在美国成年人中,粮食不安全和其他社会风险因素之间的联系
Nasser Sharareh1, Taiwo P Adesoba2, Andrea S Wallace3,4
1Department of Population Health Sciences, Spence Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA. nasser.sharareh@hsc.utah.edu.
Journal of general internal medicine
|August 9, 2023
概括
粮食不安全与其他社会风险有关,特别是在高收入人群中. 了解这些关联对于开发有针对性的干预和支持计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 健康差异 在健康上的差异
背景情况:
- 粮食不安全 (FI) 经常与其他社会风险因素同时发生,使干预工作复杂化.
- 跨收入水平和流行病时期的FI与其他社会风险之间的关系尚不清楚.
研究的目的:
- 检查粮食不安全和其他社会风险因素之间的关联.
- 分析不同收入与贫困比率之间的这些关联.
- 为了比较COVID-19大流行之前 (2019) 和期间 (2020-2021) 的协会.
主要方法:
- 使用来自2019-2021年国家健康访谈调查 (NHIS) 的全国代表性数据进行横截面分析.
- 包括社会风险因素:难以支付医疗费用/药品,收入/租金援助和失业.
- 分析了93,047名成年人 (≥18岁) 的数据.
主要成果:
- 大多数社会风险因素与FI的更高几率有关,即使对收入和教育进行了调整.
- 在高收入人群中,FI与其他社会风险的关联性更强,可能是由于安全网的资格不足.
- 疫情前和疫情期间的协会保持相似,可能是由于与疫情相关的社会支持计划.
结论:
- 需要进一步研究社会安全网计划如何影响社会风险因素之间的联系.
- 鉴于粮食和住房成本上升,疫情后对FI的监测至关重要.
- 研究结果建议扩大基于收入的计划资格和对所有患者的社会风险查.
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