Journal article
Food Insecurity Is Associated With Cardiovascular and All-Cause Mortality Among Adults in the United States
Journal of the American Heart Association, Vol.9(19), pp.e014629-e014629
10/20/2020
DOI: 10.1161/JAHA.119.014629
PMCID: PMC7792411
PMID: 32975173
Abstract
Background Food insecurity is a global leading public health challenge that affects not only developing countries but also developed countries, including the United States. About 50 million Americans are food insecure. In this study we examined the associations of the adult food insecurity with all-cause and cardiovascular disease mortality in a nationally representative sample of US adults. Methods and Results We included 27 188 US adults (age ≥40 years of age) who participated in the US National Health and Nutrition Examination Survey from 1999 to 2014. Food insecurity status was assessed using the Food Security Survey Module developed by the US Department of Agriculture. Mortality from all causes and cardovascular disease was ascertained through data linkage to the National Death Index through December 31, 2015. We used multivariable Cox proportional hazards regression with sampling weights to estimate hazard ratios (HRs) and 95% CIs of all-cause and cardiovascular disease mortality, according to food security status. During 205 389 person-years of the period, 5039 deaths occurred, including 1084 cardiovascular disease deaths. After adjustment for age, sex, race/ethnicity, education, income, and dietary and lifestyle factors, participants with very low food security had higher risk of all-cause and cardiovascular disease mortality, with multivariable-adjusted HRs of 1.32 (95% CI, 1.07-1.62), and 1.53 (95% CI, 1.04-2.26), respectively, compared with those with high food security. Conclusions Food insecurity is significantly associated with increased risk of excess death from cardiovascular disease and all causes in US adults.
Details
- Title: Subtitle
- Food Insecurity Is Associated With Cardiovascular and All-Cause Mortality Among Adults in the United States
- Creators
- Yangbo Sun - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaBuyun Liu - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaShuang Rong - Department of Nutrition and Food Hygiene School of Public Health Medical College Wuhan University of Science and Technology Wuhan ChinaYang Du - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaGuifeng Xu - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaLinda G Snetselaar - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaRobert B Wallace - Department of Epidemiology College of Public Health University of Iowa Iowa City IowaWei Bao - Fraternal Order of Eagles Diabetes Research Center University of Iowa Iowa City Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American Heart Association, Vol.9(19), pp.e014629-e014629
- DOI
- 10.1161/JAHA.119.014629
- PMID
- 32975173
- PMCID
- PMC7792411
- NLM abbreviation
- J Am Heart Assoc
- ISSN
- 2047-9980
- eISSN
- 2047-9980
- Publisher
- England
- Grant note
- P30 ES005605 / NIEHS NIH HHS
- Language
- English
- Date published
- 10/20/2020
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984066342502771
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