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英国两个族群的食物不安全和社会人口特征:对布拉德福德出生队列中女性的分析。

Food insecurity and socio-demographic characteristics in two UK ethnic groups: an analysis of women in the Born in Bradford cohort.

机构信息

Department of Health Sciences, University of York, Heslington, YorkYO10 5DD, UK.

Faculty of Social Sciences, University of Bradford, Bradford BD5 0BB, UK.

出版信息

J Public Health (Oxf). 2018 Mar 1;40(1):32-40. doi: 10.1093/pubmed/fdx029.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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)。

结论

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。

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