School of Medical and Health Sciences, Edith Cowan University, Western Australia.
School of Science, Edith Cowan University, Western Australia.
Aust N Z J Public Health. 2017 Dec;41(6):585-590. doi: 10.1111/1753-6405.12716. Epub 2017 Sep 14.
Inequities can negatively impact the health outcomes of children. The aims of this study were to: i) ascertain the prevalence of food insecurity (FI) among regional and remote Western Australian (WA) children; and ii) determine which socio-demographic factors predicted child FI.
Caregiver-child dyads (n=219) completed cross-sectional surveys. Descriptive statistics and logistic regression analyses were conducted using IBM SPSS version 23.
Overall, 20.1% of children were classified as FI. Children whose family received government financial assistance were more likely to be FI (OR 2.60; CI 1.15, 5.91; p=0.022), as were children living in a Medium disadvantage area (OR 2.60; CI 1.18, 5.72; p=0.017), compared to High or Low SEIFA ratings.
Study findings are suggestive of the impact low income has on capacity to be food secure. The higher FI prevalence among children from families receiving financial assistance and living in medium disadvantage areas indicates more support for these families is required. Recommendations include: ensuring government plans and policies adequately support disadvantaged families; increasing employment opportunities; establishing evidence on the causes and the potential impact of FI on children's health. Implications for public health: One in five children were FI, demonstrating that FI is an issue in Western Australia.
不平等可能对儿童的健康结果产生负面影响。本研究的目的是:i)确定西澳大利亚地区和偏远地区儿童的粮食不安全(FI)患病率;ii)确定哪些社会人口因素预测儿童 FI。
照顾者-儿童对(n=219)完成了横断面调查。使用 IBM SPSS 版本 23 进行描述性统计和逻辑回归分析。
总体而言,20.1%的儿童被归类为 FI。家庭获得政府财政援助的儿童更有可能出现 FI(OR 2.60;CI 1.15,5.91;p=0.022),与 SEIFA 评分较高或较低的儿童相比,生活在中等劣势地区的儿童也是如此(OR 2.60;CI 1.18,5.72;p=0.017)。
研究结果表明,收入水平低对获得食品安全的能力有影响。从接受经济援助的家庭和生活在中等劣势地区的儿童中,FI 的更高患病率表明这些家庭需要更多的支持。建议包括:确保政府计划和政策充分支持弱势家庭;增加就业机会;就 FI 对儿童健康的原因和潜在影响建立证据。对公共卫生的影响:五分之一的儿童存在 FI,表明 FI 是西澳大利亚的一个问题。