Associations among chronic disease status, participation in federal nutrition programs, food insecurity, and sugar-sweetened beverage and water intake among residents of a health-disparate region

Brenda M. Davy, Jamie M. Zoellner, Clarice N. Waters, Angela N. Bailey, Jennie L. Hill

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To determine whether sociodemographic characteristics, food security status, participation in federal nutrition programs (Supplemental Nutrition Assistance Program [SNAP] or Special Supplemental Nutrition Program for Women, Infants, and Children [WIC]), and chronic disease status were associated with adherence to water and sugar-sweetened beverage (SSB) intake recommendations. Design: Cross-sectional, random-digit phone survey with questions from the Behavioral Risk Factor Surveillance System and beverage intake questionnaire. Participants: Residents of a medically underserved, rural area. Main Outcome Measures: Water and SSB intake. Analysis: Descriptive statistics, chi-square and 1-way ANOVA, and linear and logistic regression. Results: The sample consisted of 930 respondents (aged 56 ± 17 years; 35% non-white); reported food insecurity and SNAP and WIC participation were 37%, 29%, and 8%, respectively. Prevalent health conditions included overweight/obesity (69%), diabetes (19%), and hypertension (45%). Water recommendations were more likely to be met (72%; mean intake, 31 ± 19 fluid oz) than SSB (41%; mean intake, 246 ± 297 kcal). Food insecurity and SNAP/WIC participation were not associated with meeting recommendations, but those reporting ≥ 1 chronic disease were more likely to meet SSB recommendations (odds ratio, 2.42; P = .02). Conclusions and Implications: Odds of achieving SSB but not water recommendations were greater among individuals with a chronic disease. Efforts to communicate beverage recommendations to at-risk groups are needed.

Original languageEnglish (US)
Pages (from-to)196-205.e1
JournalJournal of Nutrition Education and Behavior
Volume47
Issue number3
DOIs
StatePublished - May 1 2015

Fingerprint

Food Supply
Beverages
Drinking
Food Assistance
Chronic Disease
Health
Water
Medically Underserved Area
Behavioral Risk Factor Surveillance System
Linear Models
Analysis of Variance
Obesity
Logistic Models
Odds Ratio
Outcome Assessment (Health Care)
Hypertension
Surveys and Questionnaires

Keywords

  • Beverages
  • Diabetes
  • Health disparities
  • Rural
  • Water

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Associations among chronic disease status, participation in federal nutrition programs, food insecurity, and sugar-sweetened beverage and water intake among residents of a health-disparate region. / Davy, Brenda M.; Zoellner, Jamie M.; Waters, Clarice N.; Bailey, Angela N.; Hill, Jennie L.

In: Journal of Nutrition Education and Behavior, Vol. 47, No. 3, 01.05.2015, p. 196-205.e1.

Research output: Contribution to journalArticle

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