Cook John T, Frank Deborah A, Levenson Suzette M, Neault Nicole B, Heeren Tim C, Black Maurine M, Berkowitz Carol, Casey Patrick H, Meyers Alan F, Cutts Diana B, Chilton Mariana
Department of Pediatrics, Boston University School of Medicine, Boston, MA 02118, USA.
J Nutr. 2006 Apr;136(4):1073-6. doi: 10.1093/jn/136.4.1073.
The US Food Security Scale (USFSS) measures household and child food insecurity (CFI) separately. Our goal was to determine whether CFI increases risks posed by household food insecurity (HFI) to child health and whether the Food Stamp Program (FSP) modifies these effects. From 1998 to 2004, 17,158 caregivers of children ages 36 mo were interviewed in six urban medical centers. Interviews included demographics, the USFSS, child health status, and hospitalization history. Ten percent reported HFI, 12% HFI and CFI (H&CFI). Compared with food-secure children, those with HFI had significantly greater adjusted odds of fair/poor health and being hospitalized since birth, and those with H&CFI had even greater adverse effects. Participation in the FSP modified the effects of FI on child health status and hospitalizations, reducing, but not eliminating, them. Children in FSP-participating households that were HFI had lower adjusted odds of fair/poor health [1.37 (95% CI, 1.06-1.77)] than children in similar non-FSP households [1.61 (95% CI, 1.31-1.98)]. Children in FSP-participating households that were H&CFI also had lower adjusted odds of fair/poor health [1.72 (95% CI, 1.34-2.21)] than in similar non-FSP households [2.14 (95% CI, 1.81-2.54)]. HFI is positively associated with fair/poor health and hospitalizations in young children. With H&CFI, odds of fair/poor health and hospitalizations are even greater. Participation in FSP reduces, but does not eliminate, effects of FI on fair/poor health.
美国粮食安全量表（USFSS）分别衡量家庭粮食不安全状况和儿童粮食不安全状况（CFI）。我们的目标是确定儿童粮食不安全状况是否会增加家庭粮食不安全状况（HFI）对儿童健康造成的风险，以及食品券计划（FSP）是否会改变这些影响。1998年至2004年期间，在六个城市医疗中心对17158名36个月大儿童的看护人进行了访谈。访谈内容包括人口统计学信息、USFSS、儿童健康状况和住院史。10%的人报告有家庭粮食不安全状况，12%的人报告有家庭和儿童粮食不安全状况（H&CFI）。与粮食安全的儿童相比，有家庭粮食不安全状况的儿童健康状况为“一般/较差”以及自出生以来住院的调整后几率显著更高，而有家庭和儿童粮食不安全状况的儿童的不良影响更大。参与食品券计划改变了粮食不安全状况对儿童健康状况和住院情况的影响，减少了但并未消除这些影响。参与食品券计划的家庭中存在家庭粮食不安全状况的儿童健康状况为“一般/较差”的调整后几率[1.37（95%置信区间，1.06 - 1.77）]低于类似的未参与食品券计划家庭中的儿童[1.61（95%置信区间，1.31 - 1.98）]。参与食品券计划的家庭中存在家庭和儿童粮食不安全状况的儿童健康状况为“一般/较差”的调整后几率[1.72（95%置信区间，1.34 - 2.21）]也低于类似的未参与食品券计划家庭中的儿童[2.14（95%置信区间，1.81 - 2.54）]。家庭粮食不安全状况与幼儿健康状况“一般/较差”和住院情况呈正相关。存在家庭和儿童粮食不安全状况时，健康状况为“一般/较差”和住院的几率更高。参与食品券计划可减少但无法消除粮食不安全状况对健康状况“一般/较差”的影响。
