Iglesias-Rios Lisbeth, Bromberg Julie E, Moser Richard P, Augustson Erik M
Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, MSC 9761, Bethesda, MD, 20892-9761, USA.
J Immigr Minor Health. 2015 Apr;17(2):349-57. doi: 10.1007/s10903-013-9957-7.
Prevalence of food insecurity (FI) among Latinos in the United States is almost double the national average. To better understand FI among Latinos, potential risk factors beyond poverty, including acculturation indicators and smoking status, were explored. Cross-sectional data from 6,681 Latino adults from the 1999-2008 National Health and Nutrition Examination Surveys were used. Partial proportional odds (PPO) models were used to estimate associations of FI, including cigarette smoking and acculturation. The PPO models indicated that compared with never smokers, current smokers had significantly higher odds of FI (odds ratios ranged from 1.32 to 1.51 across models). Lower levels of acculturation and poverty and being a younger or middle-aged adult were also significantly associated with FI. Among Latinos, current smoking and low acculturation are important risk factors for FI. Current smoking and low acculturation may exacerbate nutritional deprivation in a population that is already disproportionally affected by poverty and poor health outcomes.
美国拉丁裔人群中粮食不安全（FI）的发生率几乎是全国平均水平的两倍。为了更好地了解拉丁裔人群中的粮食不安全状况，研究人员探讨了贫困以外的潜在风险因素，包括文化适应指标和吸烟状况。研究使用了1999 - 2008年国家健康与营养检查调查中6681名拉丁裔成年人的横断面数据。采用部分比例优势（PPO）模型来估计粮食不安全的相关因素，包括吸烟和文化适应情况。PPO模型表明，与从不吸烟者相比，当前吸烟者出现粮食不安全的几率显著更高（各模型的优势比范围为1.32至1.51）。文化适应程度较低、贫困程度较低以及年龄处于青年或中年阶段也与粮食不安全显著相关。在拉丁裔人群中，当前吸烟和文化适应程度低是粮食不安全的重要风险因素。当前吸烟和文化适应程度低可能会加剧该人群的营养匮乏状况，而这一人群本就受到贫困和不良健康结果的影响更为严重。
