Abstract

Food insecurity is positively linked to risk of hypertension; however, it is not known whether this relationship persists after adjustment for socioeconomic position (SEP). We examined the association between food insecurity and self-reported hypertension among adults aged 35 or older (N = 58,677) in 12 states that asked the food insecurity question in their 2009 Behavioral Risk Factor Surveillance System questionnaire. After adjusting for SEP, hypertension was more common among adults reporting food insecurity (adjusted prevalence ratio, 1.27; 95% confidence interval, 1.19–1.36). Our study found a positive relationship between food insecurity and hypertension after adjusting for SEP and other characteristics.

Highlights

  • Food insecurity is positively linked to risk of hypertension; it is not known whether this relationship persists after adjustment for socioeconomic position (SEP)

  • The overall prevalence of self-reported hypertension was 37.4%; when stratified by race/ethnicity, the prevalence of hypertension was highest among non-Hispanic blacks (52.3%; 95% confidence intervals (CIs), 49.6%–55.0%), lower among non-Hispanic whites (36.4%; 95% CI, 35.6%–37.2%), and lowest among Hispanics (33.7%; 95% CI, 30.7%–36.8%)

  • In the unadjusted model for the overall sample, food insecurity was associated with an increased likelihood of reporting hypertension (PR, 1.22; 95% CI, 1.15–1.30) (Table 2)

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Summary

Introduction

Food insecurity is positively linked to risk of hypertension; it is not known whether this relationship persists after adjustment for socioeconomic position (SEP). We examined the association between food insecurity and self-reported hypertension among adults aged 35 or older (N = 58,677) in 12 states that asked the food insecurity question in their 2009 Behavioral Risk Factor Surveillance System questionnaire. After adjusting for SEP, hypertension was more common among adults reporting food insecurity (adjusted prevalence ratio, 1.27; 95% confidence interval, 1.19–1.36). Our study found a positive relationship between food insecurity and hypertension after adjusting for SEP and other characteristics

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Conclusion

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