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- Title
Prevalence and associations between food insecurity and overweight/obesity among native Hawaiian and Pacific Islander adolescents.
- Authors
Long, Christopher R; Narcisse, Marie-Rachelle; Selig, James P; Willis, Don E; Gannon, Matthew; Rowland, Brett; English, Emily S; McElfish, Pearl A
- Abstract
Objective: This study estimates the prevalence of, and associations between, family food insecurity and overweight/obesity among Native Hawaiian and Pacific Islander (NHPI) adolescents and explores socio-demographic factors which might have a moderation effect on the association. Design: Cross-sectional study using 2014 NHPI-National Health Interview Survey data reported by a parent or guardian. Family-level food security was assessed by the US Department of Agriculture 10-item questionnaire. BMI for age and sex ≥ 85th and 95th percentiles defined overweight and obesity, respectively, according to US Centers for Disease Control and Prevention criteria. Setting: The USA, including all 50 states and the District of Columbia. Participants: 383 NHPI adolescents aged 12–17 in the USA. Results: A third (33·5 %) of NHPI adolescents aged 12–17 were overweight (19·1 %) or obese (14·4 %); 8·1 % had low food security; and 8·5 % had very low food security. Mean family food security score was 1·06, which corresponds to marginal food security. We found no association between family food insecurity and adolescent overweight/obesity or between any other covariates and overweight/obesity, except for family Supplemental Nutrition Assistance Program (SNAP) participation. Odds of being overweight/obese were 77 % lower for adolescents in families participating in SNAP (OR: 0·23, 95 % CI: 0·08, 0·64, P = 0·007). The association between SNAP participation and lower odds of overweight/obesity was particularly pronounced for adolescent girls in food-insecure families. Conclusions: The association between SNAP participation and lower odds of overweight/obesity suggests potential benefit of research to determine whether interventions to increase SNAP enrollment would improve NHPI adolescents' health outcomes.
- Subjects
WASHINGTON (D.C.); ADOLESCENT obesity; FOOD security; PACIFIC Islanders; HAWAIIANS; CENTERS for Disease Control &; Prevention (U.S.); SUPPLEMENTAL Nutrition Assistance Program (U.S.); TEENAGE girls; CHILDHOOD obesity; OBESITY
- Publication
Public Health Nutrition, 2023, Vol 26, Issue 7, p1338
- ISSN
1368-9800
- Publication type
Article
- DOI
10.1017/S1368980023000769