美国医学学生的粮食安全问题
Bassel M Shanab1, Pavan Khosla1, Nour M Hammad2
1Yale University School of Medicine, New Haven, Connecticut.
JAMA network open
|August 29, 2025
概括
粮食不安全影响了超过21%的美国医学学生, 在种族/民族群体和经济负担较大的群体之间存在差异,
科学领域:
- 医学教育
- 公共卫生
- 健康的社会经济决定因素
背景情况:
- 粮食不安全影响了近13.5%的美国家庭,这一比例因COVID-19大流行而加剧.
- 医学学生中粮食不安全的普遍性和促成因素在很大程度上未被描述, 阻碍了有针对性的支持.
- 解决基本需求对于医学学生的福祉和学术成功至关重要.
研究的目的:
- 确定美国全方位医学学生中粮食不安全的普遍性.
- 确定与粮食不安全相关的社会人口因素.
- 为制定有针对性的干预和支持系统提供信息.
主要方法:
- 美国8所医学院对1834名医学学生进行了横截面调查.
- 美国农业部的成人粮食安全调查模块被用来评估粮食不安全.
- 单变量和多变量回归分析确定了粮食不安全与人口因素之间的联系.
主要成果:
- 医学学生的粮食不安全总体患病率为21.2%,远高于全国平均水平.
- 在黑人,东南亚,中东/北非和西班牙裔/拉丁裔学生中发现差异.
- 学生在医学 (URiM) 背景不足,佩尔奖学金获得者,以及那些债务较高或依赖的人面临粮食不安全的可能性增加.
结论:
- 医学生的粮食不安全率几乎是全国平均水平的两倍, 这凸显了医学教育的一个关键问题.
- 在不同学生群体中存在粮食不安全的严重差异,强调需要公平的支持.
- 迫切需要机构和政策层面的干预措施来满足医学学生的基本需求,并确保未来的医生劳动力.
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