Chronic disease burden predicts food insecurity among older adults.
Chronic disease burden predicts food insecurity among older adults.
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DOI：
10.1017/s1368980017004062
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发表时间：
2018-06
影响因子：
3.2
通讯作者：
Ritchie CS
中科院分区：
文献类型：
--
作者：
Jih J;Stijacic-Cenzer I;Seligman HK;Boscardin WJ;Nguyen TT;Ritchie CS
自付费用医疗保健支出的增加可能会给低收入家庭带来预算压力，从而导致粮食不安全。本研究的目的是调查慢性病负担较高的老年人面临粮食不安全的风险是否增加。与 2012 年全国代表性 HRS 相关的 2013 年健康与退休研究 (HRS) 医疗保健和营养调查 (HCNS) 的二次分析。美国。 2013 年 HRS HCNS 家庭收入低于联邦贫困线 300% 的受访者 (n=3552)。慢性病负担按并发慢性病的数量（0-1；2-4；5+病）进行分类，其中多种慢性病（MCC）定义为≥2种病。粮食不安全发生率为27.8%。与具有0-1个条件的受访者相比，患有MCC的受访者更有可能报告粮食不安全，具有2至4个条件的受访者的调整后优势比为2.12（95％CI 1.45，3.09），而具有5个或更多条件的受访者的调整优势比为3.64（95％CI 2.47，5.37）。沉重的慢性病负担可能会给老年人的家庭预算带来巨大压力，从而增加粮食不安全的风险。鉴于老年人中粮食不安全的发生率很高，可能有必要在临床环境中对 MCC 患者进行粮食不安全筛查，以便参考社区粮食资源。
Increased out-of-pocket health care expenditures may exert budget pressure on low-income households that leads to food insecurity. The objective of this study was to examine whether older adults with higher chronic disease burden are at increased risk of food insecurity. Secondary analysis of the 2013 Health and Retirement Study (HRS) Health Care and Nutrition Survey (HCNS) linked to the 2012 nationally representative HRS. United States. Respondents of the 2013 HRS HCNS with household incomes <300% of the federal poverty line (n=3552). Chronic disease burden was categorized by number of concurrent chronic conditions (0–1; 2–4; 5+ conditions), with multiple chronic conditions (MCC) defined as ≥ 2 conditions. The prevalence of food insecurity was 27.8%. Compared to those with 0–1 conditions, respondents with MCC were significantly more likely to report food insecurity, with the adjusted odds ratio for those with 2 to 4 conditions being 2.12 (95%CI 1.45, 3.09) and for those with 5 or more conditions being 3.64 (95%CI 2.47, 5.37). A heavy chronic disease burden likely exerts substantial pressure on the household budgets of older adults, creating an increased risk for food insecurity. Given the high prevalence of food insecurity among older adults, screening those with MCC for food insecurity in the clinical setting may be warranted in order to refer to community food resources.