Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (Drs Dolin, Oh, and Durnwald).
Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA (Dr Compher).
Am J Obstet Gynecol MFM. 2021 Jul;3(4):100378. doi: 10.1016/j.ajogmf.2021.100378. Epub 2021 Apr 28.
Food insecurity is a major social determinant of health affecting more than 10% of Americans. Social determinants of health are increasingly recognized as a driving force of health inequities. It is well established that food insecurity leads to adverse health outcomes outside of pregnancy, such as obesity, hypertension, diabetes mellitus, and mental health problems. However, limited data exist about the impact of food insecurity during pregnancy on maternal and neonatal outcomes. Food insecurity and other social determinants of health are rarely addressed as part of routine obstetrical care. The COVID-19 pandemic has only exacerbated the crisis of food insecurity across the country, disproportionally affecting women and racial and ethnic minorities. Women's health providers should implement universal screening for maternal food insecurity and offer resources to women struggling to feed themselves and their families. Reducing maternal health inequities in the United States involves recognizing and addressing food insecurity, along with other social determinants of health, and advocating for public policies that support and protect all women's right to healthy food during pregnancy.
食品不安全是影响超过 10%的美国人的主要社会健康决定因素。社会健康决定因素越来越被认为是健康不平等的驱动因素。众所周知，食品不安全除了会导致孕妇出现不良健康后果，如肥胖、高血压、糖尿病和心理健康问题外。然而，关于怀孕期间食品不安全对母婴结局的影响的数据有限。食品不安全和其他社会健康决定因素很少作为常规产科护理的一部分得到解决。新冠疫情仅加剧了全国范围内的食品不安全危机，对妇女和少数族裔造成不成比例的影响。妇女健康提供者应普遍筛查产妇食品不安全情况，并为难以养活自己和家人的妇女提供资源。减少美国的母婴健康不平等现象需要认识到和解决食品不安全问题以及其他社会健康决定因素，并倡导支持和保护所有妇女在怀孕期间获得健康食品的权利的公共政策。
