Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study.


OBJECTIVES:To examine food insecurity and cardiovascular disease-related health outcomes among American Indians (AIs) in rural Oklahoma. METHODS:We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. RESULTS:Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of diabetes (28.4% vs 18.4%), obesity (60.0% vs 48.3%), and hypertension (54.1% vs 41.6%) was higher among participants with inadequate food quantity than among those with adequate food quantity. These associations did not reach statistical significance after adjustment for age, gender, study site, education, and income. The unadjusted prevalence of obesity (60.7% vs 45.8%), diabetes (27.3% vs 18.8%), and hypertension (52.5% vs 42.5%) was higher among those with inadequate food quality than among those with adequate food quality, even after adjustment for age, gender, study site, education, and income. CONCLUSIONS:Tribal, federal, and state policymakers, as well as businesses and nonprofit organizations, must collaboratively take aggressive action to address food insecurity and its underlying causes, including improving tribal food environments, reducing barriers to healthy foods, and increasing living wages.


Am J Public Health


Blue Bird Jernigan V,Wetherill MS,Hearod J,Jacob T,Salvatore AL,Cannady T,Grammar M,Standridge J,Fox J,Spiegel J,Wiley A,Noonan C,Buchwald D




Has Abstract


2017-03-01 00:00:00












  • Powerful connections for public health: the National Library of Medicine and the National Network of Libraries of Medicine.

    abstract::As incorporated in Healthy People 2010 objectives, data and information systems and a skilled workforce are 2 of the critical components of the public health infrastructure. The National Library of Medicine (NLM) and the National Network of Libraries of Medicine (NN/LM) are important resources for improving Internet a...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Humphreys BL,Ruffin AB,Cahn MA,Rambo N

    更新日期:1999-11-01 00:00:00

  • Polysubstance Use Among US Women of Reproductive Age Who Use Opioids for Nonmedical Reasons.

    abstract:OBJECTIVES:To determine the prevalence and patterns of polysubstance use among US reproductive-aged women who use opioids for nonmedical purposes. METHODS:We used the National Survey of Drug Use and Health (2005-2014) data on female respondents aged 18 to 44 years reporting nonmedical opioid use in the past 30 days (u...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Jarlenski M,Barry CL,Gollust S,Graves AJ,Kennedy-Hendricks A,Kozhimannil K

    更新日期:2017-08-01 00:00:00

  • Years of potential life lost (YPLL) before age 65 in Italy.

    abstract::The Italian death rates and years of potential life lost (YPLL) for all causes and for 12 selected aggregations of causes are reported for 1979 and 1983, with the latter compared to United States data. Cancer is the leading cause of YPLL in Italy (23.8 per cent of total YPLL), followed by unintentional injuries (16.3 ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Arcà M,di Orio F,Forastiere F,Tasco C,Perucci CA

    更新日期:1988-09-01 00:00:00

  • Monitoring disease burden and preventive behavior with data linkage: cervical cancer among aboriginal people in Manitoba, Canada.

    abstract:OBJECTIVES:This study sought to estimate rates of cervical cancer and Papanicolaou testing among Aboriginal and non-Aboriginal women in Manitoba, Canada. METHODS:Data were derived through linking of administrative databases. RESULTS:In comparison with non-Aboriginal women, Aboriginal women had 1.8 and 3.6 times the a...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Young TK,Kliewer E,Blanchard J,Mayer T

    更新日期:2000-09-01 00:00:00

  • Socioeconomic status and racial and ethnic differences in functional status associated with chronic diseases.

    abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Kington RS,Smith JP

    更新日期:1997-05-01 00:00:00

  • Safety and Health Support for Home Care Workers: The COMPASS Randomized Controlled Trial.

    abstract:OBJECTIVES:To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. METHODS:We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, a...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验


    authors: Olson R,Thompson SV,Elliot DL,Hess JA,Rhoten KL,Parker KN,Wright RR,Wipfli B,Bettencourt KM,Buckmaster A,Marino M

    更新日期:2016-10-01 00:00:00

  • National Needs of Family Planning Among US Men Aged 15 to 44 Years.

    abstract:OBJECTIVES:To estimate national need for family planning services among men in the United States according to background characteristics, access to care, receipt of services, and contraception use. METHODS:We used weighted data from the 2006-2010 National Survey of Family Growth to estimate the percentage of men aged ...

    journal_title:American journal of public health

    pub_type: 杂志文章


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    更新日期:2016-04-01 00:00:00

  • Population density and the rate of mental illness.

