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Food Hardship and Obesity in a Sample of Low-Income Immigrants
Authors:Caitlin E. Caspi  Reginald D. Tucker-Seeley  Gary Adamkiewicz  Christina A. Roberto  Anne M. Stoddard  Glorian C. Sorensen
Affiliation:1.Program in Health Disparities Research, Department of Family Medicine and Community Health,University of Minnesota,Minneapolis,USA;2.Center for Community-Based Research,Dana-Farber Cancer Institute,Boston,USA;3.Department of Social and Behavioral Sciences,Harvard T. H. Chan School of Public Health,Boston,USA;4.Department of Environmental Health,Harvard T. H. Chan School of Public Health,Boston,USA;5.Department of Medical Ethics & Health Policy, Perelman School of Medicine,University of Pennsylvania,Philadelphia,USA;6.New England Research Institute,Watertown,USA
Abstract:Very little work has examined the relationship between food hardship (having inconsistent financial resources to buy food) and obesity among immigrant groups. A cross-sectional study was conducted in a low-income, multi-racial/ethnic adult sample in greater Boston, MA (n = 828). Modified Poisson regression models estimated the association between food hardship obesity (BMI ≥ 30) among adults reporting food hardship; interactions were tested by place of birth. Body mass index (BMI) was based on anthropometric height and weight. In adjusted models, those experiencing food hardship were more likely to be obese (RR 1.17, CI 1.07, 1.29) than those not experiencing food hardship. Participants from Haiti reporting food hardship were more likely to be obese than those not reporting hardship (RR 1.58, CI 1.23, 2.04); this was not the case among other groups (US born, Puerto Rican, Latin American, Other). The relationship between food hardship and weight may vary among immigrant subgroups.
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