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Food Deserts and their Impact on Health Outcomes in Children with Cystic Fibrosis

Corbera-Hincapie, Montserrat A. (2022) Food Deserts and their Impact on Health Outcomes in Children with Cystic Fibrosis. Master Essay, University of Pittsburgh.

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Abstract

Food insecurity (FI) is defined as 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. Food deserts and their surrounding regions impact pediatric CF outcomes independent of COI. This is of public health relevance because enhanced understanding of the impact of food insecurity on patients with CF is critical in promoting advocacy efforts that could provide resources to communities in need.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Corbera-Hincapie, Montserrat A.mac572@pitt.edumac572
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFabio, Anthonyanthony.fabio@pitt.eduanthony.fabioUNSPECIFIED
Committee MemberFinegold, Daviddnf@pitt.edudnfUNSPECIFIED
Date: 30 August 2022
Date Type: Completion
Number of Pages: 31
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 30 Aug 2022 14:45
Last Modified: 30 Aug 2022 14:45
URI: http://d-scholarship.pitt.edu/id/eprint/43470

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