Department of Health Sciences, University of York, Heslington, YorkYO10 5DD, UK.
Faculty of Social Sciences, University of Bradford, Bradford BD5 0BB, UK.
J Public Health (Oxf). 2018 Mar 1;40(1):32-40. doi: 10.1093/pubmed/fdx029.
The use of foodbanks has risen sharply in the UK; however, the epidemiology of UK food insecurity is undeveloped. This study contributes to the field by analysing socio-demographic risk factors for food insecurity in a female, ethnically diverse population.
Data from the Born in Bradford (BiB) cohort were matched with data on food insecurity from the nested BiB1000 study (N = 1280). Logistic regression was used to model food insecurity in relation to ethnicity and socio-demographic factors.
Food insecurity, reported by 13.98% of the sample, was more likely among White British than Pakistani women (crude Odds Ratio (OR) 1.94, 95% CI: 1.37; 2.74, adjusted OR 2.37, 95% CI: 1.57; 3.59). In fully adjusted analyses, food insecurity was associated with a range of socio-economic measures, particularly the receipt of mean-tested benefits (adjusted OR 2.11, 95% CI: 1.41; 3.15) and perception of financial insecurity (adjusted OR 8.91, 95% CI: 4.14; 19.16 for finding it difficult/very difficult compared to living comfortably).
The finding that food insecurity prevalence may be higher than previously thought and that food insecurity is highly associated with socio-economic status, notably benefit receipt, is a cause for concern necessitating an urgent policy response.
在英国，食品银行的使用急剧增加；然而，英国粮食不安全的流行病学尚未得到发展。本研究通过分析女性、种族多样化人群中社会人口风险因素与粮食不安全的关系，为该领域做出了贡献。
本研究将出生于布拉德福德（BiB）队列的数据与嵌套 BiB1000 研究中的粮食不安全数据（N=1280）进行匹配。采用逻辑回归模型分析粮食不安全与种族和社会人口因素的关系。
13.98%的样本报告存在粮食不安全问题，其中白种英国人比巴基斯坦人更有可能出现粮食不安全问题（粗比值比（OR）为 1.94，95%可信区间：1.37；2.74，调整后 OR 为 2.37，95%可信区间：1.57；3.59）。在完全调整的分析中，粮食不安全与一系列社会经济措施有关，特别是接受平均测试的福利（调整后 OR 为 2.11，95%可信区间：1.41；3.15）和对经济不安全的感知（与生活舒适相比，认为经济困难/非常困难的调整后 OR 为 8.91，95%可信区间：4.14；19.16）。
本研究发现粮食不安全的流行率可能高于先前的估计，并且粮食不安全与社会经济地位高度相关，特别是福利领取，这是一个需要紧急政策应对的令人担忧的问题。
