Table 1_Food insecurity among Latina women in Idaho and Washington: structural vulnerability, psychosocial factors, and cardiometabolic risk.docx

Data analysis included modified Poisson regression (prevalence ratios, PR) and proportional-odds ordinal regression.</p>Results<p>Food insecurity was common (43.3%), and overweight or obesity was highly prevalent (78.9%). In the final model, food insecurity was more prevalent among women in farmworker households (PR 1.65, 95% CI 1.07–2.55) and those with less than a high-school education, though this estimate was based on few women (PR 1.87, 95% CI 1.10–3.19), and less prevalent among women with higher social support (PR 0.99 per point, 95% CI 0.98–1.00).

A higher burden of adverse childhood experiences was associated with greater food-insecurity severity (cumulative OR 1.18, 95% CI 1.01–1.38). Among immigrant women, acculturative stress was associated with food insecurity (PR 1.61, 95% CI 1.28–2.03). Dietary quality was broadly suboptimal, and its association with food-insecurity status was modest and did not establish directionality, and food insecurity was not clearly associated with prediabetes risk.</p>Discussion<p>These findings illustrate the food insecurity–obesity paradox in an understudied regional population, in which a high prevalence of food insecurity coexists with a high prevalence of overweight and obesity.</p>