[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-454527-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-454527-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","food-insecurity-impacts-healthy-lifestyle-practices-and-medication-adherence-among-persons-with-hypertension","Food insecurity impacts healthy lifestyle practices and medication adherence among persons with hypertension","","Adherence to medications and healthy lifestyles are essential for controlling hypertension and may be shaped by food insecurity and socioeconomic status (SES). A cross-sectional survey of 576 hypertensive patients in Colombia and Jamaica assessed self-reported demographics, food insecurity, medication adherence, and healthy lifestyle practices. Food insecurity showed inverse relationships with education, private insurance, medication adherence, and lifestyle quality. Multivariable models linked food insecurity to higher odds of unfavorable lifestyle practices and poorer medication adherence, highlighting food insecurity as a barrier to effective hypertension management in low-resource settings.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/food-insecurity-impacts-healthy-lifestyle-practices-and-medication-adherence-among-persons-with-hypertension/454527/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/food-insecurity-impacts-healthy-lifestyle-practices-and-medication-adherence-among-persons-with-hypertension/454527.png","ImageObject",300,407,{"name":42,"@type":43},"Sarah ","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the study examining among people with hypertension?","Question",{"text":63,"@type":64},"The study examined associations between food insecurity and socioeconomic status (SES) with medication adherence and healthy lifestyle practices among hypertensive patients in Colombia and Jamaica.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were food insecurity and medication adherence measured?",{"text":68,"@type":64},"Food insecurity was measured using two questions from a modified USDA food security instrument. Medication adherence was categorized as high versus low/medium using the IMPACTS MAS questionnaire.",{"name":70,"@type":61,"acceptedAnswer":71},"What relationships did the study find between food insecurity and health behaviors?",{"text":72,"@type":64},"Food insecurity was associated with unfavorable lifestyle practices and with poorer medication adherence. In multivariable models, food insecurity increased the odds of unfavorable lifestyle scores and showed a weaker-but-noted association with poor medication adherence.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},454527,1790794557,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","The University of the West Indies, Mona  \nThe University of the West Indies, Mona  \nUniversity of Texas Southwestern Medical Center, Peter O’Donnell Jr. School of Public Health  \nTulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine  \nTulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine  \nThe University of the West Indies, Mona  \nUniversity of Alabama at Birmingham  \nTulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine  \nUniversity of Texas Southwestern Medical Center, Peter O’Donnell Jr. School of Public Health  \nUniversidad de Santander (UDES)  \nThe University of the West Indies, Mona  \nThe University of the West Indies, Mona  \nsocioeconomic status, food insecurity, hypertension, medication adherence, lifestyle, Latin America and the Caribbean  \n December 9th, 2025  \n [https://doi.org/10.21203/rs.3.rs-8135598/v1](https://doi.org/10.21203/rs.3.rs-8135598/v1)  \n 􀁱 􀅏 This work is licensed under a Creative Commons Attribution 4.0 International License.  \nRead Full License  \n No competing interests reported.  \nAdherence to medications and healthy lifestyles are important health behaviours for hypertension control and may be in¬uenced by food insecurity and socioeconomic status (SES) . We examined associations between food insecurity and SES with medication adherence and healthy lifestyle practices among patients with hypertension in Colombia and Jamaica.  \nIn a cross-sectional survey of hypertensive patients attending primary health centres in Colombia and Jamaica we collected self-reported demographic, education and employment information. Food insecurity was measured using two questions from the modi«ed United States Department of Agriculture (USDA) food security instrument – was there su cient money for 1) weekly food purchasesand 2) healthy foods. Medication adherence was classi«ed as high vs. low/medium using the IMPACTSMAS questionnaire. Healthy lifestyle was scored using a 6-point scale as unfavourable (score ≤ 3) or favourable (score 4–6), 1 point each for eating less salt, exercising regularly, consuming ≥ 2 servings fruits and ≥ 3 servings vegetables daily, and reduced alcohol consumption or 2 points for abstinence. Multivariable logistic regression with medication adherence categories and lifestyle practice scores as dependent variables assessed associations with food insecurity and SES.  \nOf 576 participants (Colombia 288; Jamaica 288), Colombians were older (66 .5 years vs. 62.5 years, p \u003C 0.001), had higher education attainment and were less likely to be employed/retired. Colombians had less food insecurity (64 . 6% vs. 89.0% p \u003C 0 .001), higher medication adherence (88 .2% vs 50 .7% p \u003C 0 .001) and more favourable lifestyle practices (86 .2% vs. 47.2% p \u003C 0 .001) . Food insecurity in both countries was inversely related to education, having private health insurance, high medication adherence and healthy lifestyle practices. In multivariable models, food insecurity was associated with increased odds of unfavourable lifestyle practice scores,(OR = 2 .4; 95% CI: 1 . 1, 5.2 p = 0 .028) and poor medication adherence (OR = 1 .9; 95% CI: (1 .0, 3 .7) p = 0 .072), after adjusting for age, sex, country, marital status, education and employment and having ≥ 2 chronic illnesses. No associations with the other SES examined.  \nFood insecure hypertensive patients had increased odds of unfavourable lifestyle practices and were twice as likely to have poor medication adherence. Strategies to address food insecurity may have a  \npositive impact on hypertension control in low resource settings.  \nCardiovascular diseases (CVDs) are the most common cause of non-communicable disease (NCD) deaths, accounting for 19 million deaths annually [ 1] . Hypertension, de«ned as an average systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, or taking antihypertensive medication, affects approximately 1.4 billion people wor","cbCaimT6If6RnEop","https://ap.wps.com/l/cbCaimT6If6RnEop","pdf",1301763,22,"English","# Background\n## Burden of cardiovascular disease and hypertension\n## Role of healthy lifestyle and medication adherence\n## Determinants of poor adherence\n## Food insecurity and health outcomes\n# Methods\n## Study design and setting\n## Measures: food insecurity, adherence, lifestyle\n## Statistical analysis\n# Results\n## Participant characteristics\n## Associations between food insecurity, SES, adherence, and lifestyle\n## Multivariable model findings\n# Implications","[{\"question\":\"What was the study examining among people with hypertension?\",\"answer\":\"The study examined associations between food insecurity and socioeconomic status (SES) with medication adherence and healthy lifestyle practices among hypertensive patients in Colombia and Jamaica.\"},{\"question\":\"How were food insecurity and medication adherence measured?\",\"answer\":\"Food insecurity was measured using two questions from a modified USDA food security instrument. Medication adherence was categorized as high versus low/medium using the IMPACTS MAS questionnaire.\"},{\"question\":\"What relationships did the study find between food insecurity and health behaviors?\",\"answer\":\"Food insecurity was associated with unfavorable lifestyle practices and with poorer medication adherence. In multivariable models, food insecurity increased the odds of unfavorable lifestyle scores and showed a weaker-but-noted association with poor medication adherence.\"}]","Food insecurity impacts healthy lifestyle practices and medication adherence among persons with hypertension | PDF",1790740847,55]