Fernandez-Perez Merari, Aparco Juan Pablo, Alarco J Jhonnel
Disability Epidemiology Research Group, Universidad Científica del Sur, Lima, Perú.
Centro Nacional de Alimentación Nutrición y Vida Saludable, Instituto Nacional de Salud, Lima, Perú.
Cad Saude Publica. 2024 Aug 19;40(8):e00208723. doi: 10.1590/0102-311XES208723. eCollection 2024.
This study investigated the association between head of household disability and the severity of food insecurity in Colombian households during 2017. A secondary data analysis was conducted based on 2017 Colombian National Quality of Life Survey (ECV 2017). As the independent variable, disability was assessed using questions from the Washington group, whereas the dependent variable - food insecurity - was measured by the Latin American and Caribbean Food Security Scale (ELCSA). Sociodemographic confounding variables and variables related to food insecurity were included. Association was analyzed by ordinal logistic regression, and the odds ratio (OR) was estimated with its 95% confidence intervals (95%CI). All calculations considered the complex sampling of ECV 2017. Data from 8,488 heads of household were included. A total of 9.2% of the participants had some type of disability and 41.8% reported some level of household food insecurity. Households with a head of household with some disability were 30% more likely to develop severe food insecurity compared with households with a head of household without disabilities (OR = 1.30; 95%CI: 1.07-1.59), adjusted for multiple confounding variables. In 2017, Colombian households with heads of household with disabilities were more likely to develop severe food insecurity. It is essential to implement nutritional assistance programs aimed at vulnerable populations, such as people with disabilities.
本研究调查了2017年哥伦比亚家庭中户主残疾与粮食不安全严重程度之间的关联。基于2017年哥伦比亚全国生活质量调查(ECV 2017)进行了二次数据分析。作为自变量,残疾状况使用华盛顿小组的问题进行评估,而因变量——粮食不安全——则通过拉丁美洲和加勒比粮食安全量表(ELCSA)来衡量。纳入了社会人口学混杂变量以及与粮食不安全相关的变量。通过有序逻辑回归分析关联,并估计优势比(OR)及其95%置信区间(95%CI)。所有计算均考虑了ECV 2017的复杂抽样。纳入了来自8488名户主的数据。共有9.2%的参与者患有某种类型的残疾,41.8%的人报告存在一定程度的家庭粮食不安全。与户主无残疾的家庭相比,户主有某种残疾的家庭出现严重粮食不安全的可能性高30%(OR = 1.30;95%CI:1.07 - 1.59),对多个混杂变量进行了调整。2017年,哥伦比亚有残疾户主的家庭更有可能出现严重粮食不安全。实施针对弱势群体(如残疾人)的营养援助计划至关重要。