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识别农村退伍军人粮食不安全的高脆弱性领域。

Identifying Areas of High Vulnerability for Rural Veteran Food Insecurity.

机构信息

University of Michigan, Ann Arbor, MI, USA.

VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

出版信息

J Prim Care Community Health. 2024 Jan-Dec;15:21501319241277411. doi: 10.1177/21501319241277411.

DOI:10.1177/21501319241277411
PMID:39579118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11585920/
Abstract

INTRODUCTION/OBJECTIVES: Americans, including veterans, living in rural areas experience higher rates of food insecurity than the general population in the United States, but rural veteran food insecurity remains an understudied subject. Due to a lack of data on the subject, this project aimed to use geographic information systems (GIS) mapping of proxy variables for rural veteran food insecurity in order to identify areas of high vulnerability where future research could be targeted.

METHODS

Key factors which may indicate vulnerability to rural veteran food insecurity were identified in a review of the literature. These factors were mapped in ArcGIS Pro, including veteran population, community health, county rurality, and locations of food deserts.

RESULTS

After areas were identified that met search criteria, 3 sites were identified which serve a highly rural patient population and whose population has the highest vulnerability to rural veteran food insecurity based on search criteria.

CONCLUSIONS

This project demonstrates how GIS mapping can be used to identify regions in the United States at high vulnerability for rural veteran food insecurity. Findings from this project will be used by the project team to develop interventions for rural veteran food insecurity which can be implemented at the local or national level.

摘要

简介/目标:居住在农村地区的美国人,包括退伍军人,其粮食不安全发生率高于美国的一般人群,但农村退伍军人粮食不安全问题仍然是一个研究不足的课题。由于缺乏关于这一主题的数据,本项目旨在使用地理信息系统(GIS)对农村退伍军人粮食不安全的替代变量进行映射,以确定未来研究可以针对的高脆弱性地区。

方法

在文献综述中确定了可能表明农村退伍军人粮食不安全脆弱性的关键因素。这些因素在 ArcGIS Pro 中进行了映射,包括退伍军人人口、社区健康、县农村状况以及食物荒漠的位置。

结果

在确定符合搜索标准的区域后,根据搜索标准,确定了 3 个服务于高度农村患者人群且其人口对农村退伍军人粮食不安全最脆弱的地点。

结论

本项目展示了如何使用 GIS 映射来识别美国农村退伍军人粮食不安全高脆弱性地区。该项目团队将使用本项目的研究结果制定针对农村退伍军人粮食不安全的干预措施,这些措施可以在地方或国家层面实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/00c74c0f440a/10.1177_21501319241277411-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/bbc11bf66a65/10.1177_21501319241277411-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/aab78f077b6b/10.1177_21501319241277411-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/64c91dab5b0c/10.1177_21501319241277411-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/ec7698fc27b6/10.1177_21501319241277411-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/041859b9f8d2/10.1177_21501319241277411-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/e5a04a9e7c06/10.1177_21501319241277411-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/00c74c0f440a/10.1177_21501319241277411-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/bbc11bf66a65/10.1177_21501319241277411-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/aab78f077b6b/10.1177_21501319241277411-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/64c91dab5b0c/10.1177_21501319241277411-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/ec7698fc27b6/10.1177_21501319241277411-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/041859b9f8d2/10.1177_21501319241277411-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/e5a04a9e7c06/10.1177_21501319241277411-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5e/11585920/00c74c0f440a/10.1177_21501319241277411-fig7.jpg

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本文引用的文献

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Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans.食物不安全与自杀意念:一项全国性退伍军人纵向研究的结果。
Arch Suicide Res. 2024 Apr-Jun;28(2):644-659. doi: 10.1080/13811118.2023.2200795. Epub 2023 May 10.
2
Grit but Not Help-Seeking Was Associated with Food Insecurity among Low Income, At-Risk Rural Veterans.坚韧不拔而非寻求帮助与低收入、处于风险中的农村退伍军人的粮食不安全有关。
Int J Environ Res Public Health. 2023 Jan 31;20(3):2500. doi: 10.3390/ijerph20032500.
3
Participatory mapping to address neighborhood level data deficiencies for food security assessment in Southeastern Virginia, USA.
参与式绘图法解决美国弗吉尼亚州东南部邻里级粮食安全评估数据不足的问题。
Int J Health Geogr. 2022 Nov 7;21(1):17. doi: 10.1186/s12942-022-00314-3.
4
Social work and telehealth: How Patient Aligned Care Team (PACT) social workers in the Veterans Health Administration responded to COVID-19.社会工作和远程医疗:退伍军人健康管理局的患者一致护理团队(PACT)社会工作者如何应对 COVID-19。
Soc Work Health Care. 2021;60(2):131-145. doi: 10.1080/00981389.2021.1904320. Epub 2021 Apr 7.
5
Risk for depression and suicidal ideation among food insecure US veterans: data from the National Health and Nutrition Examination Study.食物不安全的美国退伍军人中抑郁和自杀意念的风险:来自国家健康和营养检查研究的数据。
Soc Psychiatry Psychiatr Epidemiol. 2021 Dec;56(12):2175-2184. doi: 10.1007/s00127-021-02071-3. Epub 2021 Mar 26.
6
Prevalence and Risk Factors for Food Insecurity Among Low-Income US Military Veterans.美国低收入退伍军人食物不安全的流行率及风险因素。
Public Health Rep. 2021 Sep-Oct;136(5):618-625. doi: 10.1177/0033354920974662. Epub 2021 Jan 21.
7
Food insecurity: Comparing odds between working-age veterans and nonveterans with children.食物不安全:比较有子女的工作年龄退伍军人和非退伍军人之间的几率。
Nurs Outlook. 2021 Mar-Apr;69(2):212-220. doi: 10.1016/j.outlook.2020.08.011. Epub 2020 Oct 16.
8
Rural SNAP Participants and Food Insecurity: How Can Communities Leverage Resources to Meet the Growing Food Insecurity Status of Rural and Low-Income Residents?农村 SNAP 参与者与粮食不安全:社区如何利用资源来应对农村和低收入居民日益严重的粮食不安全状况?
Int J Environ Res Public Health. 2020 Aug 19;17(17):6037. doi: 10.3390/ijerph17176037.
9
Access to Care and Health Outcomes Among Women Veterans Using Veterans Administration Health Care: Association With Food Insufficiency.女性退伍军人利用退伍军人事务部医疗保健获取医疗服务和健康结果:与食物不足的关联。
Womens Health Issues. 2018 May-Jun;28(3):267-272. doi: 10.1016/j.whi.2018.01.002. Epub 2018 Feb 21.
10
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。
J Nutr Health Aging. 2017;21(10):1358-1364. doi: 10.1007/s12603-017-0910-7.