美国 COVID-19 大流行期间慢性病患者食物不安全的相关因素。
Factors associated with food insecurity among the chronically ill population during the COVID-19 pandemic in the United States.
机构信息
School of Health Sciences, Oakland University, Rochester, MI, United States.
Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States.
出版信息
Front Public Health. 2023 Jul 7;11:1142603. doi: 10.3389/fpubh.2023.1142603. eCollection 2023.
INTRODUCTION
Little is known about food insecurity among Americans with chronic diseases, one of the vulnerable groups in health care. Factors influencing food insecurity among this population group are especially poorly understood.
METHODS
Using data from the COVID Impact Survey, this cross-sectional study sought to examine food insecurity among adults with chronic diseases in the United States and to identify factors associated with their risks for food insecurity during the COVID-19 pandemic.
RESULTS
Nearly 28% of the national and 32% of the regional samples from the COVID Impact Survey were at risk for food insecurity. The logistic regressions show that chronically ill US adults with one of the following characteristics have higher odds of being at risk for food insecurity: younger than 60 years, having financial stress, unemployed, having received food from a food pantry, without health insurance, having a household income lower than $100,000, and without a college degree.
DISCUSSION
Targeted policies and programs are warranted to address underlying determinants of food insecurity that adults with chronic illnesses experience.
简介
患有慢性病的美国人的粮食不安全问题鲜为人知，而他们是医疗保健领域中的一个弱势群体。影响这一人群粮食不安全的因素尤其知之甚少。
方法
本横断面研究使用来自 COVID 影响调查的数据，旨在检查美国患有慢性病的成年人的粮食不安全状况，并确定与他们在 COVID-19 大流行期间粮食不安全风险相关的因素。
结果
COVID 影响调查的全国样本和区域样本中，近 28%的人存在粮食不安全风险，32%的人存在粮食不安全风险。逻辑回归显示，具有以下特征的患有慢性病的美国成年人更有可能面临粮食不安全风险：年龄小于 60 岁、有经济压力、失业、从食品储藏室获得食物、没有医疗保险、家庭收入低于 100,000 美元、没有大学学历。
讨论
需要制定有针对性的政策和方案，以解决慢性病成年人所经历的粮食不安全的根本决定因素。
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