Nelson Eva, Hicks Jacqueline Milton, Keung Lok Hang Kristina, Rhoads Elizabeth, Mascary Jemima, Greece Jacey A
Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave. 4th Floor, Boston, MA 02118, USA.
Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Ave. 3rd Floor, Boston, MA 02118, USA.
Nutrients. 2024 Dec 31;17(1):154. doi: 10.3390/nu17010154.
BACKGROUND/OBJECTIVES: This paper examines hunger over time to analyze how food insecurity is impacted by reduced income, including household funding from the government. Federal policies and community-based programs have the ability to prevent increases in food insecurity, particularly for populations that have risk factors, such as households with children; single-parent households; low-income households, especially those in rural areas; Black and Hispanic households; and, households experiencing economic hardships.
This study is bas ed on a cross-sectional survey that was administered in 2018 and 2019 to food pantry clients, an already food insecure population accessing resources, in Eastern Massachusetts. Baseline surveys were matched with a 3-month follow-up survey ( = 308) and multinomial logistic mixed effect models were used to analyze the association between change in household hunger and change in household income.
This study found that participants who experienced decreased income compared to no income change from baseline to follow-up had 2.16 times the odds (95% CI: 1.05, 4.46) of experiencing increased household hunger compared to no change in hunger from baseline to follow-up, after adjusting for all other covariates.
Food insecurity in the United States remained stable during the beginning of COVID-19, despite prevalence of reduced household income. The expanded government benefits that were implemented early in the pandemic contributed to total household income, which prevented increased food insecurity. Increased food insecurity after the removal of benefits starting in 2022 indicates the importance of continuing support established during times when consistent income is compromised to prevent a delayed rise in food insecurity.
背景/目的:本文通过长期研究饥饿问题,分析收入减少(包括政府提供的家庭资助)如何影响粮食不安全状况。联邦政策和社区项目有能力预防粮食不安全状况加剧,特别是对于那些具有风险因素的人群,如育有子女的家庭;单亲家庭;低收入家庭,尤其是农村地区的低收入家庭;黑人和西班牙裔家庭;以及经历经济困难的家庭。
本研究基于2018年和2019年对马萨诸塞州东部食品救济站客户进行的横断面调查,这些客户本身就是粮食不安全人群,正在获取相关资源。基线调查与为期3个月的随访调查相匹配(n = 308),并使用多项逻辑混合效应模型分析家庭饥饿变化与家庭收入变化之间的关联。
本研究发现,与基线到随访期间收入无变化的参与者相比,收入减少的参与者在调整所有其他协变量后,家庭饥饿加剧的几率是基线到随访期间饥饿无变化参与者的2.16倍(95%置信区间:1.05,4.46)。
在新冠疫情初期,尽管家庭收入普遍减少,但美国的粮食不安全状况保持稳定。疫情早期实施的政府福利扩大措施增加了家庭总收入,从而防止了粮食不安全状况加剧。2022年福利取消后粮食不安全状况加剧,这表明在收入持续受损期间持续提供支持对于防止粮食不安全状况延迟加剧的重要性。