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父母经历的破坏性生活事件与家庭粮食不安全状况

Parental History of Disruptive Life Events and Household Food Insecurity.

作者信息

Jackson Dylan B, Vaughn Michael G

机构信息

Department of Criminal Justice, University of Texas at San Antonio, San Antonio, TX.

College for Public Health and Social Justice, Saint Louis University, St Louis, MO.

出版信息

J Nutr Educ Behav. 2017 Jul-Aug;49(7):554-560.e1. doi: 10.1016/j.jneb.2017.04.010.

DOI:10.1016/j.jneb.2017.04.010
PMID:28689609
Abstract

OBJECTIVE

To investigate whether a history of disruptive life events (ie, school suspension or expulsion, job termination, hospitalization for mental health, and/or criminal justice involvement) among parents is positively associated with household food insecurity.

DESIGN

Structured interviews and self-report surveys.

SETTING

Households across all 50 states in the US.

PARTICIPANTS

Subsample of 6,270 households that participated in the Early Childhood Longitudinal Study-Birth Cohort with valid maternal and paternal data.

MAIN OUTCOME MEASURES

Food insecurity was measured when children were aged 9 months (wave 1), 2 years (wave 2), and 4 years (wave 3). Parental history of disruptive life events was measured at wave 1.

ANALYSIS

Logistic regression was used to carry out the analyses.

RESULTS

Each examined disruptive life event was associated with a significant increase in the odds of persistent household food insecurity (P < .05). The probability of persistent household food insecurity was >6 times as large in households with 1 or both parents reporting the occurrence of each of the disruptive life events, relative to households with none of these parental risk factors.

CONCLUSIONS AND IMPLICATIONS

Practitioners may want to consider parental history of various disruptive life events in their assessment of familial risk of household food insecurity. Future policy efforts might include a cost-benefit estimate analysis of intervening earlier in the food insecurity-disruptive life events nexus to advocate for savings to the taxpayer for prevention services. Moreover, future research could evaluate these practice and policy-driven efforts using quasi-experimental designs.

摘要

目的

调查父母中存在扰乱性生活事件(即学校停学或开除、工作终止、因心理健康住院和/或涉及刑事司法)的历史是否与家庭粮食不安全呈正相关。

设计

结构化访谈和自我报告调查。

地点

美国所有50个州的家庭。

参与者

参与幼儿纵向研究——出生队列且有有效母婴和父婴数据的6270户家庭的子样本。

主要结局指标

在儿童9个月(第1波)、2岁(第2波)和4岁(第3波)时测量粮食不安全情况。在第1波测量父母扰乱性生活事件的历史。

分析

采用逻辑回归进行分析。

结果

所检查的每一项扰乱性生活事件都与持续家庭粮食不安全几率的显著增加相关(P < 0.05)。与没有这些父母风险因素的家庭相比,父母一方或双方报告发生了每一项扰乱性生活事件的家庭中,持续家庭粮食不安全的概率要高出6倍以上。

结论与启示

从业者在评估家庭粮食不安全的家庭风险时,可能需要考虑父母各种扰乱性生活事件的历史。未来的政策努力可能包括对在粮食不安全与扰乱性生活事件之间更早进行干预的成本效益估计分析,以倡导为纳税人节省预防服务费用。此外,未来的研究可以使用准实验设计来评估这些实践和政策驱动的努力。

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