Food insecurity: Comparing odds between working-age veterans and nonveterans with children.

Abstract Background Low-income, working-age Veterans with children have risk for food insecurity. Less known is extent to which their risk compares to nonveterans. Purpose To evaluate odds of food insecurity for working-age Veterans with children compared to socioeconomically-matched nonveterans with children. Method We constructed a propensity score-matched cohort using 2011–2014 National Health and Nutrition Examination Survey data. Covariate-adjusted logistic regressions estimated Veterans’ odds for overall food insecurity and for each level of severity compared to nonveterans. Findings We matched 155 Veterans to 310 nonveterans on gender, race/ethnicity, education, income. Models were adjusted for age, marital-status, depression, and listed matched variables. Although Veteran-status had no effect on overall food insecurity (odds ratio = 1.09, 95% confidence interval [0.62,1.93]), Veteran-status increased odds for very low food security (odds ratio = 2.71, 95% confidence interval [1.21, 6.07]). Discussion Veterans do not have higher odds of food insecurity than non-veterans, but they are more likely to have the more severe very low food security (often associated with hunger) than non-veterans. Investigation of food insecurity's impact on Veteran health/well-being is needed.