Department of Nursing, Washington State University, Spokane, WA 99202, USA.
Professional Nursing Development Office, Professional Nursing Development Office, Providence Health Care, Spokane, WA 99204, USA.
J Public Health (Oxf). 2021 Sep 22;43(3):573-580. doi: 10.1093/pubmed/fdaa062.
Food bank users suffer high food insecurity. Food insecurity increases risk for chronic health conditions. However, chronic pain and its relation to food insecurity among food bank users is unknown. Knowledge about populations with chronic pain is important to direct appropriate public health nutritional strategies.
Participants completed a survey including sleep, pain, depressive symptoms and food insecurity measures. Descriptive statistics characterized the burden of chronic pain among the sample, and a series of chi-square and t-tests assessed for demographic differences between food bank users who reported pain compared to those who did not. Logistic regression tested for variables predicting food insecurity.
Within the sample (N = 207), 53% reported a chronic pain diagnosis. Adults with pain were more likely to receive food stamps and to have a mental health condition than those without pain. Regression analyses revealed that depressive symptoms and chronic pain significantly predicted food insecurity when controlling for age and gender.
Exploring the link between depression, pain and nutritional resources may enhance understanding of causal relationships driving food insecurity. Public health officials should address nutritional needs of adults including those with chronic pain who use food bank services.
食品银行的使用者面临着高度的粮食不安全。粮食不安全会增加患慢性健康状况的风险。然而，食品银行使用者的慢性疼痛及其与粮食不安全之间的关系尚不清楚。了解患有慢性疼痛的人群对于指导适当的公共卫生营养策略非常重要。
参与者完成了一项调查，其中包括睡眠、疼痛、抑郁症状和粮食不安全措施。描述性统计数据描述了样本中慢性疼痛的负担，一系列卡方检验和 t 检验评估了报告有疼痛的食品银行使用者与没有疼痛的使用者之间在人口统计学方面的差异。逻辑回归检验了预测粮食不安全的变量。
在样本中（N=207），53%的人报告有慢性疼痛诊断。有疼痛的成年人比没有疼痛的成年人更有可能获得食品券，并且更有可能患有心理健康状况。回归分析显示，控制年龄和性别后，抑郁症状和慢性疼痛显著预测了粮食不安全。
探索抑郁、疼痛和营养资源之间的联系可能会增强对导致粮食不安全的因果关系的理解。公共卫生官员应满足包括使用食品银行服务的慢性疼痛成年人在内的成年人的营养需求。
