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Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008.
Matern Child Health J. 2016 11; 20(11):2348-2356.MC

Abstract

OBJECTIVE

Analyze the association between household food security status and diet quality during pregnancy.

METHODS

Cross-sectional analysis of pregnant women from the National Health and Nutrition Examination Survey from 1999 to 2008. Of the 1158 pregnant women with complete household food security information, we analyzed 688 women who had complete dietary information and household incomes ≤300 % of the Federal Poverty Level (FPL). Diet quality was measured by the Alternate Healthy Eating Index modified for Pregnancy (AHEI-P) from 1 to 2 24 h dietary recalls. Multivariate linear and logistic regression models were implemented to assess the association between household food security status and AHEI-P, adjusting for age, nativity, marital status, race/ethnicity, education, and household income.

RESULTS

Among women with household incomes ≤300 % of the FPL, 19 % were food insecure and 4 % were marginally food secure. The mean AHEI-P score was 41.9 (95 % CI 40.4, 43.3). Household food insecurity was not associated with overall diet quality. However, living in a food insecure household compared to a food secure household was associated with a 2.3 (1.3, 4.1) greater odds of having a calcium component score greater than the median intake of calcium scores among food secure women in the sample.

CONCLUSIONS FOR PRACTICE

In a nationally representative sample of pregnant women, 80 % lived in a fully food secure household. Improving household food security during pregnancy is a public health opportunity to improve health outcomes; however household food security status may not be associated with overall diet quality.

Authors+Show Affiliations

Division of Epidemiology, UC Berkeley School of Public Health, 101 Haviland Hall, Berkeley, CA, 94720, USA. ryangamba@gmail.com.Center for Health and Community, School of Medicine, University of California, San Francisco, 3333 California Street, Suite 465, Campus Box 0844, San Francisco, CA, 94143-0844, USA.Division of Community Health and Human Development, Maternal and Child Health Program, School of Public Health, University of California, Berkeley, 207-J University Hall, Berkeley, CA, 94720, USA.Division of Biostatistics, UC Berkeley School of Public Health, 307 Haviland Hall, Berkeley, CA, 94720, USA.Division of Public Health Nutrition, School of Public Health, University of California, Berkeley, 207-B University Hall, Berkeley, CA, 94720, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27406151

Citation

Gamba, Ryan, et al. "Household Food Insecurity Is Not Associated With Overall Diet Quality Among Pregnant Women in NHANES 1999-2008." Maternal and Child Health Journal, vol. 20, no. 11, 2016, pp. 2348-2356.
Gamba R, Leung CW, Guendelman S, et al. Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008. Matern Child Health J. 2016;20(11):2348-2356.
Gamba, R., Leung, C. W., Guendelman, S., Lahiff, M., & Laraia, B. A. (2016). Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008. Maternal and Child Health Journal, 20(11), 2348-2356.
Gamba R, et al. Household Food Insecurity Is Not Associated With Overall Diet Quality Among Pregnant Women in NHANES 1999-2008. Matern Child Health J. 2016;20(11):2348-2356. PubMed PMID: 27406151.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008. AU - Gamba,Ryan, AU - Leung,Cindy W, AU - Guendelman,Sylvia, AU - Lahiff,Maureen, AU - Laraia,Barbara A, PY - 2016/7/14/pubmed PY - 2017/12/23/medline PY - 2016/7/14/entrez KW - Diet quality KW - Food insecurity KW - Maternal nutrition KW - National Health and Nutrition Examination Survey KW - WIC SP - 2348 EP - 2356 JF - Maternal and child health journal JO - Matern Child Health J VL - 20 IS - 11 N2 - OBJECTIVE: Analyze the association between household food security status and diet quality during pregnancy. METHODS: Cross-sectional analysis of pregnant women from the National Health and Nutrition Examination Survey from 1999 to 2008. Of the 1158 pregnant women with complete household food security information, we analyzed 688 women who had complete dietary information and household incomes ≤300 % of the Federal Poverty Level (FPL). Diet quality was measured by the Alternate Healthy Eating Index modified for Pregnancy (AHEI-P) from 1 to 2 24 h dietary recalls. Multivariate linear and logistic regression models were implemented to assess the association between household food security status and AHEI-P, adjusting for age, nativity, marital status, race/ethnicity, education, and household income. RESULTS: Among women with household incomes ≤300 % of the FPL, 19 % were food insecure and 4 % were marginally food secure. The mean AHEI-P score was 41.9 (95 % CI 40.4, 43.3). Household food insecurity was not associated with overall diet quality. However, living in a food insecure household compared to a food secure household was associated with a 2.3 (1.3, 4.1) greater odds of having a calcium component score greater than the median intake of calcium scores among food secure women in the sample. CONCLUSIONS FOR PRACTICE: In a nationally representative sample of pregnant women, 80 % lived in a fully food secure household. Improving household food security during pregnancy is a public health opportunity to improve health outcomes; however household food security status may not be associated with overall diet quality. SN - 1573-6628 UR - https://www.unboundmedicine.com/medline/citation/27406151/Household_Food_Insecurity_Is_Not_Associated_with_Overall_Diet_Quality_Among_Pregnant_Women_in_NHANES_1999_2008_ L2 - https://doi.org/10.1007/s10995-016-2058-1 DB - PRIME DP - Unbound Medicine ER -