Mokari-Yamchi Amin, Faghfouri Amir Hossein, Gholami Samira, Nattagh-Eshtivani Elyas, Gheibi Shahsanam
Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Department of Nutrition, Food Sciences and Clinical Biochemistry, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Science, Gonabad, Iran.
Front Public Health. 2024 Jul 17;12:1387638. doi: 10.3389/fpubh.2024.1387638. eCollection 2024.
The objective is to determine the prevalence of household food insecurity (HFI) based on sociodemographic factors and their relationship to obesity in youth.
The study included a sample of 1,962 youth (aged 6-18) from the National Health and Nutrition Examination Survey (NHANES). The US Household Food Security Survey Module is used to measure food security over the past 12 months. Logistic regression models were used to estimate adjusted odds ratios (ORs) while controlling for covariates.
In total, 27.4% of the individuals surveyed experienced HFI. Youth from food insecure households were more likely to be obese (adjusted odds ratio [aOR]: 1.59 [95% confidence interval: 1.19-2.13]) and also having abdominal obesity (aOR: 1.56 [95% CI: 1.19-2.03]). however, factors such as non-Hispanic ethnicity, having a Head of household with a college degree, and households with an income exceeding 350% of the poverty line were associated with a reduced risk of facing HFI.
Hispanic individuals, households with lower parental education levels, and lower family incomes, are disproportionately affected by food insecurity. Furthermore, HFI has been associated with an increased risk of overweight and abdominal obesity among youth. Addressing FI requires targeted policies and interventions that prioritize vulnerable groups.
目的是根据社会人口学因素确定家庭粮食不安全（HFI）的患病率及其与青少年肥胖的关系。
该研究纳入了来自国家健康与营养检查调查（NHANES）的1962名青少年（6至18岁）样本。美国家庭粮食安全调查模块用于衡量过去12个月的粮食安全状况。在控制协变量的同时，使用逻辑回归模型估计调整后的优势比（OR）。
总共27.4%的受调查个体经历了家庭粮食不安全。来自粮食不安全家庭的青少年更有可能肥胖（调整后的优势比[aOR]：1.59[95%置信区间：1.19 - 2.13]），并且也有腹部肥胖（aOR：1.56[95%CI：1.19 - 2.03]）。然而，诸如非西班牙裔种族、户主拥有大学学位以及收入超过贫困线350%的家庭等因素与面临家庭粮食不安全的风险降低有关。
西班牙裔个体、父母教育水平较低的家庭以及家庭收入较低的家庭，受粮食不安全的影响尤为严重。此外，家庭粮食不安全与青少年超重和腹部肥胖风险增加有关。解决粮食不安全问题需要有针对性的政策和干预措施，优先考虑弱势群体。
