14667 Department of Health Sciences, California State University, East Bay, Hayward, CA, USA.
8366 Department of Psychology, Gallaudet University, Washington, DC, USA.
Public Health Rep. 2021 Mar-Apr;136(2):239-244. doi: 10.1177/0033354920974666. Epub 2020 Dec 9.
The coronavirus disease 2019 (COVID) pandemic has highlighted preexisting health disparities, including food insecurity, in the deaf and hard-of-hearing (DHH) population. We examined factors associated with food worry during the COVID-19 pandemic.
We collected survey data on worry about food shortages, worry about contracting COVID-19, and concerns about DHH people staying home and being lonely from April 17 through May 1, 2020, via a bilingual American Sign Language/English online survey platform. The sample consisted of 537 DHH adults living in the United States. We examined the relationship between demographic characteristics and food worry. We used logistic regression and model fitting to predict the likelihood of experiencing food worry.
The mean (SD) age of survey respondents was 47 (16), and 25% of the sample identified as people of color. Forty-two percent of survey respondents had a high level of food worry. Increased worry about contracting COVID-19 and concerns about DHH people staying home and being lonely among DHH younger adults or those without a college degree predicted food worry. Gender and race/ethnicity did not contribute to the model for food worry.
Food worry was explained by multiple, intersecting factors, including demographic variables, worry about contracting COVID-19, and concerns about loneliness. Interventions or programs implemented by DHH-serving organizations as well as government programs, social service providers, and food banks should be fully accessible to subgroups of DHH young adults without a college degree who are at risk for food insecurity.
2019 年冠状病毒病（COVID）大流行凸显了聋人和重听人群中先前存在的健康差距，包括食物不安全。我们研究了 COVID-19 大流行期间与食物担忧相关的因素。
我们通过双语美国手语/英语在线调查平台，于 2020 年 4 月 17 日至 5 月 1 日收集了关于食物短缺担忧、感染 COVID-19 担忧以及聋人居家和孤独感担忧的调查数据。样本由 537 名居住在美国的聋人成年人组成。我们研究了人口统计学特征与食物担忧之间的关系。我们使用逻辑回归和模型拟合来预测经历食物担忧的可能性。
调查对象的平均（标准差）年龄为 47（16），25%的样本为有色人种。42%的调查对象有高度的食物担忧。聋人年轻人或没有大学学历的人对感染 COVID-19 的担忧增加以及对聋人居家和孤独的担忧预测了食物担忧。性别和种族/民族对食物担忧的模型没有贡献。
食物担忧是由多种相互交织的因素解释的，包括人口统计学变量、对感染 COVID-19 的担忧以及对孤独的担忧。聋人服务组织以及政府计划、社会服务提供者和食品银行实施的干预或计划应充分覆盖面临粮食不安全风险的没有大学学历的聋人年轻人亚群。
