High Food Insecurity and Its Correlates Among Families Living on a Rural American Indian Reservation
High Food Insecurity and Its Correlates Among Families Living on a Rural American Indian Reservation
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DOI：
10.2105/ajph.2011.300522
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发表时间：
2012-07-01
影响因子：
12.7
通讯作者：
Story, Mary
中科院分区：
文献类型：
--
作者：
Bauer, Katherine W.;Widome, Rachel;Story, Mary
目标.我们试图更好地了解美国印第安家庭与幼儿之间的粮食不安全的流行和后果。参加“光明开端”研究的10岁儿童的父母或照顾者（n = 432），他们住在南达科他州的松岭保留区，完成了一份关于他们孩子饮食摄入、家庭食物环境和食物安全的问卷。我们用标准的6项量表评估了食品安全，并检查了食品不安全与家庭社会人口学特征、父母和儿童的体重、儿童的饮食模式和家庭食品环境的关系。近40%的家庭报告说遇到粮食不安全问题。来自粮食不安全家庭的儿童更有可能吃一些不太健康的食物，包括在便利店购买的物品（P= 0.002），粮食不安全的父母报告说，他们在获得健康食品方面遇到了许多障碍。食品安全状况与家庭食物供应或儿童或父母体重状况的差异无关。粮食不安全是普遍存在的家庭生活在松树岭保留地。增加对高质量、价格合理和健康的食物的预订机会应该是一个公共卫生目标。(Am J公共卫生。2012;102：1346-1352. doi：10.2105/AJPH.2011.300522）
Objectives. We sought to better understand the prevalence and consequences of food insecurity among American Indian families with young children.Methods. Parents or caregivers of kindergarten-age children enrolled in the Bright Start study (dyad n = 432) living on the Pine Ridge Reservation in South Dakota completed a questionnaire on their child's dietary intake, the home food environment, and food security. We assessed food security with a standard 6-item scale and examined associations of food insecurity with family sociodemographic characteristics, parents' and children's weight, children's dietary patterns, and the home food environment.Results. Almost 40% of families reported experiencing food insecurity. Children from food-insecure households were more likely to eat some less healthful types of foods, including items purchased at convenience stores (P=.002), and food-insecure parents reported experiencing many barriers to accessing healthful food. Food security status was not associated with differences in home food availability or children's or parents' weight status.Conclusions. Food insecurity is prevalent among families living on the Pine Ridge Reservation. Increasing reservation access to food that is high quality, reasonably priced, and healthful should be a public health goal. (Am J Public Health. 2012;102:1346-1352. doi:10.2105/AJPH.2011.300522)