food insecurity is prevalent among Puerto Rican adults in the USA and is associated with adverse psychosocial outcomes. However, the direction of this association has not been established in this understudied population.
OBJECTIVES
In this study, we aimed to examine the longitudinal association between a group of psychosocial risk factors and subsequent food insecurity in a cohort of Puerto Rican adults.
METHODS
Secondary analysis was conducted using data from the prospective Boston Puerto Rican Health Study. A total of 517 Puerto Rican participants aged 45-75 y in the Boston area who were food secure at baseline, and who completed food security surveys at baseline and 5 y were included. Psychosocial factors, including depressive symptoms, stress, tangible social support, and acculturation were assessed with validated instruments. Multivariable logistic regression models were used to examine the risk of food insecurity at 5 y, as a function of psychosocial factors at baseline and their changes over 5 y, adjusting for age, sex, education, baseline and change in total annual household income, and in family size.
RESULTS
The cumulative incidence of food insecurity at 5 y was 12.6%. The odds of incident food insecurity was significantly associated with baseline depressive symptom score [OR = 1.78 (1.16, 2.76) per each 10 score units], with change in depressive symptom score [OR = 1.50 (1.07, 2.09) per each 10-unit increase], and with change in perceived stress [OR = 1.59 (1.01, 2.51) per each 10-unit increase], after adjusting for potential confounders.
CONCLUSION
In this cohort of Puerto Rican adults, depressive symptoms at baseline, and increases in depressive symptoms and perceived stress over 5 y were associated with a higher risk of food insecurity. Psychosocial health and environment appear to play important roles in predicting risk of food insecurity in the Puerto Rican community.
Identifiants
pubmed: 32614404
pii: S0022-3166(22)02287-8
doi: 10.1093/jn/nxaa177
pmc: PMC7398775
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2199-2203Subventions
Organisme : NIA NIH HHS
ID : R01 AG055948
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG023394
Pays : United States
Organisme : NHLBI NIH HHS
ID : P50 HL105185
Pays : United States
Informations de copyright
Copyright © The Author(s) on behalf of the American Society for Nutrition 2020.
Références
Public Health Nutr. 2019 Apr;22(5):874-881
pubmed: 30394250
J Health Psychol. 2019 Apr;24(5):628-639
pubmed: 28810432
Public Health Nutr. 2020 Jul;23(10):1778-1790
pubmed: 32174292
J Womens Health (Larchmt). 2014 Jan;23(1):29-37
pubmed: 24131321
J Nutr Educ Behav. 2011 Jul-Aug;43(4):288-94
pubmed: 20952259
Public Health Nutr. 2017 Apr;20(5):902-916
pubmed: 27829486
Am J Geriatr Psychiatry. 2018 Feb;26(2):238-249
pubmed: 28684241
J Immigr Minor Health. 2015 Apr;17(2):408-13
pubmed: 25047405
J Health Care Poor Underserved. 2012 Aug;23(3):1174-88
pubmed: 24212167
Public Health Nutr. 2009 Aug;12(8):1133-40
pubmed: 18789167
Aging Ment Health. 2009 Nov;13(6):863-73
pubmed: 19888706
Ecol Food Nutr. 2009 Jul-Aug;48(4):263-84
pubmed: 21883069
Assessment. 2015 Jun;22(3):351-60
pubmed: 25085880
Soc Sci Med. 2004 Jun;58(12):2645-54
pubmed: 15081212
Annu Rev Public Health. 2016;37:219-36
pubmed: 26735431
Acad Pediatr. 2015 May-Jun;15(3):305-10
pubmed: 25454368
Prev Chronic Dis. 2015 Nov 25;12:E206
pubmed: 26605706
Am J Clin Nutr. 2009 Apr;89(4):1197-203
pubmed: 19225117
J Immigr Minor Health. 2011 Dec;13(6):982-9
pubmed: 21789561
J Health Care Poor Underserved. 2009 Aug;20(3):645-61
pubmed: 19648695
J Nutr Educ Behav. 2018 Sep;50(8):829-835
pubmed: 30196884
J Epidemiol Community Health. 2018 Oct;72(10):933-939
pubmed: 29921649
Soc Sci Med. 2017 Sep;189:105-113
pubmed: 28797939
Public Health Nutr. 2017 Dec;20(17):3200-3208
pubmed: 28903785