Department of Nutritional Sciences, Franklin Wilkins Building, King's College London, 150 Stamford Street, London, UK.
Department of Epidemiology and Health Systems, Center for Primary Care and Public Health (Unisante), University of Lausanne, Lausanne, Switzerland.
Public Health Nutr. 2024 Feb 26;27(1):e84. doi: 10.1017/S1368980024000570.
To explore relationships between disability, food insecurity (FI) and age and examine how socio-economic factors impact risk of FI among disabled people in working and older age.
Logistic regression models used to analyse the contribution of socio-economic factors to gaps in risk of FI for disabled people. In models stratified into working and older age groups, differences in risk of FI for disabled and non-disabled people were examined by employment, education and assets.
England, Wales and Northern Ireland, 2016 and 2018.
A representative sample of 6187 adults aged 16+, of whom 28 % were disabled, from the Food & You survey.
The gap in FI risk by disability status decreased as age increased. For ages 25-34 for disabled . non-disabled people, risk of FI was 31 % (95 % CI 21-41 %) . 10 % (8-12 %); at ages 45 to 54, it was 18 % (11-23 %) . 7 % (5-8 %), and at ages 75+, there was no gap in risk. Accounting for socio-economic variables halved the gap in risk among working ages. However, among working-age adults, FI among disabled people in full-time work was 15 % (11-20 %) compared with only 7 % (6-9 %) among non-disabled people in full-time work. Among older people, disabled people without savings were at higher risk of FI (5 % (3-7 %)) than non-disabled people without savings (2 % (1-3 %)) but having savings closed risk gap.
Socio-economic resources partially explain disparities in FI risk when disabled. Disparities remained for people in full-time work and among people without savings in older age.
探讨残疾、食物不安全（FI）与年龄之间的关系，并研究社会经济因素如何影响工作年龄和老年残疾人群体发生 FI 的风险。
使用逻辑回归模型分析社会经济因素对残疾人群体 FI 风险差距的贡献。在按工作年龄和老年分组的模型中，通过就业、教育和资产来检验残疾和非残疾人群体 FI 风险的差异。
英格兰、威尔士和北爱尔兰，2016 年和 2018 年。
来自 Food & You 调查的代表性样本，共有 6187 名年龄在 16 岁及以上的成年人，其中 28%为残疾人士。
残疾状况导致的 FI 风险差距随年龄增加而缩小。在 25-34 岁年龄段，残疾和非残疾人士的 FI 风险分别为 31%（95%CI 21-41%）和 10%（8-12%）；在 45-54 岁年龄段，残疾和非残疾人士的 FI 风险分别为 18%（11-23%）和 7%（5-8%）；在 75 岁及以上年龄段，残疾和非残疾人士的 FI 风险无显著差异。控制社会经济变量后，工作年龄段的风险差距缩小了一半。然而，在工作年龄段的成年人中，全职工作的残疾人士的 FI 风险为 15%（11-20%），而非残疾人士的 FI 风险仅为 7%（6-9%）。在老年人群体中，没有储蓄的残疾人士发生 FI 的风险更高（5%（3-7%）），而非残疾人士没有储蓄的 FI 风险为 2%（1-3%），但有储蓄的人群风险差距较小。
社会经济资源部分解释了残疾人群体 FI 风险的差异。在全职工作的人群和老年无储蓄人群中，这种差异仍然存在。
