Division of General Internal Medicine and Primary Care, 8788University of California, Irvine, CA, USA.
J Aging Health. 2021 Mar;33(3-4):171-186. doi: 10.1177/0898264320967563. Epub 2020 Oct 31.
This study examined the association between food insecurity status and healthcare access, utilization, and quality among adults aged 55 years and older. Data collected between 2011 and 2016 for the California Health Interview Survey were used. The sample included 72,212 individuals who were divided into three groups: food secure (FS), low food security (L-FS), and very low food security (VL-FS). Logistic regression analyses controlled for demographics. Food insecurity was associated with decreased access to and quality of care and increased utilization. Specifically, VL-FS was more likely to delay care than FS. Additionally, VL-FS and L-FS had greater odds of visiting an emergency room than FS. Furthermore, VL-FS and L-FS were more likely to have a doctor who did not always explain aspects of care carefully compared to FS. These findings suggest a need for increased screening for food insecurity in healthcare settings.
本研究考察了 55 岁及以上成年人的食物不安全状况与医疗保健获取、利用和质量之间的关系。使用了 2011 年至 2016 年期间收集的加利福尼亚健康访谈调查数据。样本包括分为三组的 72212 人：食物安全（FS）、低食物安全（L-FS）和极低食物安全（VL-FS）。逻辑回归分析控制了人口统计学因素。食物不安全与医疗保健获取和质量降低以及利用率增加有关。具体来说，VL-FS 比 FS 更有可能延迟治疗。此外，VL-FS 和 L-FS 去急诊室的几率大于 FS。此外，VL-FS 和 L-FS 与 FS 相比，更有可能出现医生没有详细解释护理方面的情况。这些发现表明，需要在医疗保健环境中增加对食物不安全的筛查。
