The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis
ABSTRACT Food security is one of the most researched social determinants of health (SDoH), however, there is a lack of literature on the impact of food security on cardiovascular disease in pregnancy. The primary objective was to examine the association between food security with hypertensive disord...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.14952 |
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| author | Brittany N. Burton Alexis Sykes Cecilia Canales Andrea J. Ibarra En Chang Jonathan Dahan Adam J. Milam Tina Yu Catherine Cha |
| author_facet | Brittany N. Burton Alexis Sykes Cecilia Canales Andrea J. Ibarra En Chang Jonathan Dahan Adam J. Milam Tina Yu Catherine Cha |
| author_sort | Brittany N. Burton |
| collection | DOAJ |
| description | ABSTRACT Food security is one of the most researched social determinants of health (SDoH), however, there is a lack of literature on the impact of food security on cardiovascular disease in pregnancy. The primary objective was to examine the association between food security with hypertensive disorders of pregnancy. We performed a cross‐sectional analysis of 2019–2022 data from the National Health Interview Survey. The study population included women of childbearing age who were either pregnant or recently pregnant. Logistic regression models were developed to examine the association between food security and hypertensive disorders of pregnancy. Of the 1635 women included in the analysis, the rate of hypertensive disorders of pregnancy was 11.1% and the rate of low and very low food security was 5.3% and 4.0%, respectively. The prevalence was 5.8% for hyperlipemia, 0.3% for cardiovascular disease, and 10.5% for diabetes mellitus. The odds of hypertensive disorders of pregnancy were statistically significantly increased among women with low food security compared to women with high food security (odds ratio [OR] 2.40, 95% confidence interval [CI]: 1.19–4.81) after adjusting for age, race, ethnicity, insurance status, body mass index, hyperlipidemia, diabetes mellitus, and cardiovascular disease. Further studies are needed to elucidate the causes of hypertensive disorders of pregnancy and interventions to address including the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and food pantries, as it may be more feasible to address issues of food security among pregnant women. |
| format | Article |
| id | doaj-art-bd3d5133f53d491a941991bc6ff43dd8 |
| institution | Kabale University |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-bd3d5133f53d491a941991bc6ff43dd82025-01-31T05:38:36ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-01-01271n/an/a10.1111/jch.14952The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey AnalysisBrittany N. Burton0Alexis Sykes1Cecilia Canales2Andrea J. Ibarra3En Chang4Jonathan Dahan5Adam J. Milam6Tina Yu7Catherine Cha8Department of Health Policy and Management Fielding School of Public Health University of California Los Angeles California USACollege of Social and Behavioral Sciences California State University Northridge Northridge California USADivision of Obstetric Anesthesiology Department of Anesthesiology & Perioperative Medicine University of California Los Angeles California USADepartment of Anesthesiology & Perioperative Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USASchool of Medicine California University of Science and Medicine Colton California USADivision of Obstetric Anesthesiology Department of Anesthesiology & Perioperative Medicine University of California Los Angeles California USADepartment of Anesthesiology & Perioperative Medicine Mayo Clinic Arizona Phoenix Arizona USADivision of Obstetric Anesthesiology Department of Anesthesiology & Perioperative Medicine University of California Los Angeles California USADivision of Obstetric Anesthesiology Department of Anesthesiology & Perioperative Medicine University of California Los Angeles California USAABSTRACT Food security is one of the most researched social determinants of health (SDoH), however, there is a lack of literature on the impact of food security on cardiovascular disease in pregnancy. The primary objective was to examine the association between food security with hypertensive disorders of pregnancy. We performed a cross‐sectional analysis of 2019–2022 data from the National Health Interview Survey. The study population included women of childbearing age who were either pregnant or recently pregnant. Logistic regression models were developed to examine the association between food security and hypertensive disorders of pregnancy. Of the 1635 women included in the analysis, the rate of hypertensive disorders of pregnancy was 11.1% and the rate of low and very low food security was 5.3% and 4.0%, respectively. The prevalence was 5.8% for hyperlipemia, 0.3% for cardiovascular disease, and 10.5% for diabetes mellitus. The odds of hypertensive disorders of pregnancy were statistically significantly increased among women with low food security compared to women with high food security (odds ratio [OR] 2.40, 95% confidence interval [CI]: 1.19–4.81) after adjusting for age, race, ethnicity, insurance status, body mass index, hyperlipidemia, diabetes mellitus, and cardiovascular disease. Further studies are needed to elucidate the causes of hypertensive disorders of pregnancy and interventions to address including the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and food pantries, as it may be more feasible to address issues of food security among pregnant women.https://doi.org/10.1111/jch.14952food securityhypertensive disorders of pregnancysocial determinants of health |
| spellingShingle | Brittany N. Burton Alexis Sykes Cecilia Canales Andrea J. Ibarra En Chang Jonathan Dahan Adam J. Milam Tina Yu Catherine Cha The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis The Journal of Clinical Hypertension food security hypertensive disorders of pregnancy social determinants of health |
| title | The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis |
| title_full | The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis |
| title_fullStr | The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis |
| title_full_unstemmed | The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis |
| title_short | The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis |
| title_sort | association of food security with hypertensive disorders of pregnancy a national health interview survey analysis |
| topic | food security hypertensive disorders of pregnancy social determinants of health |
| url | https://doi.org/10.1111/jch.14952 |
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