Cross-Sectional Analysis of Sugar-Sweetened Beverage Consumption, Food Security, and Nativity Among Adults: Associations from National Health and Nutrition Examination Survey 2007–2020

Background/Aims: Immigrant populations face unique dietary challenges influenced by food security and acculturation, particularly regarding sugar-sweetened beverages (SSBs). This study examines the interplay of nativity and food security on SSB consumption patterns. Methods: Data from the National Health and Nutrition Examination Survey (NHANES) 2007–2020 (N = 23,331) were analyzed in this cross-sectional study. SSB consumption was assessed through 24 h dietary recalls. Food security was categorized as high/marginal or low/very low, and nativity as U.S.-born or foreign-born. Stratified regression models by sex evaluated associations between nativity, food security, and SSB consumption. Results: U.S.-born adults with low food security had the highest sugar intake (men: β = 27.5, 95% CI [14.8, 40.3]; women: β = 30.4, 95% CI [11.0, 49.7]) and SSB consumption (men: β = 14.7, 95% CI [11.2, 18.3]; women: β = 23.6, 95% CI [15.2, 31.9]). Conclusions: The findings highlight associations that suggest the importance of culturally tailored interventions targeting vulnerable groups to address disparities in SSB consumption influenced by food security and nativity.