Food insecurity and chronic diseases among American Indians in rural Oklahoma: The THRIVE study

Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod, Tvli Jacob, Alicia L. Salvatore, Tamela Cannady, Mandy Grammar, Joy Standridge, Jill Fox, Jennifer Spiegel, An Dina Wiley, Carolyn Noonan, Dedra Buchwald

Research output: Contribution to journalReview article

18 Scopus citations

Abstract

Objectives. To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality.The unadjusted prevalence of diabetes (28.4% vs 18.4%), obesity (60.0% vs 48.3%), and hypertension (54.1% vs 41.6%) was higher among participants with inadequate food quantity than among those with adequate food quantity. These associations did not reach statistical significance after adjustment for age, gender, study site, education, and income. The unadjusted prevalence of obesity (60.7% vs 45.8%), diabetes (27.3% vs 18.8%), and hypertension (52.5% vs 42.5%) was higher among those with inadequate food quality than among those with adequate food quality, even after adjustment for age, gender, study site, education, and income. Conclusions.Tribal, federal, and state policymakers, as well as businesses and nonprofit organizations, must collaboratively take aggressive action to address food insecurity and its underlying causes, including improving tribal food environments, reducing barriers to healthy foods, and increasing living wages.

Original languageEnglish
Pages (from-to)441-446
Number of pages6
JournalAmerican Journal of Public Health
Volume107
Issue number3
DOIs
StatePublished - 1 Mar 2017

    Fingerprint

Cite this

Jernigan, V. B. B., Wetherill, M. S., Hearod, J., Jacob, T., Salvatore, A. L., Cannady, T., Grammar, M., Standridge, J., Fox, J., Spiegel, J., Wiley, A. D., Noonan, C., & Buchwald, D. (2017). Food insecurity and chronic diseases among American Indians in rural Oklahoma: The THRIVE study. American Journal of Public Health, 107(3), 441-446. https://doi.org/10.2105/AJPH.2016.303605