美国儿童的慢性疾病和粮食不安全
Nina E Hill1,2,3, Deepak Palakshappa4,5,6, Kao-Ping Chua1,7
1Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, Ann Arbor.
JAMA network open
|September 26, 2025
概括
患有慢性疾病的儿童面临更高的粮食不安全率. 即使考虑到人口统计数据,这种差异仍然存在,这凸显了针对弱势儿童提供有针对性的支持和查的必要性.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 营养 公共卫生 营养
- 健康差异 在健康上的差异
背景情况:
- 粮食不安全是一个重要的公共卫生问题,与不利的儿童健康结果有关.
- 关于粮食不安全患病率的最新国家数据有限,比较了患有和没有慢性疾病的儿童.
研究的目的:
- 为了比较2至17岁的有或没有特定慢性疾病的儿童中粮食不安全的患病率.
- 评估人口因素对这种差异的影响.
主要方法:
- 对2019-2023年国家健康访谈调查 (NHIS) 数据的横截面分析.
- 包括7种慢性疾病:喘,多动症,自闭症,发育迟缓,智力障碍,学习障碍和糖尿病/糖尿病前期.
- 对家庭和儿童特征进行控制的物流回归模型.
主要成果:
- 超过6300万儿童的加权样本;14.8%的慢性疾病患者经历了粮食不安全,而没有的儿童则为9.0%.
- 在控制人口统计数据 (2.6个百分点的差异) 之后,这种差异仍然存在.
- 粮食不安全患病率波动,两组人群在2023年均出现增长.
结论:
- 患有慢性疾病的儿童更有可能出现粮食不安全.
- 人口统计因素部分解释了这一关联,但并没有消除它.
- 建议对患有慢性疾病的儿童优先进行查和参加缓解计划.
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