Poverty and Food Intake in Rural America: Diet Quality Is Lower in Food Insecure Adults in the Mississippi Delta
Abstract Objective To determine if measures of diet quality differ between food insecure and food secure adults in a rural high-risk population. Design Random digit dialing telephone survey of a cross-section of the population designed to collect data on food intake, household demographics, and food...
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| creator | Champagne, Catherine M., PhD, RD, FADA Casey, Patrick H., MD Connell, Carol L., PhD, RD Stuff, Janice E., PhD, RD Gossett, Jeffrey M., MS Harsha, David W., PhD McCabe-Sellers, Beverly, PhD, RD Robbins, James M., PhD Simpson, Pippa M., PhD Weber, Judith L., PhD, RD Bogle, Margaret L., PhD, RD |
| description | Abstract Objective To determine if measures of diet quality differ between food insecure and food secure adults in a rural high-risk population. Design Random digit dialing telephone survey of a cross-section of the population designed to collect data on food intake, household demographics, and food security status. Setting A representative sample of adults who live in 36 counties in the Lower Mississippi Delta region of Arkansas, Louisiana, and Mississippi. Subjects One thousand six hundred seven adults, both white and African American. Main outcome measures Food security status and diet quality, as defined by adherence to the Healthy Eating Index and Dietary Reference Intakes by determinations from self-reported food intake (1 day intake). Statistical analyses Regression analysis, t tests, Wald statistic, and beta tests were employed. Results Food secure adults scored higher on Healthy Eating Index than food insecure adults ( P =0.0001), but the regression model showed no differences when multiple factors were included. Food secure individuals consistently achieved higher percentages of the Dietary Reference Intakes (specifically Estimated Average Requirements and Adequate Intakes) than food insecure individuals, with the greatest differences seen for vitamin A ( P |
| doi_str_mv | 10.1016/j.jada.2007.08.003 |
| format | Article |
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Design Random digit dialing telephone survey of a cross-section of the population designed to collect data on food intake, household demographics, and food security status. Setting A representative sample of adults who live in 36 counties in the Lower Mississippi Delta region of Arkansas, Louisiana, and Mississippi. Subjects One thousand six hundred seven adults, both white and African American. Main outcome measures Food security status and diet quality, as defined by adherence to the Healthy Eating Index and Dietary Reference Intakes by determinations from self-reported food intake (1 day intake). Statistical analyses Regression analysis, t tests, Wald statistic, and beta tests were employed. Results Food secure adults scored higher on Healthy Eating Index than food insecure adults ( P =0.0001), but the regression model showed no differences when multiple factors were included. Food secure individuals consistently achieved higher percentages of the Dietary Reference Intakes (specifically Estimated Average Requirements and Adequate Intakes) than food insecure individuals, with the greatest differences seen for vitamin A ( P <0.0001), copper ( P =0.0009), and zinc ( P =0.0022) and very little difference for vitamins C ( P =0.68) and E ( P =0.32). Both populations consumed diets extremely low in fiber. Conclusions Food insecurity is associated with lower quality diets in this population. It is acknowledged that serious limitations are associated with the use of one 24-hour recall and for comparison between food intake and assessment of food security. These findings still suggest a pressing need for nutrition interventions to improve dietary intake in these at-risk impoverished individuals.</description><identifier>ISSN: 0002-8223</identifier><identifier>ISSN: 2212-2672</identifier><identifier>EISSN: 1878-3570</identifier><identifier>EISSN: 2212-2680</identifier><identifier>DOI: 10.1016/j.jada.2007.08.003</identifier><identifier>PMID: 17964307</identifier><identifier>CODEN: JADAAE</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Adults ; African Americans ; African Americans - statistics & numerical data ; Aged ; Arkansas ; ascorbic acid ; Biological and medical sciences ; Cross-Sectional Studies ; Diet ; Diet - standards ; Diet Surveys ; dietary fiber ; Dietary Fiber - administration & dosage ; dietary minerals ; dietary surveys ; Energy Intake - physiology ; European Continental Ancestry Group - statistics & numerical data ; Female ; Food ; food