Department of Nursing, University of Southern California, Suzanne Dworak-Peck School of Social Work, Texas Women's University, 1150 South Olive Street, Suite T1100, Los Angeles, CA 90015, USA.
Texas Woman's University, T. Boone Pickens Institute of Health Sciences, College of Nursing, 5500 Southwestern Medical Avenue, Dallas, TX 75235, USA.
Nurs Clin North Am. 2022 Sep;57(3):461-475. doi: 10.1016/j.cnur.2022.04.012. Epub 2022 Jul 20.
The impact of social determinants of health (SDOH) is understudied and until recently not a focal point in nursing education. The new Essentials coupled with the impact of the coronavirus (COVID-19) pandemic deem it necessary to address the intersection of SDOH and population health. The impact of COVID 19 disproportionately affects Black and Hispanic families. Couple the disproportionate numbers of COVID 19 among these groups with the growing incidence of food insecurity, and there is a need to explore intersecting links. Emerging research link the lack of social support systems and loneliness to food insecurity. In alignment with addressing competency-based education, it is critical to assess factors such as social support systems and loneliness and the intersection of its effects on such determinants as food insecurity. The article provides an overview for its readers in examining the incidence of food insecurity in older ethnic minority women along with postulated social attributes as contributing factors to the growth rates of food insecurity. The incidence of food insecurity among older ethnic minority women has grown exponentially amid the pandemic. The authors illustrate the role nurses can play in addressing primary, secondary, and tertiary interventions using Neuman's Theory. The intervention pathways are delineated through the lens of nursing theoretic framework created by Betty Neuman Systems Model.
健康的社会决定因素（SDOH）的影响研究不足，直到最近才成为护理教育的重点。新的基本要素加上冠状病毒（COVID-19）大流行的影响，使得有必要解决社会决定因素和人口健康的交叉问题。COVID-19 的影响不成比例地影响着黑人和西班牙裔家庭。将这些群体中 COVID-19 的不成比例数量与粮食不安全的发生率不断增加相结合，就需要探索交叉联系。新出现的研究将缺乏社会支持系统和孤独感与粮食不安全联系起来。为了与基于能力的教育保持一致，评估社会支持系统和孤独感等因素以及它们对粮食不安全等决定因素的影响的相互作用至关重要。本文为读者提供了一个概述，以检查在大流行期间，老年少数族裔妇女粮食不安全的发生率以及假定的社会属性作为粮食不安全增长率的促成因素。在大流行期间，老年少数族裔妇女的粮食不安全发生率呈指数级增长。作者通过纽曼理论展示了护士在解决初级、二级和三级干预方面可以发挥的作用。干预途径是通过贝蒂·纽曼系统模型创建的护理理论框架的视角来描述的。
