Comparing Trends Between Food Insecurity and Cigarette Smoking Among Adults in the United States, 1998 to 2011

Comparing Trends Between Food Insecurity and Cigarette Smoking Among Adults in the United States, 1998 to 2011
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DOI:
10.1177/0890117116660773
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发表时间:
2017-09-01
影响因子:
2.7
通讯作者:
Shafer, Paul R.
Shafer, Paul R.
中科院分区:
医学4区
文献类型:
--
作者:
Farrelly, Matthew C.;Shafer, Paul R.

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目的:以前的研究表明,吸烟与较高的比率和严重程度的粮食不安全,但没有解决如何人口水平的吸烟率变化,以应对粮食安全的变化。设计:趋势分析的连续横截面数据。设置:数据来自一个代表性的调查美国家庭。参与者:在1998年至2000年的5次重叠管理期间,参加当前人口调查的粮食安全补充和烟草使用补充的家庭中的成年人2011.Measures:“当前吸烟者”被定义为表示他们目前在“某些日子”或“每天”吸烟的人。“根据对食品安全量表的反应,家庭的食品安全被编码为“安全”或“不安全”,使用美国农业部的标准进行解释。分析:对1998年至2011年食品不安全和吸烟流行率的大致三年期趋势进行描述性比较。总体而言,成年人的粮食不安全患病率增加了30%,而目前吸烟者的患病率为54%,其中大部分变化发生在2008年和2009年经济衰退之后。在同一时期,目前吸烟的患病率下降了33%,在食品安全的成年人,只有14%的食品不安全的adults.Conclusion:食品不安全增加更显着的成年吸烟者比非吸烟者,吸烟的患病率下降更慢,在食品不安全的家庭,表明更多的低收入吸烟者面临饥饿,这可能至少部分是由于购买香烟。
Purpose: Previous studies have shown that cigarette smoking is associated with higher rates and severity of food insecurity but do not address how population-level smoking rates change in response to changes in food security.Design: Trend analysis of serial cross-sectional data.Setting: Data from a representative survey of US households.Participants: Adults within households participating in both the Food Security Supplement and Tobacco Use Supplement of the Current Population Survey during 5 overlapping administrations from 1998 to 2011.Measures: A "current smoker'' is defined as someone who indicated that they currently smoke on "some days'' or "every day.'' A household's food security is coded as "secure'' or "insecure,'' according to responses to a food security scale, interpreted using a US Department of Agriculture standard.Analysis: Descriptive comparison of the roughly triennial trends in the prevalence of food insecurity and current smoking from 1998 to 2011.Results: The prevalence of food insecurity increased by 30% among adults overall versus 54% among current smokers, with most of the changes occurring following the economic recession of 2008 and 2009. Over this same period, the prevalence of current smoking declined by 33% among food-secure adults and only 14% among food-insecure adults.Conclusion: Food insecurity increased more markedly among adult smokers than nonsmokers, and the prevalence of smoking declined more slowly in food-insecure households, indicating that more low-income smokers are facing hunger, which may at least partly be due to buying cigarettes.