New York University Grossman School of Medicine, New York, NY, USA.
VA NY Harbor Healthcare System, New York, NY, USA.
Am J Health Promot. 2020 Jul;34(6):664-667. doi: 10.1177/0890117120904002. Epub 2020 Feb 7.
To identify rates and sociodemographic correlates of food insecurity among low-income smokers.
Cross-sectional analysis of baseline survey data from a randomized controlled trial (N = 403) testing a smoking cessation intervention for low-income smokers.
Two safety-net hospitals in New York City.
Current smokers with annual household income <200% of the federal poverty level.
Food insecurity was measured using the United States Department of Agriculture 6-item food security module. Participant sociodemographics were assessed by self-reported survey responses.
We used frequencies to calculate the proportion of smokers experiencing food insecurity and multivariable logistic regression to identify factors associated with being food insecure.
Fifty-eight percent of participants were food insecure, with 29% reporting very high food insecurity. Compared to married participants, separated, widowed, or divorced participants were more likely to be food insecure (adjusted odds ratio [AOR] = 2.33, 95% confidence interval [CI]: 1.25-4.33), as were never married participants (AOR = 2.81, 95% CI: 1.54-5.14).
Health promotion approaches that target multiple health risks (eg, smoking food access) may be needed for low-income populations. Interventions which seek to alleviate food insecurity may benefit from targeting socially isolated smokers.
确定低收入吸烟者中粮食不安全的发生率和社会人口统计学相关因素。
对一项随机对照试验（N=403）的基线调查数据进行横断面分析，该试验测试了一种针对低收入吸烟者的戒烟干预措施。
纽约市的两家提供基本医疗服务的医院。
年收入低于联邦贫困线 200%的当前吸烟者。
使用美国农业部的 6 项粮食安全模块来衡量粮食不安全状况。通过自我报告的调查回复评估参与者的社会人口统计学特征。
我们使用频率来计算经历粮食不安全的吸烟者的比例，并使用多变量逻辑回归来确定与粮食不安全相关的因素。
58%的参与者存在粮食不安全问题，其中 29%报告存在极高的粮食不安全问题。与已婚参与者相比，离异、丧偶或离婚的参与者更有可能出现粮食不安全（调整后的优势比[OR] = 2.33，95%置信区间[CI]：1.25-4.33），未婚参与者也是如此（OR = 2.81，95% CI：1.54-5.14）。
可能需要针对低收入人群采取针对多种健康风险（如吸烟和粮食获取）的健康促进方法。旨在减轻粮食不安全的干预措施可能需要针对社交孤立的吸烟者。
