VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center,Houston, TX; University of Houston, Department of Health and Human Performance, Houston, TX.
VA Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center,Houston, TX.
Nurs Outlook. 2021 Mar-Apr;69(2):212-220. doi: 10.1016/j.outlook.2020.08.011. Epub 2020 Oct 16.
Low-income, working-age Veterans with children have risk for food insecurity. Less known is extent to which their risk compares to nonveterans.
To evaluate odds of food insecurity for working-age Veterans with children compared to socioeconomically-matched nonveterans with children.
We constructed a propensity score-matched cohort using 2011-2014 National Health and Nutrition Examination Survey data. Covariate-adjusted logistic regressions estimated Veterans' odds for overall food insecurity and for each level of severity compared to nonveterans.
We matched 155 Veterans to 310 nonveterans on gender, race/ethnicity, education, income. Models were adjusted for age, marital-status, depression, and listed matched variables. Although Veteran-status had no effect on overall food insecurity (odds ratio = 1.09, 95% confidence interval [0.62,1.93]), Veteran-status increased odds for very low food security (odds ratio = 2.71, 95% confidence interval [1.21, 6.07]).
Veterans do not have higher odds of food insecurity than non-veterans, but they are more likely to have the more severe very low food security (often associated with hunger) than non-veterans. Investigation of food insecurity's impact on Veteran health/well-being is needed.
有子女的低收入、劳动年龄期退伍军人面临食物无保障的风险。但他们的风险与非退伍军人相比的程度鲜为人知。
评估有子女的劳动年龄期退伍军人与有子女的社会经济背景相当的非退伍军人相比，食物无保障的风险。
我们使用 2011-2014 年全国健康和营养调查数据构建了一个倾向评分匹配队列。调整协变量的逻辑回归估计了退伍军人与非退伍军人相比，总体食物无保障以及每个严重程度的可能性。
我们根据性别、种族/民族、教育、收入将 155 名退伍军人与 310 名非退伍军人进行匹配。模型调整了年龄、婚姻状况、抑郁和列出的匹配变量。尽管退伍军人身份对总体食物无保障没有影响（比值比=1.09，95%置信区间[0.62,1.93]），但退伍军人身份增加了极低食物保障的可能性（比值比=2.71，95%置信区间[1.21,6.07]）。
退伍军人的食物无保障可能性并不高于非退伍军人，但他们更有可能处于非常低的食物保障（通常与饥饿有关）状态，而非退伍军人。需要研究食物无保障对退伍军人健康/福利的影响。
