Date of Publication


Faculty Mentor

Hendrika Maltby


Objectives: To assess the relationship between chronic disease risk behaviors: tobacco usage, alcohol consumption, sedentary lifestyle, and food insecurity (FI) among Vermonters. Methods: This cross-sectional study uses a sample (n= 1,378) from Vermont’s 2018 Behavioral Risk Factor Surveillance System (BRFSS). The examined outcome is FI. The predictor measures were defined as at-risk tobacco use, alcohol consumption, and sedentary lifestyles.The following were established as covariates on the association between the dependent and independent variables: income, sex, age, race/ethnicity, and activity limitations. Results: In the unadjusted binomial logistic regression (Table 2), tobacco users were 3.32 times more likely to be food insecure than non-tobacco users (CI 2.00-5.54). Those who do not exercise were 98% more likely to be food insecure than adults who did (CI 1.13-3.45). In the adjusted analysis, every one-alcohol-beverage consumed, adults were 5% more likely to be food insecure (0.99-1.12). Conclusions: Individuals that consume alcohol and tobacco, and do not exercise, are more likely to also be FI.

Document Type


Available for download on Wednesday, May 10, 2023