COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey.
COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey.
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DOI:
10.1016/j.jaip.2021.06.015
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发表时间:
2021-09
期刊:
影响因子:
--
通讯作者:
Ciaccio CE
中科院分区:
文献类型:
--
作者:
Guillaume JD;Jagai JS;Makelarski JA;Abramsohn EM;Lindau ST;Verma R;Ciaccio CE
Food insecurity dramatically increased because of the COVID-19 pandemic; however, little is known about pandemic-related food insecurity in households with dietary restrictions. To examine pre-pandemic rates of and pandemic-related change in food insecurity among households with and without dietary restrictions. A cross-sectional, panel-based survey of 3200 U.S. women was conducted in April 2020. Pre-pandemic food insecurity and early pandemic-related change in food insecurity were assessed using the adapted Hunger Vital Sign. Weighted, multivariate logistic regression was used to model the odds of pre-pandemic food insecurity and the odds of incident or worsening pandemic-related food insecurity among households with and without dietary restrictions. In models predicting pandemic-related outcomes, interaction effects between race/ethnicity and dietary restrictions were examined. Before the COVID-19 pandemic, households with self-reported food allergy (adjusted odds ratio [aOR]: 1.5, 95% confidence interval [CI]: 1.2-1.9), celiac disease (aOR: 2.3, 95% CI: 1.4-3.5), or both (aOR: 2.1, 95% CI: 1.2-3.6) were significantly more likely to be food insecure than households without restrictions. Households with dietary restrictions were also significantly more likely to experience incident or worsening food insecurity during the early pandemic (food allergy: aOR: 1.6, 95% CI: 1.3-2.1) (celiac disease: aOR: 2.3, 95% CI: 1.5-3.5) (both: aOR: 2.0, 95% CI: 1.2-3.4). Race/ethnicity was not a significant moderator of the relationship between dietary restrictions and pandemic-related food insecurity. Households with dietary restrictions were more likely to experience both pre-pandemic and pandemic-related incident or worsening food insecurity than households without restrictions. Clinical care for patients with dietary restrictions requires attention to food insecurity.
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DOI:
10.14309/ajg.0000000000000759
发表时间:
2020-11
期刊:
The American journal of gastroenterology
影响因子:
--
作者:
Cappell K;Taylor A;Johnson BH;Gelwicks S;Wang S;Gerber M;Leffler DA
通讯作者:
Leffler DA
影响因子:
3.1
作者:
Guandalini, Stefano;Tundia, Namita;Fuldeore, Mahesh
通讯作者:
Fuldeore, Mahesh
影响因子:
2.7
作者:
Hays, Ron D.;Schalet, Benjamin D.;Cella, David
通讯作者:
Cella, David
影响因子:
4.8
作者:
Gordon, Cynthia;Purciel-Hill, Marnie;Van Wye, Gretchen
通讯作者:
Van Wye, Gretchen
影响因子:
3.5
作者:
Forrest, Christopher B.;Bevans, Katherine B.;Tucker, Carole A.
通讯作者:
Tucker, Carole A.