Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA
Abstract Objective: To examine associations of household food insecurity with health and obesogenic behaviours among pregnant women enrolled in an obesity prevention programme in the greater Boston area. Design: Cross-sectional evaluation. Data were collected from structured questionnaires that...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-05-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980022000714/type/journal_article |
| _version_ | 1828717907095322624 |
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| author | Erika R Cheng Mandy Luo Meghan Perkins Tiffany Blake-Lamb Milton Kotelchuck Alexy Arauz Boudreau Elsie M Taveras |
| author_facet | Erika R Cheng Mandy Luo Meghan Perkins Tiffany Blake-Lamb Milton Kotelchuck Alexy Arauz Boudreau Elsie M Taveras |
| author_sort | Erika R Cheng |
| collection | DOAJ |
| description |
Abstract
Objective:
To examine associations of household food insecurity with health and obesogenic behaviours among pregnant women enrolled in an obesity prevention programme in the greater Boston area.
Design:
Cross-sectional evaluation. Data were collected from structured questionnaires that included a validated two-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 behaviours (daily consumption of fruits and vegetables, sugar-sweetened beverages and fast food, physical activity, screen time, and sleep), mental health outcomes (depression and stress), hyperglycaemia status and gestational weight gain.
Setting:
Three community health centres that primarily serve low-income and racial/ethnic minority patients in Revere, Chelsea and Dorchester, Massachusetts.
Participants:
Totally, 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 (β = −0·31 daily servings; 95 % CI −0·52, −0·10), more screen time (β = 0·32 daily hours; 95 % CI 0·04, 0·61), less sleep (β = −0·32 daily hours; 95 % CI −0·63, −0·01), and greater odds of current (adjusted odds ratio (AOR) 4·42; 95 % CI 2·33, 8·35) or past depression (AOR 3·01; 95 % CI 2·08, 4·35), and high stress (AOR 2·91; 95 % 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 behaviours known to increase the likelihood of obesity.
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| first_indexed | 2024-03-12T14:34:09Z |
| format | Article |
| id | doaj.art-539ff7adad2d4dd79daff65798e68762 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:34:09Z |
| publishDate | 2023-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-539ff7adad2d4dd79daff65798e687622023-08-17T10:00:50ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-05-012694395110.1017/S1368980022000714Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MAErika R Cheng0Mandy Luo1Meghan Perkins2Tiffany Blake-Lamb3Milton Kotelchuck4Alexy Arauz Boudreau5Elsie M Taveras6Division of Children’s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, 410 W. 10th Street, Suite 2000, Indianapolis, IN 46220, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USA Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USADivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USA Kraft Center for Community Health, Massachusetts General Hospital, Boston, MA, USA Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA Abstract Objective: To examine associations of household food insecurity with health and obesogenic behaviours among pregnant women enrolled in an obesity prevention programme in the greater Boston area. Design: Cross-sectional evaluation. Data were collected from structured questionnaires that included a validated two-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 behaviours (daily consumption of fruits and vegetables, sugar-sweetened beverages and fast food, physical activity, screen time, and sleep), mental health outcomes (depression and stress), hyperglycaemia status and gestational weight gain. Setting: Three community health centres that primarily serve low-income and racial/ethnic minority patients in Revere, Chelsea and Dorchester, Massachusetts. Participants: Totally, 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 (β = −0·31 daily servings; 95 % CI −0·52, −0·10), more screen time (β = 0·32 daily hours; 95 % CI 0·04, 0·61), less sleep (β = −0·32 daily hours; 95 % CI −0·63, −0·01), and greater odds of current (adjusted odds ratio (AOR) 4·42; 95 % CI 2·33, 8·35) or past depression (AOR 3·01; 95 % CI 2·08, 4·35), and high stress (AOR 2·91; 95 % 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 behaviours known to increase the likelihood of obesity. https://www.cambridge.org/core/product/identifier/S1368980022000714/type/journal_articleObesityPregnancyNutritionHousehold food insecurityHealth behavioursBostonMA |
| spellingShingle | Erika R Cheng Mandy Luo Meghan Perkins Tiffany Blake-Lamb Milton Kotelchuck Alexy Arauz Boudreau Elsie M Taveras Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA Public Health Nutrition Obesity Pregnancy Nutrition Household food insecurity Health behaviours Boston MA |
| title | Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA |
| title_full | Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA |
| title_fullStr | Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA |
| title_full_unstemmed | Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA |
| title_short | Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA |
| title_sort | household food insecurity is associated with obesogenic health behaviours among a low income cohort of pregnant women in boston ma |
| topic | Obesity Pregnancy Nutrition Household food insecurity Health behaviours Boston MA |
| url | https://www.cambridge.org/core/product/identifier/S1368980022000714/type/journal_article |
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