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    journal_title:American journal of public health

    pub_type: 杂志文章


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    更新日期:1977-12-01 00:00:00

  • Alcohol consumption and diabetes mellitus mortality in different countries.

    abstract::Alcohol consumption on a per capita country basis is associated with diabetes mortality rates for men. The relation is also positive for women, but not statistically significant. Countries that consume primarily beer have higher diabetes mortality rates than countries that consume primarily spirits or wine. ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Keilman PA

    更新日期:1983-11-01 00:00:00

  • Feasibility and benefits of a parent-focused preschool child obesity intervention.

    abstract:OBJECTIVES:This field study tested the feasibility and benefits of a program to promote 6 targeted parental behaviors to prevent obesity in children served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:Two WIC sites participated in a nonrandomized, controlled 1-year pros...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章


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    更新日期:2004-09-01 00:00:00

  • Mapping cumulative environmental effects, social vulnerability, and health in the San Joaquin Valley, California.

    abstract::To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure ...

    journal_title:American journal of public health

    pub_type: 杂志文章


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    更新日期:2012-05-01 00:00:00

  • The role of occupational health clinics in surveillance of occupational disease.

    abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Welch L

    更新日期:1989-12-01 00:00:00

  • "Unleashed on an Unsuspecting World": The Asbestos Information Association and Its Role in Perpetuating a National Epidemic.

    abstract::Examining previously underused corporate documents, we revisit the story of the Asbestos Information Association/North America, an industry trade group that sought in the early 1970s to counteract the growing public attention to, and government regulation of, asbestos as a serious threat to workers and consumers. From...

    journal_title:American journal of public health

    pub_type: 杂志文章


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    更新日期:2016-05-01 00:00:00

  • Associations of perceived social and physical environmental supports with physical activity and walking behavior.

    abstract::We evaluated perceived social and environmental supports for physical activity and walking using multivariable modeling. Perceptions were obtained on a sample of households in a southeastern county. Respondents were classified according to physical activity levels and walking behaviors. Respondents who had good street...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Addy CL,Wilson DK,Kirtland KA,Ainsworth BE,Sharpe P,Kimsey D

    更新日期:2004-03-01 00:00:00

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    abstract:UNLABELLED:This study examined (1) the relationship between income inequality and mortality among all counties in the contiguous United States to ascertain whether the relationships found for states and metropolitan areas extend to smaller geographic units and (2) the influence of minority racial concentration on the i...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: McLaughlin DK,Stokes CS

    更新日期:2002-01-01 00:00:00

  • Hysterectomies in one Canadian Province: a new look at risks and benefits.

    abstract::This paper assesses the risks and benefits associated with hysterectomy by comparing the age-adjusted health care usage patterns of all women receiving hysterectomy in the Province of Manitoba in 1974 during the two years before and the two years after surgery with those of women undergoing cholecystectomy, and with t...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Roos NP

    更新日期:1984-01-01 00:00:00

  • A performance comparison: USMG-FMG house staff physicians.

    abstract::To determine whether differences exist in the performance of United States Medical Graduate (USMG) and Foreign Medical Graduate (FMG) House Staff physicians, inpatient hospital audits evaluating individual physician performance on patient histories and physical examinations were conducted in 14 Maryland and Pennsylvan...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Saywell RW Jr,Studnicki J,Bean JA,Ludke RL

    更新日期:1980-01-01 00:00:00

  • Referrals from an emergency room to primary care practices at an urban hospital.

    abstract::Three hundred ninety-eight patients treated in the emergency room for non-urgent complaints who stated that they had no regular source of primary medical care were referred to one of several medical care centers in the area. Overall, 34 per cent of such patients complied with the referral. Correlates of compliance wer...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Straus JH,Orr ST,Charney E

