Department of Family Medicine, Yong-In Severance Hospital, Yonsei University College of Medicine, Yong-In 17046, Korea.
Department of Medicine, Graduate School of Yonsei University College of Medicine, Seoul 03722, Korea.
Int J Environ Res Public Health. 2019 Jun 14;16(12):2115. doi: 10.3390/ijerph16122115.
Household food insecurity has been associated with noncommunicable diseases. The aim of this study was to investigate the association between household food insecurity and asthma in Korean adults. Household food security statuses were classified into three groups: Food-secure household, food-insecure household without hunger, and food-insecure household with hunger. The odds ratios and 95% confidence intervals for the presence of asthma according to household food security status were calculated using multiple logistic regression analyses after adjusting for confounding factors. A total of 14,770 participants were included in the analysis. The prevalence of asthma was 2.6% in those with a secure food status, 3.2% in those with an insecure food status without hunger, and 7.6% in those with an insecure food status with hunger ( < 0.001). Compared with that in participants with a household food secure status, the odds ratios (95% confidence intervals) for asthma were 1.12 (0.73-1.73) in those with a food-insecure household without hunger status and 2.44 (1.33-4.46) in those with a food-insecure household with hunger status after additionally adjusting for confounding factors. We found that household food insecurity with hunger was significantly associated with asthma prevalence in Korean adults. Implementation of household food security screening and public health intervention could be helpful to prevent and reduce asthma in adults.
家庭食物不安全与非传染性疾病有关。本研究旨在调查韩国家庭食物不安全与哮喘之间的关系。家庭食物安全状况分为三组：食物安全家庭、无饥饿的食物不安全家庭和有饥饿的食物不安全家庭。在调整混杂因素后，使用多因素逻辑回归分析计算了根据家庭食物安全状况存在哮喘的比值比（95%置信区间）。共纳入 14770 名参与者进行分析。有安全食物状况者的哮喘患病率为 2.6%，无饥饿的食物不安全状况者为 3.2%，有饥饿的食物不安全状况者为 7.6%（<0.001）。与家庭食物安全状况者相比，无饥饿的食物不安全家庭状况者的哮喘比值比（95%置信区间）为 1.12（0.73-1.73），有饥饿的食物不安全家庭状况者为 2.44（1.33-4.46），在进一步调整混杂因素后。我们发现，有饥饿的家庭食物不安全与韩国家庭成年人哮喘的患病率显著相关。实施家庭食物安全筛查和公共卫生干预措施可能有助于预防和减少成年人的哮喘。
