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退役军人食物不安全的流行状况及其社会经济决定因素:来自国家健康和营养检测调查的结果。

Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey.

机构信息

Department of Nutritional Sciences, University of Texas at Austin, Austin, TX78712, USA.

San Antonio GRECC, South Texas Veterans Health Care System, San Antonio, TX78229, USA.

出版信息

Public Health Nutr. 2023 Jul;26(7):1478-1487. doi: 10.1017/S1368980023000538. Epub 2023 Mar 13.

DOI:10.1017/S1368980023000538
PMID:36912105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10346074/
Abstract

OBJECTIVE

To determine predictors of the association between being a Veteran and adult food security, as well as to examine the relation of potential covariates to this relationship.

DESIGN

Data collected during 2011-2012, 2013-2014 and 2015-2016 National Health and Nutrition Examination Survey (NHANES) were pooled for analyses. Veterans (self-reported) were matched to non-Veterans on age, race/ethnicity, sex and education. Adjusted logistic regression was used to determine the odds of Veterans having high food security . the combination of marginal, low and very low food security compared with non-Veterans.

SETTING

2011-2012, 2013-2014 and 2015-2016 NHANES.

PARTICIPANTS

1227 Veterans; 2432 non-Veterans.

RESULTS

Veteran status had no effect on the proportion of food insecurities between Veterans and non-Veterans reporting high (Veterans . non-Veteran: 79 % . 80 %), marginal (9 % . 8 %), low (5 % . 6 %) and very low (8 % . 6 %) food security ( = 0·11). However, after controlling for covariates, Veterans tended to be less likely to have high food security (OR: 0·82 (95 % CI 0·66, 1·02), = 0·07). Further, non-Hispanic White Veterans (OR: 0·72 (95 % CI 0·55, 0·95), = 0·02) and Veterans completing some college (OR: 0·71 (95 % CI 0·50, 0·99), < 0·05) were significantly less likely to experience high food security compared with non-Veterans.

CONCLUSION

This study supports previous research findings that after controlling for covariates, Veterans tend to be less likely to have high food security. It also highlights ethnicity and level of education as important socio-economic determinates of food security status in Veterans.

摘要

目的

确定退伍军人与成人粮食安全之间关联的预测因素,并研究潜在协变量与这种关系的关系。

设计

对 2011-2012 年、2013-2014 年和 2015-2016 年全国健康与营养调查(NHANES)收集的数据进行了汇总分析。退伍军人(自我报告)按年龄、种族/民族、性别和教育程度与非退伍军人相匹配。采用调整后的逻辑回归来确定退伍军人拥有高粮食安全的可能性,以及与非退伍军人相比,退伍军人拥有高粮食安全的可能性。

设置

2011-2012 年、2013-2014 年和 2015-2016 年 NHANES。

参与者

1227 名退伍军人;2432 名非退伍军人。

结果

退伍军人身份对退伍军人和非退伍军人报告的高(退伍军人:79%,非退伍军人:80%)、边缘(9%,非退伍军人:8%)、低(5%,非退伍军人:6%)和极低(8%,非退伍军人:6%)粮食安全比例没有影响( = 0.11)。然而,在控制了协变量后,退伍军人不太可能拥有高粮食安全(OR:0.82(95%CI 0.66, 1.02), = 0.07)。此外,非西班牙裔白人退伍军人(OR:0.72(95%CI 0.55, 0.95), = 0.02)和完成一些大学学业的退伍军人(OR:0.71(95%CI 0.50, 0.99), < 0.05)与非退伍军人相比,不太可能经历高粮食安全。

结论

本研究支持先前的研究结果,即在控制了协变量后,退伍军人往往不太可能拥有高粮食安全。它还强调了种族和教育程度是退伍军人粮食安全状况的重要社会经济决定因素。

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Food insecurity is associated with multiple chronic conditions and physical health status among older US adults.在美国老年人中,粮食不安全与多种慢性疾病及身体健康状况相关。
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Food insecurity, health care utilization, and health care expenditures.食品安全,医疗保健利用率和医疗保健支出。
Health Serv Res. 2020 Oct;55 Suppl 2(Suppl 2):883-893. doi: 10.1111/1475-6773.13283. Epub 2020 Mar 18.
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Food insecurity and mental health: a systematic review and meta-analysis.食物不安全与心理健康:系统评价和荟萃分析。
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Food Insecurity among Veterans: Findings from the Health and Retirement Study.退伍军人的粮食不安全状况:来自健康与退休研究的数据。
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