Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA.
Household food insecurity is associated with obesogenic health behaviours among a low-income cohort of pregnant women in Boston, MA.
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DOI：
10.1017/s1368980022000714
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发表时间：
2023-05
影响因子：
3.2
通讯作者：
Taveras, Elsie M.
中科院分区：
文献类型：
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作者：
Cheng, Erika R.;Luo, Mandy;Perkins, Meghan;Blake-Lamb, Tiffany;Kotelchuck, Milton;Boudreau, Alexy Arauz;Taveras, Elsie M.
在大波士顿地区参加肥胖预防项目的孕妇中，研究家庭食品不安全与健康和致肥行为之间的关系。横向评价。数据是从结构化问卷中收集的，其中包括一个经过验证的两项筛选来评估家庭粮食不安全状况。我们使用单独的多变量线性和逻辑回归模型来量化家庭粮食不安全与孕产妇健康行为（每天食用水果和蔬菜、含糖饮料和快餐、身体活动、屏幕时间和睡眠）、心理健康结果（抑郁和压力）、高血糖状态和妊娠体重增加之间的关系。3个社区保健中心，主要服务于马萨诸塞州里维尔、切尔西和多切斯特的低收入和种族/少数民族患者。总共有858名孕妇参加了第一个1000天计划，这是一项准实验试验。约21%的妇女报告家庭粮食不安全。在调整分析中，家庭食品不安全与低水果和蔬菜摄入量（β = - 0.31每日食用量；95% CI为- 0.52,- 0.10）、长时间看屏幕（β = 0.32每日食用小时；95% CI为- 0.04,- 0.61）、少睡眠（β = - 0.32每日食用小时；95% CI为- 0.63,- 0.01）和较大的电流(调整比值比（AOR） 4.42；（95% CI 2.33, 8.35）或既往抑郁（AOR 3.01; 95% CI 2.08, 4.35）和高压力（AOR 2.91; 95% CI 1.98, 4.28）。在我们大多数低收入、种族/少数民族孕妇的样本中，家庭粮食不安全与心理健康和已知会增加肥胖可能性的行为有关。
To examine associations of household food insecurity with health and obesogenic behaviours among pregnant women enrolled in an obesity prevention programme in the greater Boston area. Cross-sectional evaluation. Data were collected from structured questionnaires that included a validated two-item screener to assess household food insecurity. We used separate multivariable linear and logistic regression models to quantify the association between household food insecurity and maternal health behaviours (daily consumption of fruits and vegetables, sugar-sweetened beverages and fast food, physical activity, screen time, and sleep), mental health outcomes (depression and stress), hyperglycaemia status and gestational weight gain. Three community health centres that primarily serve low-income and racial/ethnic minority patients in Revere, Chelsea and Dorchester, Massachusetts. Totally, 858 pregnant women participating in the First 1,000 Days program, a quasi-experimental trial. Approximately 21 % of women reported household food insecurity. In adjusted analysis, household food insecurity was associated with low fruit and vegetable intake (β = −0·31 daily servings; 95 % CI −0·52, −0·10), more screen time (β = 0·32 daily hours; 95 % CI 0·04, 0·61), less sleep (β = −0·32 daily hours; 95 % CI −0·63, −0·01), and greater odds of current (adjusted odds ratio (AOR) 4·42; 95 % CI 2·33, 8·35) or past depression (AOR 3·01; 95 % CI 2·08, 4·35), and high stress (AOR 2·91; 95 % CI 1·98, 4·28). In our sample of mostly low-income, racial/ethnic minority pregnant women, household food insecurity was associated with mental health and behaviours known to increase the likelihood of obesity.