intake ; food security ; Food Supply ; Gastroenterology and Hepatology ; household surveys ; human nutrition ; Humans ; Internal Medicine ; Louisiana ; Male ; Medical sciences ; Mental Recall ; Metabolic diseases ; Middle Aged ; Minerals - administration & dosage ; Mississippi ; nutrient intake ; Nutrition Policy ; nutritional adequacy ; Nutritive Value ; Poverty ; Regression Analysis ; risk groups ; Rural areas ; Rural Health ; rural population ; sociodemographic characteristics ; Statistics, Nonparametric ; vitamin A ; vitamin E ; Vitamins - administration & dosage ; Whites ; zinc</subject><ispartof>Journal of the American Dietetic Association, 2007-11, Vol.107 (11), p.1886-1894</ispartof><rights>American Dietetic Association</rights><rights>2007 American Dietetic Association</rights><rights>2008 INIST-CNRS</rights><rights>Copyright American Dietetic Association Nov 2007</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-8e793289363a4cf3e47644a4f85f4ee218e261186332a1b74da01cce1ab42fd83</citedby><cites>FETCH-LOGICAL-c490t-8e793289363a4cf3e47644a4f85f4ee218e261186332a1b74da01cce1ab42fd83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jada.2007.08.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19228542$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17964307$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Champagne, Catherine M., PhD, RD, FADA</creatorcontrib><creatorcontrib>Casey, Patrick H., MD</creatorcontrib><creatorcontrib>Connell, Carol L., PhD, RD</creatorcontrib><creatorcontrib>Stuff, Janice E., PhD, RD</creatorcontrib><creatorcontrib>Gossett, Jeffrey M., MS</creatorcontrib><creatorcontrib>Harsha, David W., PhD</creatorcontrib><creatorcontrib>McCabe-Sellers, Beverly, PhD, RD</creatorcontrib><creatorcontrib>Robbins, James M., PhD</creatorcontrib><creatorcontrib>Simpson, Pippa M., PhD</creatorcontrib><creatorcontrib>Weber, Judith L., PhD, RD</creatorcontrib><creatorcontrib>Bogle, Margaret L., PhD, RD</creatorcontrib><creatorcontrib>Lower Mississippi Delta Nutrition Intervention Research Initiative</creatorcontrib><title>Poverty and Food Intake in Rural America: Diet Quality Is Lower in Food Insecure Adults in the Mississippi Delta</title><title>Journal of the American Dietetic Association</title><addtitle>J Am Diet Assoc</addtitle><description>Abstract Objective To determine if measures of diet quality differ between food insecure and food secure adults in a rural high-risk population. Design Random digit dialing telephone survey of a cross-section of the population designed to collect data on food intake, household demographics, and food security status. Setting A representative sample of adults who live in 36 counties in the Lower Mississippi Delta region of Arkansas, Louisiana, and Mississippi. Subjects One thousand six hundred seven adults, both white and African American. Main outcome measures Food security status and diet quality, as defined by adherence to the Healthy Eating Index and Dietary Reference Intakes by determinations from self-reported food intake (1 day intake). Statistical analyses Regression analysis, t tests, Wald statistic, and beta tests were employed. Results Food secure adults scored higher on Healthy Eating Index than food insecure adults ( P =0.0001), but the regression model showed no differences when multiple factors were included. Food secure individuals consistently achieved higher percentages of the Dietary Reference Intakes (specifically Estimated Average Requirements and Adequate Intakes) than food insecure individuals, with the greatest differences seen for vitamin A ( P <0.0001), copper ( P =0.0009), and zinc ( P =0.0022) and very little difference for vitamins C ( P =0.68) and E ( P =0.32). Both populations consumed diets extremely low in fiber. Conclusions Food insecurity is associated with lower quality diets in this population. It is acknowledged that serious limitations are associated with the use of one 24-hour recall and for comparison between food intake and assessment of food security. These findings still suggest a pressing need for nutrition interventions to improve dietary intake in these at-risk impoverished individuals.