Food insecurity and consumption of cariogenic foods in mothers and their two-year-old children in Appalachia.
Food insecurity and consumption of cariogenic foods in mothers and their two-year-old children in Appalachia.
复制标题
阿巴拉契亚地区母亲及其两岁儿童的粮食不安全和致龋食品的消费。
DOI：
10.1111/jphd.12559
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发表时间：
2023
影响因子：
2.3
通讯作者：
Foxman,Betsy
中科院分区：
文献类型：
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作者：
Bhaumik,Deesha;Wright,CaseyD;Marshall,TeresaA;Neiswanger,Katherine;McNeil,DanielW;Jones,AndrewD;Shaffer,JohnR;Marazita,MaryL;Foxman,Betsy
目的探讨家庭食物不安全与食用增加龋齿风险的致龋食品之间的关系。方法对2011年至2017年参加口腔健康研究中心队列2的阿巴拉契亚地区842名母亲及其孩子进行横断面分析，当时她们的孩子约24个月大。母亲们完成了一项关于龋齿食品消费和食品不安全的电话采访。食品不安全与每日食物摄入量之间的关系根据教育程度、收入、州居住地和每日零食摄入量进行了调整。结果在调整家庭收入、国家住所、日常零食和母亲教育后，中度/重度粮食不安全家庭的母亲每天平均多喝1/ 2的含糖饮料（p= 0.005），儿童多喝近1/3的含糖饮料（p= 0.006）。此外，来自中等/严重粮食不安全家庭的母亲和儿童的平均每日蔬菜消费量（母亲每天少吃1/5的蔬菜，儿童少吃1/10）和水果消费量（母亲每天少吃1/5的水果，儿童少吃1/10的水果）较低，但在统计上不显著，糖果消费量增加（母亲每天多吃1/25的甜食，儿童多吃2/25的甜食）；他们注意到不同国家居住的差异。结论：食物不安全与高食源性食物增加龋齿风险相关，但这种关联受母亲教育程度、收入和居住地的影响。在设计和实施预防龋齿的干预措施时，应考虑粮食不安全及其社会经济决定因素。
ObjectivesTo describe the association between household food insecurity and intake of cariogenic foods that increase risk of dental caries.MethodsCross‐sectional analysis of 842 mothers in Appalachia and their children participating in the Center for Oral Health Research Cohort 2 between 2011 and 2017 when their children were ~ 24 months of age. Mothers completed a telephone interview regarding cariogenic food consumption and food insecurity. Associations between food insecurity and daily food intake were adjusted for education, income, state residence, and daily snacking.ResultsAfter adjustment for household income, state residence, daily snacking, and maternal education, mothers from moderately/severely food insecure households drank on average ½ more sugar‐sweetened beverage servings per day (p= 0.005) and children drank almost 1/3 servings more (p= 0.006). Further, mothers and children from moderately/severely food insecure households had lower, but not statistically significant, daily average consumption of vegetables (mothers: 1/5 less of a vegetable serving per day, children: ~1/10 less) and fruits (mothers: 1/5 less of a fruit serving per day, children: ~ 1/10 les) and elevated consumption of sweets (mothers: ~ 1/25 more sweet servings per day, children: ~ 2/25 more); differences based on state residence were noted.ConclusionsFood insecurity is associated with higher consumption of foods that increase risk of dental caries, but this association is modified by maternal education, income, and state residence. Food insecurity, and its socioeconomic determinants, should be considered when designing and implementing interventions to prevent dental caries.