Household Food Insufficiency and Chronic Pain among Children in the US: A National Study.
Household Food Insufficiency and Chronic Pain among Children in the US: A National Study.
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DOI：
10.3390/children10020185
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发表时间：
2023-01-19
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本研究旨在通过家庭食物充足状况确定儿童慢性疼痛的患病率，并检查食物不足是否与慢性疼痛的更大风险相关。我们分析了2019-2020年美国全国儿童健康调查的48，410名儿童（6-17岁）的数据。在整个样本中，26.1%（95% CI：25.2-27.0）的患者出现轻度食物不足，5.1%（95% CI：4.6-5.7）的患者出现中度/重度食物不足。轻度（13.7%）和中度/重度食物不足儿童（20.6%）的慢性疼痛患病率高于食物充足家庭儿童（6.7%，p < 0.001）。调整先验协变量后（个人：年龄、性别、种族/民族、焦虑、抑郁、其他健康状况、不良儿童事件;家庭：贫困、父母教育、身心健康;社区：居住地区），多变量logistic回归显示，轻度食物不足的儿童患慢性疼痛的几率高1.6倍。（95% CI：1.4-1.9，p < 0.0001）和中度/重度食物不足的儿童，相对于食物充足的儿童，优势率高1.9（95% CI：1.4-2.7，p < 0.0001）。食物不足和儿童慢性疼痛之间的剂量反应关系突出了进一步研究的重要性，以确定潜在的机制，并评估食物不足对整个生命周期慢性疼痛的发作和持续性的影响。
This study aimed to determine the prevalence of pediatric chronic pain by household food sufficiency status and examine whether food insufficiency would be associated with greater risk for chronic pain. We analyzed data from the 2019–2020 National Survey of Children’s Health of 48,410 children (6–17 years) in the United States. Across the sample, 26.1% (95% CI: 25.2–27.0) experienced mild food insufficiency and 5.1% (95% CI: 4.6–5.7) moderate/severe food insufficiency. The prevalence of chronic pain was higher among children with mild (13.7%) and moderate/severe food insufficiency (20.6%) relative to children in food-sufficient households (6.7%, p < 0.001). After adjusting for a priori covariates (individual: age, sex, race/ethnicity, anxiety, depression, other health conditions, adverse childhood events; household: poverty, parent education, physical and mental health; community: region of residence), multivariable logistic regression revealed that children with mild food insufficiency had 1.6 times greater odds of having chronic pain (95% CI: 1.4–1.9, p < 0.0001) and those with moderate/severe food insufficiency, 1.9 higher odds (95% CI: 1.4–2.7, p < 0.0001) relative to food-sufficient children. The dose–response relationship between food insufficiency and childhood chronic pain highlights the importance of further research to identify underlying mechanisms and evaluate the impact of food insufficiency on the onset and persistence of chronic pain across the lifespan.
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