Prevalence and associations between food insecurity and overweight/obesity among native Hawaiian and Pacific Islander adolescents.
Prevalence and associations between food insecurity and overweight/obesity among native Hawaiian and Pacific Islander adolescents.
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DOI：
10.1017/s1368980023000769
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发表时间：
2023-07
影响因子：
3.2
通讯作者：
McElfish, Pearl A.
中科院分区：
文献类型：
--
作者：
Long, Christopher R.;Narcisse, Marie-Rachelle;Selig, James P.;Willis, Don E.;Gannon, Matthew;Rowland, Brett;English, Emily S.;McElfish, Pearl A.
本研究估计了夏威夷原住民和太平洋岛民 (NHPI) 青少年中家庭粮食不安全和超重/肥胖的患病率及其之间的关联，并探讨了可能对这种关联产生调节作用的社会人口因素。使用家长或监护人报告的 2014 年 NHPI-全国健康访谈调查数据进行横断面研究。家庭层面的粮食安全通过美国农业部的 10 项问卷进行评估。根据美国疾病控制和预防中心的标准，年龄和性别的 BMI ≥ 85% 和 95% 分别定义为超重和肥胖。美国，包括所有 50 个州和哥伦比亚特区。 383 名美国 12-17 岁的 NHPI 青少年。 12-17 岁的 NHPI 青少年中有三分之一 (33·5 %) 超重 (19·1 %) 或肥胖 (14·4 %)； 8·1%粮食安全水平较低； 8·5%的粮食安全水平非常低。家庭粮食安全平均得分为1·06，相当于边际粮食安全。我们发现家庭粮食不安全与青少年超重/肥胖之间或任何其他协变量与超重/肥胖之间没有关联，除了家庭补充营养援助计划（SNAP）参与之外。参与 SNAP 的家庭中的青少年超重/肥胖的几率降低了 77%（OR：0·23，95% CI：0·08、0·64，P = 0·007）。对于粮食不安全家庭中的少女来说，参加 SNAP 与降低超重/肥胖几率之间的关联尤其明显。参加 SNAP 与降低超重/肥胖几率之间的关联表明，确定增加 SNAP 入学率的干预措施是否会改善 NHPI 青少年的健康结果的研究具有潜在的好处。
This study estimates the prevalence of, and associations between, family food insecurity and overweight/obesity among Native Hawaiian and Pacific Islander (NHPI) adolescents and explores socio-demographic factors which might have a moderation effect on the association. Cross-sectional study using 2014 NHPI-National Health Interview Survey data reported by a parent or guardian. Family-level food security was assessed by the US Department of Agriculture 10-item questionnaire. BMI for age and sex ≥ 85th and 95th percentiles defined overweight and obesity, respectively, according to US Centers for Disease Control and Prevention criteria. The USA, including all 50 states and the District of Columbia. 383 NHPI adolescents aged 12–17 in the USA. A third (33·5 %) of NHPI adolescents aged 12–17 were overweight (19·1 %) or obese (14·4 %); 8·1 % had low food security; and 8·5 % had very low food security. Mean family food security score was 1·06, which corresponds to marginal food security. We found no association between family food insecurity and adolescent overweight/obesity or between any other covariates and overweight/obesity, except for family Supplemental Nutrition Assistance Program (SNAP) participation. Odds of being overweight/obese were 77 % lower for adolescents in families participating in SNAP (OR: 0·23, 95 % CI: 0·08, 0·64, P = 0·007). The association between SNAP participation and lower odds of overweight/obesity was particularly pronounced for adolescent girls in food-insecure families. The association between SNAP participation and lower odds of overweight/obesity suggests potential benefit of research to determine whether interventions to increase SNAP enrollment would improve NHPI adolescents’ health outcomes.