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>African Americans</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Arkansas</subject><subject>ascorbic acid</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet - standards</subject><subject>Diet Surveys</subject><subject>dietary fiber</subject><subject>Dietary Fiber - administration & dosage</subject><subject>dietary minerals</subject><subject>dietary surveys</subject><subject>Energy Intake - physiology</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Food</subject><subject>food intake</subject><subject>food security</subject><subject>Food Supply</subject><subject>Gastroenterology and Hepatology</subject><subject>household surveys</subject><subject>human nutrition</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Louisiana</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Recall</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Minerals - administration & dosage</subject><subject>Mississippi</subject><subject>nutrient intake</subject><subject>Nutrition Policy</subject><subject>nutritional adequacy</subject><subject>Nutritive Value</subject><subject>Poverty</subject><subject>Regression Analysis</subject><subject>risk groups</subject><subject>Rural areas</subject><subject>Rural Health</subject><subject>rural population</subject><subject>sociodemographic characteristics</subject><subject>Statistics, Nonparametric</subject><subject>vitamin A</subject><subject>vitamin E</subject><subject>Vitamins - administration & dosage</subject><subject>Whites</subject><subject>zinc</subject><issn>0002-8223</issn><issn>2212-2672</issn><issn>1878-3570</issn><issn>2212-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl2LEzEUhoMo7lr9A15oEPSu9eSjk8wiQtl1tVDxY93rcJo5o-lOZ2oys9J_b4YWF_ZCCISE5z3n8L6HsecCZgJE8XYz22CFMwlgZmBnAOoBOxXW2KmaG3jITgFATq2U6oQ9SWmTnzAX8JidCFMWWoE5Zbuv3S3Ffs-xrfhl11V82fZ4Qzy0_PsQseGLLcXg8YxfBOr5twGbkPFl4qvuD8WRO8oS-SESX1RD06fxv_9F_HNIaTy7XeAX1PT4lD2qsUn07HhP2PXlhx_nn6arLx-X54vV1OsS-qklUyppS1Uo1L5WpE2hNerazmtNJIUlWQhhC6UkirXRFYLwngSutawrqybszaHuLna_B0q924bkqWmwpW5IrrBaWV2M4Kt74KYbYptnc7mLNkZlYydMHiAfu5Qi1W4Xwxbj3glwYxhu48Yw3BiGA-uyJoteHCsP6y1Vd5Kj-xl4fQQweWzqiK0P6Y4rpbRzLTP38sDV2Dn8GTNzfSVB5MmsllAWmXh3IChbehsouuQDtZ6qEMn3rurC_yd9f0_um9Dm1Jsb2lP6Z4hwSTpwV-NijXsFJhcUOaO_FjPDhw</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>Champagne, Catherine M., PhD, RD, FADA</creator><creator>Casey, Patrick H., MD</creator><creator>Connell, Carol L., PhD, RD</creator><creator>Stuff, Janice E., PhD, RD</creator><creator>Gossett, Jeffrey M., MS</creator><creator>Harsha, David W., PhD</creator><creator>McCabe-Sellers, Beverly, PhD, RD</creator><creator>Robbins, James M., PhD</creator><creator>Simpson, Pippa M., PhD</creator><creator>Weber, Judith L., PhD, RD</creator><creator>Bogle, Margaret L., PhD, RD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20071101</creationdate><title>Poverty and Food Intake in Rural America: Diet Quality Is Lower in Food Insecure Adults in the Mississippi Delta</title><author>Champagne, Catherine M., PhD, RD, FADA ; Casey, Patrick H., MD ; Connell, Carol L., PhD, RD ; Stuff, Janice E., PhD, RD ; Gossett, Jeffrey M., MS ; Harsha, David W., PhD ; McCabe-Sellers, Beverly, PhD, RD ; Robbins, James M., PhD ; Simpson, Pippa M., PhD ; Weber, Judith L., PhD, RD ; Bogle, Margaret L., PhD, RD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-8e793289363a4cf3e47644a4f85f4ee218e261186332a1b74da01cce1ab42fd83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>African Americans</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Arkansas</topic><topic>ascorbic acid</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet - standards</topic><topic>Diet Surveys</topic><topic>dietary fiber</topic><topic>Dietary Fiber - administration & dosage</topic><topic>dietary minerals</topic><topic>dietary surveys</topic><topic>Energy Intake - physiology</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Food</topic><topic>food intake</topic><topic>food security</topic><topic>Food Supply</topic><topic>Gastroenterology and Hepatology</topic><topic>household surveys</topic><topic>human nutrition</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Louisiana</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Recall</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Minerals - administration & dosage</topic><topic>Mississippi</topic><topic>nutrient intake</topic><topic>Nutrition Policy</topic><topic>nutritional adequacy</topic><topic>Nutritive Value</topic><topic>Poverty</topic><topic>Regression Analysis</topic><topic>risk groups</topic><topic>Rural areas</topic><topic>Rural Health</topic><topic>rural population</topic><topic>sociodemographic characteristics</topic><topic>Statistics, Nonparametric</topic><topic>vitamin A</topic><topic>vitamin E</topic><topic>Vitamins - administration & dosage</topic><topic>Whites</topic><topic>zinc</topic><toplevel>online_resources</toplevel><creatorcontrib>Champagne, Catherine M., PhD, RD, FADA</creatorcontrib><creatorcontrib>Casey, Patrick H., MD</creatorcontrib><creatorcontrib>Connell, Carol L., PhD, RD</creatorcontrib><creatorcontrib>Stuff, Janice E., PhD, RD</creatorcontrib><creatorcontrib>Gossett, Jeffrey