The University of Texas at San Antonio, United States.
Mississippi State University, United States.
Soc Sci Med. 2019 Jan;221:58-67. doi: 10.1016/j.socscimed.2018.12.013. Epub 2018 Dec 10.
Food insecurity is a significant public health concern, with implications for community and individual health and well-being. Although a growing body of literature points to the role of neighborhoods in household food insecurity, studies using nationally representative samples to explore interactions between neighborhood risks - including violence and danger - are lacking.
The present study examines whether interactions between physical disorder, low social capital, and violence/danger in the neighborhood have significant implications for the risk of household food insufficiency using a large, nationally representative sample of U.S. children and their families.
Data are from the 2016 National Survey of Children's Health, a survey of a cross-sectional weighted probability sample of U.S. children from 0 to 17 years of age. Multinomial logistic regression techniques were used to analyze the data.
Neighborhood risk factors interacted to predict household food insufficiency, with the confluence of low social capital and violence/danger yielding the strongest effects.
Our findings suggest that food hardship should be addressed within the context of neighborhood revitalization. The risk of food insufficiency among children and families in especially high-risk ecological contexts might be ameliorated with the provision of informal and formal sources of nutrition assistance and support.
食品不安全是一个重大的公共卫生问题，对社区和个人的健康和福祉都有影响。尽管越来越多的文献指出邻里关系对家庭食品不安全的作用，但缺乏使用全国代表性样本研究探索邻里风险（包括暴力和危险）之间相互作用的研究。
本研究使用美国儿童及其家庭的大型全国代表性样本，检验邻里环境中物理无序、低社会资本和暴力/危险之间的相互作用是否对家庭食品不足的风险有重要影响。
数据来自 2016 年全国儿童健康调查，这是一项对美国 0 至 17 岁儿童的横断面加权概率样本的调查。采用多项逻辑回归技术对数据进行分析。
邻里风险因素相互作用预测家庭食品不足，其中低社会资本和暴力/危险的融合产生了最强的影响。
我们的研究结果表明，应在邻里复兴的背景下解决粮食短缺问题。在生态环境特别高风险的情况下，为儿童和家庭提供非正式和正式的营养援助和支持，可能会减轻食品不足的风险。
