Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey
Abstract Objective: To determine predictors of the association between being a Veteran and adult food security, as well as to examine the relation of potential covariates to this relationship. Design: Data collected during 2011–2012, 2013–2014 and 2015–2016 National Health and Nutrition Examinat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-07-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980023000538/type/journal_article |
| _version_ | 1828717855559909376 |
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| author | Ronna Robbins Kathryn N Porter Starr Odessa Addison Elizabeth A Parker Sarah J Wherry Sunday Ikpe Monica C Serra |
| author_facet | Ronna Robbins Kathryn N Porter Starr Odessa Addison Elizabeth A Parker Sarah J Wherry Sunday Ikpe Monica C Serra |
| author_sort | Ronna Robbins |
| collection | DOAJ |
| description |
Abstract
Objective:
To determine predictors of the association between being a Veteran and adult food security, as well as to examine the relation of potential covariates to this relationship.
Design:
Data collected during 2011–2012, 2013–2014 and 2015–2016 National Health and Nutrition Examination Survey (NHANES) were pooled for analyses. Veterans (self-reported) were matched to non-Veterans on age, race/ethnicity, sex and education. Adjusted logistic regression was used to determine the odds of Veterans having high food security v. the combination of marginal, low and very low food security compared with non-Veterans.
Setting:
2011–2012, 2013–2014 and 2015–2016 NHANES.
Participants:
1227 Veterans; 2432 non-Veterans.
Results:
Veteran status had no effect on the proportion of food insecurities between Veterans and non-Veterans reporting high (Veterans v. non-Veteran: 79 % v. 80 %), marginal (9 % v. 8 %), low (5 % v. 6 %) and very low (8 % v. 6 %) food security (P = 0·11). However, after controlling for covariates, Veterans tended to be less likely to have high food security (OR: 0·82 (95 % CI 0·66, 1·02), P = 0·07). Further, non-Hispanic White Veterans (OR: 0·72 (95 % CI 0·55, 0·95), P = 0·02) and Veterans completing some college (OR: 0·71 (95 % CI 0·50, 0·99), P < 0·05) were significantly less likely to experience high food security compared with non-Veterans.
Conclusion:
This study supports previous research findings that after controlling for covariates, Veterans tend to be less likely to have high food security. It also highlights ethnicity and level of education as important socio-economic determinates of food security status in Veterans.
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| first_indexed | 2024-03-12T14:34:29Z |
| format | Article |
| id | doaj.art-a469296fbc57421a962ce399b0fcdf22 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:34:29Z |
| publishDate | 2023-07-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-a469296fbc57421a962ce399b0fcdf222023-08-17T10:00:57ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-07-01261478148710.1017/S1368980023000538Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination SurveyRonna Robbins0https://orcid.org/0000-0002-2787-9727Kathryn N Porter Starr1Odessa Addison2Elizabeth A Parker3https://orcid.org/0000-0001-7403-3217Sarah J Wherry4Sunday Ikpe5Monica C Serra6Department of Nutritional Sciences, University of Texas at Austin, Austin, TX 78712, USA San Antonio GRECC, South Texas Veterans Health Care System, San Antonio, TX 78229, USADurham GRECC, Durham VA Health Care System, Durham, NC, USA Division of Geriatrics, Duke University School of Medicine, Durham, NC, USABaltimore GRECC, VA Maryland Health Care System, Baltimore, MD, USA Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD, USABaltimore GRECC, VA Maryland Health Care System, Baltimore, MD, USA Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD, USAVA Eastern Colorado GRECC, Aurora, CO, USA Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USABaltimore GRECC, VA Maryland Health Care System, Baltimore, MD, USASan Antonio GRECC, South Texas Veterans Health Care System, San Antonio, TX 78229, USA Division of Geriatrics, Gerontology and Palliative Medicine and the Sam and Ann Barshop Institute for Longevity and Aging Studies, Department of Medicine, UT Health San Antonio, San Antonio, TX, USA Abstract Objective: To determine predictors of the association between being a Veteran and adult food security, as well as to examine the relation of potential covariates to this relationship. Design: Data collected during 2011–2012, 2013–2014 and 2015–2016 National Health and Nutrition Examination Survey (NHANES) were pooled for analyses. Veterans (self-reported) were matched to non-Veterans on age, race/ethnicity, sex and education. Adjusted logistic regression was used to determine the odds of Veterans having high food security v. the combination of marginal, low and very low food security compared with non-Veterans. Setting: 2011–2012, 2013–2014 and 2015–2016 NHANES. Participants: 1227 Veterans; 2432 non-Veterans. Results: Veteran status had no effect on the proportion of food insecurities between Veterans and non-Veterans reporting high (Veterans v. non-Veteran: 79 % v. 80 %), marginal (9 % v. 8 %), low (5 % v. 6 %) and very low (8 % v. 6 %) food security (P = 0·11). However, after controlling for covariates, Veterans tended to be less likely to have high food security (OR: 0·82 (95 % CI 0·66, 1·02), P = 0·07). Further, non-Hispanic White Veterans (OR: 0·72 (95 % CI 0·55, 0·95), P = 0·02) and Veterans completing some college (OR: 0·71 (95 % CI 0·50, 0·99), P < 0·05) were significantly less likely to experience high food security compared with non-Veterans. Conclusion: This study supports previous research findings that after controlling for covariates, Veterans tend to be less likely to have high food security. It also highlights ethnicity and level of education as important socio-economic determinates of food security status in Veterans. https://www.cambridge.org/core/product/identifier/S1368980023000538/type/journal_articleVeteranNational Health and Nutrition Examination SurveyFood insecuritySocial determinants |
| spellingShingle | Ronna Robbins Kathryn N Porter Starr Odessa Addison Elizabeth A Parker Sarah J Wherry Sunday Ikpe Monica C Serra Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey Public Health Nutrition Veteran National Health and Nutrition Examination Survey Food insecurity Social determinants |
| title | Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey |
| title_full | Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey |
| title_fullStr | Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey |
| title_full_unstemmed | Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey |
| title_short | Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey |
| title_sort | prevalence and socio economic determinates of food insecurity in veterans findings from national health and nutrition examination survey |
| topic | Veteran National Health and Nutrition Examination Survey Food insecurity Social determinants |
| url | https://www.cambridge.org/core/product/identifier/S1368980023000538/type/journal_article |
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