Document Detail

Food security and perceptions of health status: a preliminary study in rural Appalachia.
MedLine Citation:
PMID:  12186319     Owner:  NLM     Status:  MEDLINE    
Food insecurity is estimated to affect about 10% of the United States population. Rural areas experience even higher rates and intensity of food security problems related to poverty, food access, and higher food costs. Reports of the relationship between household food security and health status, however, are limited. This report examines the relationship between household food security and measures of functional health status in a rural Appalachian sample. A comprehensive health status survey was completed by 1,006 individuals seen either in a clinical (n = 605) or nonclinical (n = 401) community setting. The survey included the USDA Food Security Core Module, the SF-36, and demographic and health care access questions. Household food insecurity was reported by 23% of respondents. Food insecure respondents reported significantly poorerfunctional status on all SF-36 scales compared tofood secure respondents (all p < 0.05). After adjusting for demographic and access variables in a multiple regression analysis, food insecurity remained a significant independent predictor of responses for each SF-36 scale. Generalizability of results are limited by the convenience sampling methods and geographic region in which the study was conducted. In this preliminary study, even minimal levels of food insecurity are related to self-reported levels of health status as measured by the SF-36 spectrum. Health professionals must be able to identify individuals at risk for food insufficiency; policy makers must develop more effective programs for alleviating the basic causes of food insecurity.
Alfred M Pheley; David H Holben; Annette S Graham; Chris Simpson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association     Volume:  18     ISSN:  0890-765X     ISO Abbreviation:  J Rural Health     Publication Date:  2002  
Date Detail:
Created Date:  2002-08-20     Completed Date:  2002-09-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508122     Medline TA:  J Rural Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  447-54     Citation Subset:  IM    
Department of Community and Rural Medicine, Edward Via Virginia College of Osteopathic Medicine, Blacksburg 24060, USA.
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MeSH Terms
Appalachian Region / epidemiology
Family Characteristics
Food Supply* / economics
Health Status Indicators*
Middle Aged
Ohio / epidemiology
Regression Analysis
Rural Health*
Self Assessment (Psychology)
Social Welfare*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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