Boston University School of Medicine, Section of General Internal Medicine, Boston, MA.
University of Massachusetts Boston, College of Nursing and Health Sciences, Department of Exercise and Health Sciences, Boston, MA.
Ethn Dis. 2021 Jan 21;31(1):159-164. doi: 10.18865/ed.31.1.159. eCollection 2021 Winter.
Understanding associations between psychosocial and physical factors among those who experience food insecurity could help design effective food insecurity programs for improved cardiovascular health among low-income populations. We examined differences in psychosocial and physical factors between those who were food secure compared with food insecure among public housing residents.
Data were from the baseline survey of a randomized controlled trial of a weight management intervention in Boston, Massachusetts from 2016-2017. Food insecurity and psychosocial and physical factors, including perceived stress, personal problems, social support, and physical symptoms, were measured via interviewer-administered screeners.
Mean age of the sample (N=102) was 46.5 years (SD=11.9). The majority were Hispanic (67%), female (88%), with ≤high school degree (62%). Nearly half were food insecure (48%). For psychosocial variables, those who were food insecure had higher ratings of perceived stress (adjusted mean difference 3.39, 95% CI:2.00,4.79), a higher number of personal problems (adjusted mean difference 1.85, 95% CI: 1.19, 2.51), and lower social support (adjusted mean difference -0.70, 95% CI:-1.30,-0.11) compared with those who were food secure. For physical variables, those who were food insecure had higher odds of reporting negative physical symptoms (aOR 4.92, 95% CI:1.84,13.16).
Among this sample of public housing residents, food insecurity was associated with higher stress, more personal problems, higher experiences of physical symptoms, and lower social support.
了解经历食物不安全人群的心理社会和生理因素之间的关联，可以帮助为低收入人群设计有效的食物不安全计划，以改善心血管健康。我们研究了与食物安全人群相比，公共住房居民中食物不安全人群在心理社会和生理因素方面的差异。
数据来自于 2016 年至 2017 年在马萨诸塞州波士顿进行的一项体重管理干预随机对照试验的基线调查。通过访谈员管理的筛查器测量食物不安全和心理社会及生理因素，包括感知压力、个人问题、社会支持和身体症状。
样本的平均年龄（N=102）为 46.5 岁（SD=11.9）。大多数是西班牙裔（67%），女性（88%），最高学历为高中以下（62%）。近一半的人食物不安全（48%）。在心理社会变量方面，与食物安全人群相比，食物不安全人群感知压力更高（调整后的平均差异 3.39，95%CI：2.00，4.79），个人问题更多（调整后的平均差异 1.85，95%CI：1.19，2.51），社会支持更低（调整后的平均差异-0.70，95%CI：-1.30，-0.11）。在生理变量方面，与食物安全人群相比，食物不安全人群报告负面身体症状的几率更高（OR 4.92，95%CI：1.84，13.16）。
在这个公共住房居民样本中，食物不安全与更高的压力、更多的个人问题、更高的身体症状体验和更低的社会支持有关。
