Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008
Household Food Insecurity Is Not Associated with Overall Diet Quality Among Pregnant Women in NHANES 1999-2008
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DOI：
10.1007/s10995-016-2058-1
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发表时间：
2016-11-01
影响因子：
2.3
通讯作者：
Laraia, Barbara A.
中科院分区：
文献类型：
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作者：
Gamba, Ryan;Leung, Cindy W.;Laraia, Barbara A.
分析家庭粮食安全状况与孕期饮食质量之间的关联。对1999年至2008年全国健康与营养检查调查中的孕妇进行横断面分析。在1158名拥有完整家庭粮食安全信息的孕妇中，我们分析了688名拥有完整饮食信息且家庭收入达到联邦贫困线（FPL）300%的女性。饮食质量通过妊娠期改良替代健康饮食指数 (AHEI-P) 来衡量 1 至 2 次 24 小时饮食回顾。采用多元线性和逻辑回归模型来评估家庭粮食安全状况与 AHEI-P 之间的关联，并根据年龄、出生、婚姻状况、种族/民族、教育和家庭收入进行调整。在家庭收入占 FPL 300% 的女性中，19% 的妇女粮食不安全，4% 的妇女粮食安全程度较低。平均 AHEI-P 评分为 41.9 (95% CI 40.4, 43.3)。家庭粮食不安全与整体饮食质量无关。然而，与食品安全家庭相比，生活在食品不安全的家庭中，样本中食品安全女性的钙成分得分高于钙摄入量中位数的几率高出 2.3 (1.3, 4.1)。 在全国代表性的孕妇样本中，80% 的孕妇生活在完全食品安全的家庭中。改善怀孕期间的家庭粮食安全是改善健康结果的公共卫生机会；然而，家庭粮食安全状况可能与整体饮食质量无关。
Analyze the association between household food security status and diet quality during pregnancy.Cross-sectional analysis of pregnant women from the National Health and Nutrition Examination Survey from 1999 to 2008. Of the 1158 pregnant women with complete household food security information, we analyzed 688 women who had complete dietary information and household incomes aecurrency sign300 % of the Federal Poverty Level (FPL). Diet quality was measured by the Alternate Healthy Eating Index modified for Pregnancy (AHEI-P) from 1 to 2 24 h dietary recalls. Multivariate linear and logistic regression models were implemented to assess the association between household food security status and AHEI-P, adjusting for age, nativity, marital status, race/ethnicity, education, and household income.Among women with household incomes aecurrency sign300 % of the FPL, 19 % were food insecure and 4 % were marginally food secure. The mean AHEI-P score was 41.9 (95 % CI 40.4, 43.3). Household food insecurity was not associated with overall diet quality. However, living in a food insecure household compared to a food secure household was associated with a 2.3 (1.3, 4.1) greater odds of having a calcium component score greater than the median intake of calcium scores among food secure women in the sample.In a nationally representative sample of pregnant women, 80 % lived in a fully food secure household. Improving household food security during pregnancy is a public health opportunity to improve health outcomes; however household food security status may not be associated with overall diet quality.