美国的粮食不安全,过早死亡率和预期寿命
Hao Ma1, Xuan Wang1, Xiang Li1
1Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana.
JAMA internal medicine
|January 29, 2024
概括
粮食不安全与美国成年人过早死亡率增加和预期寿命缩短有关. 这些风险对妇女和白人成年人来说更高,强调需要改善人口健康的粮食安全.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 粮食不安全是众所周知的疾病和过早死亡的决定因素.
- 它对美国不同性别和种族/种族群体的死亡率的具体影响以前尚不清楚.
研究的目的:
- 检查不同程度的粮食安全与因任何原因过早死亡之间的关联.
- 研究美国不同人口群体的粮食安全和预期寿命之间的关系.
主要方法:
- 一项使用国家健康和营养检查调查 (1999-2018) 数据与国家死亡指数相关的队列研究.
- 用美国农业部成人食品安全调查模块来衡量粮食安全.
- 所有原因的过早死亡率 (80岁之前) 和预期寿命是主要结局.
主要成果:
- 与完全粮食安全相比,较低的粮食安全水平 (边际,低,非常低) 与提前死亡风险的增加显著相关.
- 边际,低或非常低的粮食安全的成年人在50岁时经历了预期寿命的缩短.
- 这些关联在女性和白人成年人中相比男性和黑人/西班牙裔成年人中分别更明显.
结论:
- 减少粮食安全是美国成年人过早死亡和寿命缩短的重要风险因素.
- 粮食不安全对死亡率和预期寿命的影响因性别和种族/民族群体而异.
- 改善粮食安全的干预措施对于改善人口健康和促进健康公平至关重要.
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