The Impact of Natural Disasters on Dietary Intake.

Abstract

Objectives: In this study, we explored the potential impact of disasters on individuals' fruit and vegetable consumption. Methods: Individual-level data (N = 351,229) from the Behavioral Risk Factor Surveillance System (BRFSS) 2011 survey were merged with county-level disaster declaration data from the Federal Emergency Management Agency (FEMA) based on disaster duration, interview month and residential county. Multilevel mixed-effects generalized linear models were conducted to examine the impact of different types of disasters on self-reported daily fruit, 100% pure fruit juice, beans, green vegetables, orange vegetables, other vegetables and overall vegetables consumption frequencies, adjusting for individual covariates. Results: No associations between disasters and daily fruit and overall vegetable consumption frequency were identified at either national or state levels. Only floods were consistently associated with reduced consumption of orange vegetables. Conclusions: This study did not identify an association between natural disasters and daily overall fruit/vegetable consumption frequency at national or state levels, whereas disasters were found to alter the consumption of certain vegetable subgroup (orange vegetables) slightly. Longitudinal studies with validated and detailed measures on diet and disaster are warranted to advance research in this field.