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俄亥俄州阿巴拉契亚地区家庭医生对患者食物获取情况的自我认知及实践

Self-identified knowledge and practices of family physicians in Appalachian Ohio regarding food acquisition of patients.

作者信息

Shih Su-Chun, Holben David, Holcomb John P

机构信息

School of Human and Consumer Sciences, Ohio University, Grover Center W324, Athens, OH 45701, USA.

出版信息

J Am Diet Assoc. 2004 Nov;104(11):1718-21. doi: 10.1016/j.jada.2004.08.003.

Abstract

This study assessed the self-identified food security knowledge and practices of family physicians practicing in Appalachian Ohio, along with related factors, using a 17-item survey. Respondents (n=189, 42.2%) were primarily male (n=151, 79.9%), white (n=172, 91%), US citizens (n=182, 96.8%), rural inhabitants (n=137, 72.5%), and doctors of medicine (n=19, 63.3%). Only 29 (16.0%) of the family physicians strongly agreed (n=2, 1.1%) or agreed (n=27, 14.9%) that they were knowledgeable about food security. A food security practice score (n=189, 3.4+/-2.4) was computed using a multi-item question (Cronbach's alpha=0.76). Food security knowledge was related to (Kendall's tau) age (0.137, P =.028), years as a physician (0.162, P =.004), and food security practice score (0.161, P =.007). Family physicians involved in improving community food security had greater food security practice scores (n=43, 4.9+/-2.9), compared with those who did not (n=138, 2.9+/-2.0) ( P <.001). Education of family physicians about food insecurity and considering food security in practice is warranted.

摘要

本研究通过一项包含17个条目的调查,评估了在俄亥俄州阿巴拉契亚地区执业的家庭医生自我认定的粮食安全知识与实践,以及相关因素。受访者(n = 189,42.2%)主要为男性(n = 151,79.9%)、白人(n = 172,91%)、美国公民(n = 182,96.8%)、农村居民(n = 137,72.5%)以及医学博士(n = 19,63.3%)。只有29名(16.0%)家庭医生强烈同意(n = 2,1.1%)或同意(n = 27,14.9%)他们了解粮食安全。使用一个多项目问题计算了粮食安全实践得分(n = 189,3.4±2.4)(克朗巴哈系数α = 0.76)。粮食安全知识与(肯德尔等级相关系数tau)年龄(0.137,P = 0.028)、行医年限(0.162,P = 0.004)以及粮食安全实践得分(0.161,P = 0.007)相关。与未参与改善社区粮食安全的家庭医生(n = 138,2.9±2.0)相比,参与改善社区粮食安全的家庭医生有更高的粮食安全实践得分(n = 43,4.9±2.9)(P < 0.001)。有必要对家庭医生进行关于粮食不安全的教育,并在实践中考虑粮食安全问题。

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