Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil.
Front Public Health. 2022 Jul 18;10:893601. doi: 10.3389/fpubh.2022.893601. eCollection 2022.
Understanding individual perception of Quality of Life (QoL) can help combat social and health inequalities. We aimed to identify factors associated with Low Perceived Quality of Life (LPQoL) in 295 adults and older adults with food security and food insecurity, in the city of Natal, Brazil. A cross-sectional study was conducted from June to December 2019, with collection of data on socioeconomic demographic status, lifestyle information, non-communicable diseases (NCDs) and risk factors, emotional disorders, food (in) security and quality of life. To assess food insecurity, the Brazilian Scale of Food Insecurity-EBIA was used, and the WHOQOL-Bref questionnaire was used to assess quality of life. Poisson's Regression was used to verify associations between variables and LPQoL, stratifying the sample into food secure (FS) and food insecure (FI) groups. In the FI group, being overweight, older adult, having no partner, drinking alcoholic beverages twice a week or more, and not having daily availability of water were associated with LPQoL, and in the FS group, having diabetes, monthly family income in the 1st and 2nd tertiles, and never having studied was associated with LPQoL. Reporting emotional disorders and sleeping < 7 h/day were associated with LPQoL in both FI and FS groups. LPQoL was associated with the occurrence of NCDs and risk factors, and emotional disorders, regardless of the food security measure. However, the lack of adequate access to water highlights the social vulnerability of the FI group.
了解个体对生活质量（QoL）的感知，可以帮助应对社会和健康不平等问题。我们旨在确定巴西纳塔尔市 295 名成年人和老年人中与低感知生活质量（LPQoL）相关的因素，这些成年人和老年人的食物安全和不安全。2019 年 6 月至 12 月期间进行了一项横断面研究，收集了社会经济人口统计学状况、生活方式信息、非传染性疾病（NCDs）和危险因素、情绪障碍、食物（不）安全和生活质量的数据。为了评估食物不安全，使用了巴西食物不安全量表-EBIA，使用 WHOQOL-Bref 问卷评估生活质量。使用泊松回归检验变量与 LPQoL 之间的关联，将样本分为食物安全（FS）和食物不安全（FI）组。在 FI 组中，超重、老年人、没有伴侣、每周饮酒两次或更多次以及没有每天可用的水与 LPQoL 相关，而在 FS 组中，患有糖尿病、每月家庭收入在第 1 和第 2 tertiles 以及从未接受过教育与 LPQoL 相关。报告情绪障碍和每天睡眠<7 小时与 FI 和 FS 组的 LPQoL 相关。无论食物安全措施如何，LPQoL 都与 NCDs 和危险因素以及情绪障碍的发生相关。然而，缺乏足够的用水机会突出了 FI 组的社会脆弱性。
