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在新西兰,哪些因素决定了食物不安全,男性和女性之间是否存在差异?

What are the determinants of food insecurity in New Zealand and does this differ for males and females?

机构信息

Health Inequalities Research Program, Department of Public Health, School of Medicine and Health Sciences, University of Otago, Wellington, New Zealand.

出版信息

Aust N Z J Public Health. 2010 Dec;34(6):602-8. doi: 10.1111/j.1753-6405.2010.00615.x. Epub 2010 Oct 7.

Abstract

AIMS

Food insecurity is a lack of assured access to sufficient nutritious food. We aimed to investigate the demographic and socio-economic determinants of food insecurity in New Zealand and whether these determinants vary between males and females.

METHODS

We used data from the longitudinal Survey of Families, Income and Employment (SoFIE) (n=18,950). Respondents were classified as food insecure if, in the past 12 months, they had to use special food grants or food banks, been forced to buy cheaper food to pay for other things, or had to go without fresh fruit and vegetables often. Logistic regression analyses were used to investigate the association of demographic and socio-economic factors on food insecurity. Models were repeated stratifying by males and females.

RESULTS

More than 15% of the SoFIE population in NZ were food insecure in 2004/05. The prevalence of food insecurity was much greater in females (19%) than males (12%). The adjusted odds of food insecurity was significantly higher in females compared to males (OR 1.6, 95% CI 1.5-1.8). In univariate analyses, food insecurity was associated with sole parenthood, unmarried status, younger age groups, Māori and Pacific ethnicity, worse self-rated health status, renting, being unemployed and lower socioeconomic status. Income was the strongest predictor of food insecurity in multivariate modelling (OR 4.9, 95%CI 4.0-5.9 for lowest household income quintile versus highest). The associations of demographic and socioeconomic factors with food insecurity were similar in males and females.

CONCLUSIONS

Food insecurity is a timely and relevant issue, as it affects a significant number of New Zealanders. Targeted policy interventions aimed at increasing money available in households are needed.

摘要

目的

食物不安全是指无法确保获得充足营养食物的情况。我们旨在研究新西兰食物不安全的人口统计学和社会经济决定因素,以及这些因素在男性和女性之间是否存在差异。

方法

我们使用了来自长期家庭、收入和就业调查(SoFIE)的(n=18950)数据。如果在过去 12 个月内,受访者使用了特殊食品补助或食品银行,被迫购买更便宜的食物来支付其他费用,或者经常不得不放弃新鲜水果和蔬菜,那么他们就被归类为食物不安全。使用逻辑回归分析来研究人口统计学和社会经济因素与食物不安全之间的关联。通过男性和女性分层,重复进行模型分析。

结果

在 2004/05 年,新西兰 SoFIE 人群中超过 15%的人存在食物不安全问题。女性(19%)的食物不安全发生率明显高于男性(12%)。调整后的食物不安全比值比(OR)在女性中显著高于男性(OR 1.6,95%CI 1.5-1.8)。在单变量分析中,食物不安全与单亲家庭、未婚状态、年轻年龄段、毛利人和太平洋岛民族裔、自我报告健康状况较差、租房、失业和较低的社会经济地位有关。在多变量建模中,收入是食物不安全的最强预测因素(最低家庭收入五分位数与最高五分位数相比,OR 4.9,95%CI 4.0-5.9)。人口统计学和社会经济因素与食物不安全之间的关联在男性和女性中相似。

结论

食物不安全是一个及时且相关的问题,因为它影响了相当数量的新西兰人。需要有针对性的政策干预措施,旨在增加家庭可用资金。

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