Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis

Food insecurity (FI) is defined as “the limited or uncertain access to adequate food.” One root cause of FI is living in a food desert. FI rates among people with cystic fibrosis (CF) are higher than the general United States (US) population. There is limited data on the association between food des...

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Autores principales:	Montserrat A. Corbera-Hincapie, Kristen S. Kurland, Mark R. Hincapie, Anthony Fabio, Daniel J. Weiner, Sandra C. Kim, Traci M. Kazmerski
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cystic fibrosis food insecurity food deserts body mass index Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/1dcbc2c5c8534d2285c13e0c76dfbdd7
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spelling	oai:doaj.org-article:1dcbc2c5c8534d2285c13e0c76dfbdd72021-11-25T18:35:53ZGeospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis10.3390/nu131139962072-6643https://doaj.org/article/1dcbc2c5c8534d2285c13e0c76dfbdd72021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3996https://doaj.org/toc/2072-6643Food insecurity (FI) is defined as “the limited or uncertain access to adequate food.” One root cause of FI is living in a food desert. FI rates among people with cystic fibrosis (CF) are higher than the general United States (US) population. There is limited data on the association between food deserts and CF health outcomes. We conducted a retrospective review of people with CF under 18 years of age at a single pediatric CF center from January to December 2019 using demographic information and CF health parameters. Using a Geographic Information System, we conducted a spatial overlay analysis at the census tract level using the 2015 Food Access Research Atlas to assess the association between food deserts and CF health outcomes. We used multivariate logistic regression analysis and adjusted for clinical covariates and demographic covariates, using the Child Opportunity Index (COI) to calculate odds ratios (OR) with confidence intervals (CI) for each health outcome. People with CF living in food deserts and the surrounding regions had lower body mass index/weight-for-length (OR 3.18, 95% CI: 1.01, 9.40, <i>p</i> ≤ 0.05 (food desert); OR 4.41, 95% CI: 1.60, 12.14, <i>p</i> ≤ 0.05 (600 ft buffer zone); OR 2.83, 95% CI: 1.18, 6.76, <i>p</i> ≤ 0.05 (1200 ft buffer zone)). Food deserts and their surrounding regions impact pediatric CF outcomes independent of COI. Providers should routinely screen for FI and proximity to food deserts. Interventions are essential to increase access to healthy and affordable food.Montserrat A. Corbera-HincapieKristen S. KurlandMark R. HincapieAnthony FabioDaniel J. WeinerSandra C. KimTraci M. KazmerskiMDPI AGarticlecystic fibrosisfood insecurityfood desertsbody mass indexNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3996, p 3996 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cystic fibrosis food insecurity food deserts body mass index Nutrition. Foods and food supply TX341-641
spellingShingle	cystic fibrosis food insecurity food deserts body mass index Nutrition. Foods and food supply TX341-641 Montserrat A. Corbera-Hincapie Kristen S. Kurland Mark R. Hincapie Anthony Fabio Daniel J. Weiner Sandra C. Kim Traci M. Kazmerski Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
description	Food insecurity (FI) is defined as “the limited or uncertain access to adequate food.” One root cause of FI is living in a food desert. FI rates among people with cystic fibrosis (CF) are higher than the general United States (US) population. There is limited data on the association between food deserts and CF health outcomes. We conducted a retrospective review of people with CF under 18 years of age at a single pediatric CF center from January to December 2019 using demographic information and CF health parameters. Using a Geographic Information System, we conducted a spatial overlay analysis at the census tract level using the 2015 Food Access Research Atlas to assess the association between food deserts and CF health outcomes. We used multivariate logistic regression analysis and adjusted for clinical covariates and demographic covariates, using the Child Opportunity Index (COI) to calculate odds ratios (OR) with confidence intervals (CI) for each health outcome. People with CF living in food deserts and the surrounding regions had lower body mass index/weight-for-length (OR 3.18, 95% CI: 1.01, 9.40, <i>p</i> ≤ 0.05 (food desert); OR 4.41, 95% CI: 1.60, 12.14, <i>p</i> ≤ 0.05 (600 ft buffer zone); OR 2.83, 95% CI: 1.18, 6.76, <i>p</i> ≤ 0.05 (1200 ft buffer zone)). Food deserts and their surrounding regions impact pediatric CF outcomes independent of COI. Providers should routinely screen for FI and proximity to food deserts. Interventions are essential to increase access to healthy and affordable food.
format	article
author	Montserrat A. Corbera-Hincapie Kristen S. Kurland Mark R. Hincapie Anthony Fabio Daniel J. Weiner Sandra C. Kim Traci M. Kazmerski
author_facet	Montserrat A. Corbera-Hincapie Kristen S. Kurland Mark R. Hincapie Anthony Fabio Daniel J. Weiner Sandra C. Kim Traci M. Kazmerski
author_sort	Montserrat A. Corbera-Hincapie
title	Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
title_short	Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
title_full	Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
title_fullStr	Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
title_full_unstemmed	Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis
title_sort	geospatial analysis of food deserts and their impact on health outcomes in children with cystic fibrosis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1dcbc2c5c8534d2285c13e0c76dfbdd7
work_keys_str_mv	AT montserratacorberahincapie geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT kristenskurland geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT markrhincapie geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT anthonyfabio geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT danieljweiner geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT sandrackim geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis AT tracimkazmerski geospatialanalysisoffooddesertsandtheirimpactonhealthoutcomesinchildrenwithcysticfibrosis
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Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis

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