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Food Security Status of Native Hawaiians and Pacific Islanders in the US: Analysis of a National Survey
Affiliation:1. College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR;2. Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR;1. University of Hawaii at Manoa, Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, Agricultural Sciences 216, 1955 East-West Rd, Honolulu, HI 96822, United States;2. University of Puerto Rico, Medical Sciences Campus, Endowed Health Services Research Center, Dental and Craniofacial Genomics Center, United States;3. University of Puerto Rico, Graduate School of Public Health, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067, United States;4. University of Puerto Rico, Center for Clinical Research and Health Promotion, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067, United States;5. Nutrition Division, Puerto Rico WIC Program, Department of Health, San Juan, PR 00928-5220, United States;6. Jackson State University, College of Science, Engineering and Technology, 1230 Raymond Rd, Jackson, MS 39204, United States;1. Department of Family and Consumer Sciences, California State University Long Beach, Long Beach, CA;2. School of Human Sciences, Mississippi State University, Mississippi State, MS;3. Office of Nutrition Education, Mississippi State University Extension Service, Mississippi State, MS
Abstract:ObjectiveTo document food insecurity prevalence among a nationally representative sample of Native Hawaiian and Pacific Islander (NHPI) adults and compare differences in food security status across races/ethnicities in the US.MethodsUsing 2014 National Health Interview Survey and 2014 NHPI–National Health Interview Survey data, food insecurity among the NHPI population is described and food security status across racial/ethnic groups is compared using Rao-Scott chi-square and multinomial logistic regression.ResultsFood insecurity prevalence was 20.5% among NHPI adults, and NHPI had significantly higher odds of experiencing low and very low food security than white individuals. Food insecurity among Hispanic individuals, black people, and other races/ethnicities was also significantly higher than that among white people. Significant variation in food security status was observed by race/ethnicity (P < .001).Conclusions and ImplicationsThis study provides documentation of food insecurity prevalence among NHPI adults and will inform chronic disease and nutrition research and programs conducted with NHPI communities in the US.
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