    更新日期:1983-01-01 00:00:00

  • The impact of the Safe Kids/Healthy Neighborhoods Injury Prevention Program in Harlem, 1988 through 1991.

    abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Davidson LL,Durkin MS,Kuhn L,O'Connor P,Barlow B,Heagarty MC

    更新日期:1994-04-01 00:00:00

  • Socioeconomic disadvantage and kidney disease in the United States, Australia, and Thailand.

    abstract:OBJECTIVES:We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. METHODS:We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: White SL,McGeechan K,Jones M,Cass A,Chadban SJ,Polkinghorne KR,Perkovic V,Roderick PJ

    更新日期:2008-07-01 00:00:00

  • Neighborhood predictors of dating violence victimization and perpetration in young adulthood: a multilevel study.

    abstract:OBJECTIVES:We examined whether social processes of neighborhoods, such as collective efficacy, during individual's adolescent years affect the likelihood of being involved in physical dating violence during young adulthood. METHODS:Using longitudinal data on 633 urban youths aged 13 to 19 years at baseline and data fr...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Jain S,Buka SL,Subramanian SV,Molnar BE

    更新日期:2010-09-01 00:00:00

  • Chronic stressors and maternal depression: implications for prevention.

    abstract::We report on the use of an instrument to measure exposure to stressors among 149 women presenting with their children for pediatric care at an urban primary care center. Overall, 38.3 percent of the women had significant levels of depressive symptoms; 71.4 percent of those in the "high stress" group had an adjusted pr...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Orr ST,James SA,Burns BJ,Thompson B

    更新日期:1989-09-01 00:00:00

  • The "global settlement" with the tobacco industry: 6 years later.

    abstract::On June 20, 1997 a group of attorneys and health advocates proposed a "global settlement" of all public and private litigation against the tobacco industry. This agreement was controversial, and the subsequent implementing legislation was defeated. We sought to determine whether the global settlement represented a "mi...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Givel M,Glantz SA

    更新日期:2004-02-01 00:00:00

  • Rural hospitals' experience with the National Practitioner Data Bank.

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    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Neighbor WE,Baldwin LM,West PA,Hart LG

    更新日期:1997-04-01 00:00:00

  • An increasing prevalence of hearing impairment and associated risk factors over three decades of the Alameda County Study.

    abstract:OBJECTIVES:This study assessed changes in the prevalence of hearing impairment in persons aged 50 years and older over the past 30 years and identified risk factors. METHODS:Age-adjusted hearing impairment prevalence rates at four time intervals were calculated from the Alameda County Study (n = 5108). Logistic regres...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Wallhagen MI,Strawbridge WJ,Cohen RD,Kaplan GA

    更新日期:1997-03-01 00:00:00

  • Race/ethnicity and the 2000 census: recommendations for African American and other black populations in the United States.

    abstract::This commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审


    authors: Williams DR,Jackson JS

    更新日期:2000-11-01 00:00:00

  • The contribution of preterm birth to the Black-White infant mortality gap, 1990 and 2000.

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    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Schempf AH,Branum AM,Lukacs SL,Schoendorf KC

    更新日期:2007-07-01 00:00:00

  • Bringing context back into epidemiology: variables and fallacies in multilevel analysis.

    abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Diez-Roux AV

    更新日期:1998-02-01 00:00:00

  • Variations in physicians' hospitalization practices: a population-based study in Manitoba, Canada.

    abstract::This paper uses claims data from a universal health care system to describe physicians' hospitalization styles after adjusting for case-mix characteristics of their primary patients. Patients were uniquely assigned to that physician (general or family practitioners, internist, general surgeon, or obstetrician/gynecolo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Roos NP,Flowerdew G,Wajda A,Tate RB

    更新日期:1986-01-01 00:00:00

  • Harnessing the Question-Behavior Effect to Enhance Colorectal Cancer Screening in an mHealth Experiment.

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    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验


    authors: Hagoel L,Neter E,Stein N,Rennert G

    更新日期:2016-11-01 00:00:00