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一项横断面研究:探究社交隔离在美国中西部农村退伍军人粮食不安全、抑郁症状和资源利用之间关系中的作用

A Cross-Sectional Study Exploring the Role of Social Isolation in the Relationship Between Food Insecurity, Depressive Symptoms, and Resource Use Among Midwestern Rural Veterans in the U.S.

作者信息

Uwashimimana Mwiza A, MacDermid Wadsworth Shelley, Sneddon Douglas A, Newton Jake, Eicher-Miller Heather A

机构信息

Department of Nutrition Science, Purdue University, West Lafayette, IN 47907, USA.

Department of Human Development and Family Science, Purdue University, West Lafayette, IN 47906, USA.

出版信息

Nutrients. 2025 Jan 16;17(2):318. doi: 10.3390/nu17020318.

DOI:10.3390/nu17020318
PMID:39861448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11769182/
Abstract

BACKGROUND/OBJECTIVES: The study's objective was to determine whether social isolation serves as a mediator in the cross-sectional relationship between food insecurity, both as a short-term and longer-term situation, with resource use and depressive symptoms as outcomes.

METHODS

This cross-sectional design study utilized secondary survey data, including 30-day and 12-month food security measured by the U.S. Household Food Security Survey Module. The Baron-Kenny mediation approach was used to determine whether social isolation mediated the relationship between food security, depressive symptoms, and resource use ( ≤ 0.05).

RESULTS

Social isolation mediates the association between both 30-day and 12-month food security with depressive symptoms but not resource use.

CONCLUSIONS

Acknowledging and targeting social isolation, policies, and interventions that integrate peer support and community outreach to promote food security could support rural veterans food security and mental health.

摘要

背景/目的:本研究的目的是确定社会孤立是否在粮食不安全(包括短期和长期情况)与以资源使用和抑郁症状为结果的横断面关系中起中介作用。

方法

这项横断面设计研究利用了二次调查数据,包括通过美国家庭粮食安全调查模块测量的30天和12个月的粮食安全情况。采用Baron-Kenny中介方法来确定社会孤立是否介导了粮食安全、抑郁症状和资源使用之间的关系(≤0.05)。

结果

社会孤立介导了30天和12个月粮食安全与抑郁症状之间的关联,但未介导与资源使用的关联。

结论

认识到社会孤立并将其作为目标,整合同伴支持和社区外展以促进粮食安全的政策和干预措施可以支持农村退伍军人的粮食安全和心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11769182/6fe35d8c5932/nutrients-17-00318-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11769182/24c8bc91d0e6/nutrients-17-00318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11769182/6fe35d8c5932/nutrients-17-00318-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11769182/24c8bc91d0e6/nutrients-17-00318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8e/11769182/6fe35d8c5932/nutrients-17-00318-g002.jpg

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本文引用的文献

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Social Isolation, Loneliness, and Quality of Life Among Food-Insecure Adults.食物不安全成年人的社会隔离、孤独感和生活质量。
Am J Prev Med. 2024 Jul;67(1):120-123. doi: 10.1016/j.amepre.2024.02.001. Epub 2024 Feb 7.
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
The relationship among social support, food insecurity and mental health for adults with severe mental illness and type 2 diabetes: A survey study.
重度精神疾病和2型糖尿病成年患者的社会支持、粮食不安全与心理健康之间的关系:一项调查研究。
Psychiatr Rehabil J. 2022 Sep;45(3):212-218. doi: 10.1037/prj0000525. Epub 2022 May 5.
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Social isolation and well-being in veterans with mental illness.患有精神疾病退伍军人的社会隔离与幸福感
J Ment Health. 2023 Apr;32(2):407-411. doi: 10.1080/09638237.2021.2022625. Epub 2022 Jan 10.
5
Grit is associated with decreased mental health help-seeking among student veterans.坚毅与退伍学生心理健康求助减少有关。
J Am Coll Health. 2023 Oct;71(7):2025-2030. doi: 10.1080/07448481.2021.1953034. Epub 2021 Jul 27.
6
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.
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Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis.美国老年人的社会脱节、感知孤独以及抑郁和焦虑症状(NSHAP):纵向中介分析。
Lancet Public Health. 2020 Jan;5(1):e62-e70. doi: 10.1016/S2468-2667(19)30230-0.
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The Local Food Environment and Food Security: The Health Behavior Role of Social Capital.本地食品环境与食品安全:社会资本的健康行为作用。
Int J Environ Res Public Health. 2019 Dec 11;16(24):5045. doi: 10.3390/ijerph16245045.
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Reaching rural veterans: a new mechanism to connect rural, low-income US Veterans with resources and improve food security.触达农村退伍军人:一种新机制,旨在将农村、低收入美国退伍军人与资源联系起来,改善粮食安全。
J Public Health (Oxf). 2019 Dec 20;41(4):714-723. doi: 10.1093/pubmed/fdy203.
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Does social support modify the relationship between food insecurity and poor mental health? Evidence from thirty-nine sub-Saharan African countries.社会支持是否能调节食物不安全与心理健康不良之间的关系?来自撒哈拉以南非洲 39 个国家的证据。
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