粮食和住房不安全,COVID-19大流行对健康相关活动的影响,以及对肥胖儿童的照顾计划
Kelsey A Egan1, Jennifer G Fiore2, Man Luo3
1Division of Health Services Research (KA Egan and WG Adams), Department of Pediatrics, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Mass.
Academic pediatrics
|November 3, 2024
概括
粮食不安全和住房不安全与COVID-19大流行期间超重或肥胖儿童的睡眠和户外时间减少有关. 解决这些社会决定因素是儿科体重管理的关键.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 公共卫生 公共卫生
背景情况:
- 粮食不安全 (FI) 和住房不安全 (HI) 是健康的关键社会决定因素.
- COVID-19 流行病加剧了现有的健康差异,特别是在超重或肥胖儿童中.
- 了解FI,HI和健康相关活动的相互作用对于有效的儿科体重管理至关重要.
研究的目的:
- 调查粮食不安全 (FI) 和住房不安全 (HI) 风险之间的关联.
- 检查COVID-19大流行对超重或肥胖儿童健康相关活动的影响.
- 在儿科体重管理方面确定护理人员和临床医生的挑战和优先事项.
主要方法:
- 在两个学术医疗中心对344名护理人员和100名儿科临床医生进行了调查.
- 多变量后勤回归模型分析了FI,HI和与健康相关的活动之间的关联.
- 描述性统计总结了护理人员和临床医生的关于儿科体重管理的观点.
主要成果:
- 37%的护理人员报告了粮食和住房不安全 (FI+HI).
- 结合FI+HI显著与儿童睡眠时间减少 (aOR 2.96) 和外出时间减少 (aOR 2.10) 的几率增加有关.
- 儿科体重管理的首要任务包括身体活动和进入户外空间.
结论:
- 双重的粮食和住房不安全 (FI+HI) 在疫情期间对儿童的睡眠和户外活动产生了负面影响.
- 儿科体重管理策略必须整合家庭的社会背景,并应对护理人员/临床医生识别的挑战.
- 未来的护理计划应该适应家庭面临的社会现实.
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