Food Insecurity and Health Care Expenditures in the United States, 2011-2013
Food Insecurity and Health Care Expenditures in the United States, 2011-2013
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DOI：
10.1111/1475-6773.12730
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发表时间：
2018-06-01
影响因子：
3.4
通讯作者：
Seligman, Hilary K.
中科院分区：
文献类型：
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作者：
Berkowitz, Seth A.;Basu, Sanjay;Seligman, Hilary K.
目的确定粮食不安全（由于成本原因粮食获取有限或不确定）是否与卫生保健支出增加有关。数据来源/研究背景美国非机构人口的全国代表性样本（2011年全国健康访谈调查[NHIS]与2012-2013年药物支出小组调查[MEPS]相关）。研究设计：纵向回顾性队列。数据收集/提取方法在2011年国家卫生信息系统中，共有16,663人接受了粮食不安全评估，使用了10项成人30天粮食安全模块。他们在2012年和2013年的医疗保健总支出记录在MEPS中。使用零膨胀负二项回归分析支出数据，并根据年龄、性别、种族/民族、教育程度、收入、保险和居住区域进行调整。主要发现：14%的个人报告粮食不安全，代表41,616,255名美国人。平均年化总支出为4113美元（标准误差为115美元）；9.2%的人没有医疗支出。在多变量分析中，那些食物不安全的人的估计平均年医疗保健支出明显更高(6,072美元对4,208美元，p
ObjectiveTo determine whether food insecurity, limited or uncertain food access owing to cost, is associated with greater health care expenditures.Data Source/Study SettingNationally representative sample of the civilian noninstitutionalized population of the United States (2011 National Health Interview Survey [NHIS] linked to 2012-2013 Medication Expenditure PanelSurvey [MEPS]).Study DesignLongitudinal retrospective cohort.Data Collection/Extraction MethodsA total of 16,663 individuals underwent assessment of food insecurity, using the 10-item adult 30-day food security module, in the 2011 NHIS. Their total health care expenditures in 2012 and 2013 were recorded in MEPS. Expenditure data were analyzed using zero-inflated negative binomial regression and adjusted for age, gender, race/ethnicity, education, income, insurance, and residence area.Principal FindingsFourteen percent of individuals reported food insecurity, representing 41,616,255 Americans. Mean annualized total expenditures were $4,113 (standard error $115); 9.2 percent of all individuals had no health care expenditures. In multivariable analyses, those with food insecurity had significantly greater estimated mean annualized health care expenditures ($6,072 vs. $4,208, p