Widome Rachel, Jensen Agnes, Bangerter Ann, Fu Steven S
1Division of Epidemiology and Community Health,University of Minnesota School of Public Health,1300 South 2nd Street #300,Minneapolis,MN 55454,USA.
2VA HSR&D Center for Chronic Disease Outcomes Research (CCDOR),Minneapolis VA Health Care System,Minneapolis,MN,USA.
Public Health Nutr. 2015 Apr;18(5):844-9. doi: 10.1017/S136898001400072X. Epub 2014 May 8.
Food insecurity, or lack of access to sufficient food for a healthful lifestyle, has been associated with many aspects of poor health. While the economic struggles among veterans of the wars in Iraq and Afghanistan have been documented, it is unknown how commonly this population struggles to afford food. Our purpose was to document the prevalence and correlates of food insecurity among US veterans of the wars in Iraq and Afghanistan.
A cross-sectional survey.
US military veterans who had served in the wars in Iraq and Afghanistan since October 2001.
Subjects responded to a survey mailed to them in summer 2012. Food security was measured by the US Household Food Security Module: Six Item Short Form. Demographic and behavioural health items were also included. Survey data were matched to medical record data from the Department of Veterans Affairs.
Over one in four veterans reported past-year food insecurity with 12 % reporting very low food security. Food-insecure veterans tended to be younger, not married/partnered, living in households with more children, earning lower incomes, had a lower final military pay grade, were more likely to use tobacco, reported more frequent binge drinking and slept less, compared with those who were food secure (P<0.05 for all associations listed).
Previously undocumented, the problem of hunger among our newest veterans deserves attention.
粮食不安全,即无法获取足够的食物以维持健康的生活方式,与许多健康状况不佳的方面相关。虽然伊拉克和阿富汗战争退伍军人的经济困境已有记录,但尚不清楚这一群体在购买食物方面的困难程度。我们的目的是记录美国伊拉克和阿富汗战争退伍军人中粮食不安全的患病率及其相关因素。
横断面调查。
2001年10月以来曾在伊拉克和阿富汗战争中服役的美国退伍军人。
研究对象对在2012年夏季邮寄给他们的一份调查问卷做出了回应。粮食安全状况通过美国家庭粮食安全模块:六项简表进行衡量。还纳入了人口统计学和行为健康项目。调查数据与退伍军人事务部的医疗记录数据进行了匹配。
超过四分之一的退伍军人报告过去一年存在粮食不安全问题,其中12%的人报告粮食安全程度极低。与粮食安全的退伍军人相比,粮食不安全的退伍军人往往更年轻、未婚/无伴侣、生活在子女较多的家庭中、收入较低、最终军事薪资等级较低、更有可能吸烟、报告更频繁地暴饮,且睡眠较少(所有列出的关联均P<0.05)。
我们最新一批退伍军人中的饥饿问题此前未被记录,值得关注。