Brucker Debra L
University of New Hampshire, Institute on Disability, 10 West Edge Drive, Suite 101, Durham, NH 03824, USA.
Disabil Health J. 2017 Apr;10(2):286-293. doi: 10.1016/j.dhjo.2016.12.006. Epub 2016 Dec 19.
Adults with disabilities are more likely to live in households that are food insecure and are more likely to experience health disparities than adults without disabilities. Research examining the intersection of food insecurity and health outcomes for adults with disabilities has so far been lacking, however.
OBJECTIVE/HYPOTHESIS: The research presented here tests whether living in a food insecure household is associated with poorer self-reported health and mental health and different health care utilization, controlling for disability status and other sociodemographic characteristics.
Multivariate regression analyses are conducted using linked data from the 2011 National Health Interview Survey and the 2012 Medical Expenditures Panel Survey.
Adults with and without disabilities who live in food insecure households have higher odds of reporting fair or poor health or mental health in either the current year or the subsequent year. Health care utilization patterns differ for adults who are food insecure as well, both within and across years.
Efforts to address health disparities among adults with disabilities should consider the possible additional impact of food insecurity on health outcomes.
与无残疾的成年人相比，残疾成年人更有可能生活在粮食不安全的家庭中，并且更有可能经历健康差距。然而，迄今为止，缺乏针对残疾成年人粮食不安全与健康结果之间交叉关系的研究。
目的/假设：本文提出的研究检验了生活在粮食不安全家庭中是否与自我报告的较差健康状况和心理健康以及不同的医疗保健利用情况相关，同时控制残疾状况和其他社会人口学特征。
使用来自2011年国家健康访谈调查和2012年医疗支出小组调查的关联数据进行多变量回归分析。
生活在粮食不安全家庭中的残疾和无残疾成年人在当年或次年报告健康或心理健康状况为一般或较差的几率更高。粮食不安全的成年人在各年份内和各年份间的医疗保健利用模式也有所不同。
解决残疾成年人健康差距的努力应考虑粮食不安全对健康结果可能产生的额外影响。
