Abstract
Purpose: To identify rates and sociodemographic correlates of food insecurity among low-income smokers. Design: Cross-sectional analysis of baseline survey data from a randomized controlled trial (N = 403) testing a smoking cessation intervention for low-income smokers. Setting: Two safety-net hospitals in New York City. Sample: Current smokers with annual household income <200% of the federal poverty level. Measures: Food insecurity was measured using the United States Department of Agriculture 6-item food security module. Participant sociodemographics were assessed by self-reported survey responses. Analysis: We used frequencies to calculate the proportion of smokers experiencing food insecurity and multivariable logistic regression to identify factors associated with being food insecure. Results: Fifty-eight percent of participants were food insecure, with 29% reporting very high food insecurity. Compared to married participants, separated, widowed, or divorced participants were more likely to be food insecure (adjusted odds ratio [AOR] = 2.33, 95% confidence interval [CI]: 1.25-4.33), as were never married participants (AOR = 2.81, 95% CI: 1.54-5.14). Conclusions: Health promotion approaches that target multiple health risks (eg, smoking and food access) may be needed for low-income populations. Interventions which seek to alleviate food insecurity may benefit from targeting socially isolated smokers.
Original language | English (US) |
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Pages (from-to) | 664-667 |
Number of pages | 4 |
Journal | American Journal of Health Promotion |
Volume | 34 |
Issue number | 6 |
DOIs | |
State | Published - Jul 1 2020 |
Keywords
- food security
- low-income
- tobacco use
- Food Supply
- Tobacco
- Cross-Sectional Studies
- United States
- Humans
- Food Insecurity
- New York City/epidemiology
- Socioeconomic Factors
- Randomized Controlled Trials as Topic
ASJC Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health