在LGBQ+退伍军人中粮食不安全
Sylvia V Haigh1, Christopher W Halladay1, Michael R Kauth2,3
1Transformative Health Systems Research to Improve Veteran Equity and Independence Center of Innovation, Veterans Affairs Providence Healthcare System, Providence, Rhode Island.
JAMA network open
|November 4, 2024
概括
女同性恋,男同性恋,双性恋,酷尔及类似 (LGBQ+) 退伍军人和那些性取向不明的退伍军人经历粮食不安全的可能性是两倍. 这凸显了针对这个脆弱的退伍军人群体进行有针对性的干预的需要.
科学领域:
- 退伍军人 卫生管理研究 退伍军人卫生管理研究
- 公共卫生和流行病学.
- 健康的社会决定因素
背景情况:
- 粮食不安全与不良健康结果有关,但在女同性恋,男同性恋,双性恋,酷尔等 (LGBQ+) 退伍军人中,粮食不安全的流行程度未得到充分研究.
- LGBQ+个体面临着独特的社会障碍和医疗并发症,这可能会增加对粮食不安全的脆弱性.
研究的目的:
- 调查LGBQ+退伍军人中粮食不安全的流行情况.
- 与异性恋退伍军人相比,在LGBQ+退伍军人中确定与粮食不安全相关的社会人口统计学,临床和心理社会风险因素.
主要方法:
- 一项回顾性,横截面研究分析了来自美国退伍军人卫生管理局 (VHA) 设施的行政数据.
- 包括2021年3月至2023年8月期间接受食品不安全查的退伍军人.
- 在LGBQ+,异性恋和"不知道"的性取向群体中比较了粮食不安全的流行率和风险因素.
主要成果:
- 与异性恋退伍军人 (2.6%) 相比,LGBQ+退伍军人 (6.4%) 和那些回答"不知道"的人 (6.2%) 查食物不安全的可能性是异性恋退伍军人 (2.6%) 的两倍多.
- 虽然各组的风险因素相似,但LGBQ+退伍军人年龄较小,出生时分配的女性性别,少数种族/族群,未婚状态,低收入,无家可归,焦虑,抑郁,自杀倾向,PTSD,物质使用障碍,军事性创伤和亲密伴侣暴力的比例较高.
- 与异性恋退伍军人相比,在LGBQ+和"不知道"群体中,粮食不安全的患病率是异性恋退伍军人的2.5倍.
结论:
- 在LGBQ+退伍军人中,粮食不安全率显著上升.
- LGBQ+退伍军人面临更大的风险因素负担,包括无家可归和精神健康并发症.
- 有针对性的查和干预措施对于解决这个脆弱的退伍军人群体的粮食不安全问题至关重要.
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