TY - JOUR
T1 - Self-Reported Vision Impairment and Food Insecurity in the US
T2 - National Health Interview Survey, 2011–2018
AU - Kumar, Priyanka
AU - Brinson, Jessica
AU - Wang, Jiangxia
AU - Samuel, Laura
AU - Swenor, Bonnielin K.
AU - Scott, Adrienne W.
AU - Varadaraj, Varshini
N1 - Publisher Copyright:
© 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2023
Y1 - 2023
N2 - Purpose: To determine if vision impairment (VI) is associated with food insecurity among the United States (US) adults. Methods: This is a cross-sectional study of US adults ≥18 years below a threshold of 150% poverty from the National Health Interview Survey (NHIS), years 2011–2018. Outcome measures included food insecurity status, based on response to the NHIS adult (10-item) food insecurity tool, either as a binary (food secure or insecure) or ordinal (high, marginal, low, and very low) variable. VI was defined as self-reported trouble seeing, even when wearing glasses or contact lenses. Multivariable logistic regression analyses adjusted for potential confounders examined associations between VI and food insecurity. Results: Participants (N = 62075) were majority female (57%), White (62%), and non-Hispanic (74%). Of them, 16% reported VI and 28% were food insecure. In fully adjusted logistic regression models, adults with VI had 216% higher odds (95% CI = 2.01–2.31) of being food insecure than adults without VI. Further, there was a dose–response relationship between VI and food insecurity noted in a multinomial model: VI predicted 159% higher risk of marginal food security (95% CI = 1.44–1.75), 197% higher risk of low food security (95% CI = 1.80–2.16), and 295% higher risk of very low food security (95% CI = 2.69–3.22), as compared to high food security. Conclusion: VI is associated with food insecurity, increasingly so among adults with highest levels of food insecurity in this national sample of low-income US adults. This data highlights the need for targeted interventions to address and reduce the burden of food insecurity among US adults with VI.
AB - Purpose: To determine if vision impairment (VI) is associated with food insecurity among the United States (US) adults. Methods: This is a cross-sectional study of US adults ≥18 years below a threshold of 150% poverty from the National Health Interview Survey (NHIS), years 2011–2018. Outcome measures included food insecurity status, based on response to the NHIS adult (10-item) food insecurity tool, either as a binary (food secure or insecure) or ordinal (high, marginal, low, and very low) variable. VI was defined as self-reported trouble seeing, even when wearing glasses or contact lenses. Multivariable logistic regression analyses adjusted for potential confounders examined associations between VI and food insecurity. Results: Participants (N = 62075) were majority female (57%), White (62%), and non-Hispanic (74%). Of them, 16% reported VI and 28% were food insecure. In fully adjusted logistic regression models, adults with VI had 216% higher odds (95% CI = 2.01–2.31) of being food insecure than adults without VI. Further, there was a dose–response relationship between VI and food insecurity noted in a multinomial model: VI predicted 159% higher risk of marginal food security (95% CI = 1.44–1.75), 197% higher risk of low food security (95% CI = 1.80–2.16), and 295% higher risk of very low food security (95% CI = 2.69–3.22), as compared to high food security. Conclusion: VI is associated with food insecurity, increasingly so among adults with highest levels of food insecurity in this national sample of low-income US adults. This data highlights the need for targeted interventions to address and reduce the burden of food insecurity among US adults with VI.
KW - food insecurity
KW - low income adults
KW - vision impairment
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U2 - 10.1080/09286586.2022.2129698
DO - 10.1080/09286586.2022.2129698
M3 - Article
C2 - 36204819
AN - SCOPUS:85169181501
SN - 0928-6586
VL - 30
SP - 468
EP - 476
JO - Ophthalmic Epidemiology
JF - Ophthalmic Epidemiology
IS - 5
ER -