M., MS</creatorcontrib><creatorcontrib>Harsha, David W., PhD</creatorcontrib><creatorcontrib>McCabe-Sellers, Beverly, PhD, RD</creatorcontrib><creatorcontrib>Robbins, James M., PhD</creatorcontrib><creatorcontrib>Simpson, Pippa M., PhD</creatorcontrib><creatorcontrib>Weber, Judith L., PhD, RD</creatorcontrib><creatorcontrib>Bogle, Margaret L., PhD, RD</creatorcontrib><creatorcontrib>Lower Mississippi Delta Nutrition Intervention Research Initiative</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Dietetic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Champagne, Catherine M., PhD, RD, FADA</au><au>Casey, Patrick H., MD</au><au>Connell, Carol L., PhD, RD</au><au>Stuff, Janice E., PhD, RD</au><au>Gossett, Jeffrey M., MS</au><au>Harsha, David W., PhD</au><au>McCabe-Sellers, Beverly, PhD, RD</au><au>Robbins, James M., PhD</au><au>Simpson, Pippa M., PhD</au><au>Weber, Judith L., PhD, RD</au><au>Bogle, Margaret L., PhD, RD</au><aucorp>Lower Mississippi Delta Nutrition Intervention Research Initiative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Poverty and Food Intake in Rural America: Diet Quality Is Lower in Food Insecure Adults in the Mississippi Delta</atitle><jtitle>Journal of the American Dietetic Association</jtitle><addtitle>J Am Diet Assoc</addtitle><date>2007-11-01</date><risdate>2007</risdate><volume>107</volume><issue>11</issue><spage>1886</spage><epage>1894</epage><pages>1886-1894</pages><issn>0002-8223</issn><issn>2212-2672</issn><eissn>1878-3570</eissn><eissn>2212-2680</eissn><coden>JADAAE</coden><abstract>Abstract Objective To determine if measures of diet quality differ between food insecure and food secure adults in a rural high-risk population. Design Random digit dialing telephone survey of a cross-section of the population designed to collect data on food intake, household demographics, and food security status. Setting A representative sample of adults who live in 36 counties in the Lower Mississippi Delta region of Arkansas, Louisiana, and Mississippi. Subjects One thousand six hundred seven adults, both white and African American. Main outcome measures Food security status and diet quality, as defined by adherence to the Healthy Eating Index and Dietary Reference Intakes by determinations from self-reported food intake (1 day intake). Statistical analyses Regression analysis, t tests, Wald statistic, and beta tests were employed. Results Food secure adults scored higher on Healthy Eating Index than food insecure adults ( P =0.0001), but the regression model showed no differences when multiple factors were included. Food secure individuals consistently achieved higher percentages of the Dietary Reference Intakes (specifically Estimated Average Requirements and Adequate Intakes) than food insecure individuals, with the greatest differences seen for vitamin A ( P <0.0001), copper ( P =0.0009), and zinc ( P =0.0022) and very little difference for vitamins C ( P =0.68) and E ( P =0.32). Both populations consumed diets extremely low in fiber. Conclusions Food insecurity is associated with lower quality diets in this population. It is acknowledged that serious limitations are associated with the use of one 24-hour recall and for comparison between food intake and assessment of food security. These findings still suggest a pressing need for nutrition interventions to improve dietary intake in these at-risk impoverished individuals.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17964307</pmid><doi>10.1016/j.jada.2007.08.003</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Adult Adults African Americans African Americans - statistics & numerical data Aged Arkansas ascorbic acid Biological and medical sciences Cross-Sectional Studies Diet Diet - standards Diet Surveys dietary fiber Dietary Fiber - administration & dosage dietary minerals dietary surveys Energy Intake - physiology European Continental Ancestry Group - statistics & numerical data Female Food food intake food security Food Supply Gastroenterology and Hepatology household surveys human nutrition Humans Internal Medicine Louisiana Male Medical sciences Mental Recall Metabolic diseases Middle Aged Minerals - administration & dosage Mississippi nutrient intake Nutrition Policy nutritional adequacy Nutritive Value Poverty Regression Analysis risk groups Rural areas Rural Health rural population sociodemographic characteristics Statistics, Nonparametric vitamin A vitamin E Vitamins - administration & dosage Whites zinc |
| title | Poverty and Food Intake in Rural America: Diet Quality Is Lower in Food Insecure Adults in the Mississippi Delta |
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