Associations between Food Insecurity and Depression among Diverse Asian Americans.
Associations between Food Insecurity and Depression among Diverse Asian Americans.
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DOI：
10.31372/20200504.1114
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Park M
中科院分区：
文献类型：
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作者：
Lai S;Huang D;Bardhan I;Park M
背景：适当的营养是身体和情感健康的重要组成部分。粮食不安全（FI）是一个潜在的严重公共卫生问题。 FI 与抑郁风险升高之间的联系已得到充分证明。然而，目前尚不清楚不同的老年人群体对 FI 的体验有何不同。因此，本研究的目的是探讨性别、种族/族裔和出生地如何影响 FI 与抑郁症之间关联的程度。方法：我们使用了来自全国拉丁裔和亚裔美国人研究 (NLAAS) 的具有全国代表性的亚裔美国人样本。我们建立了以过去 12 个月的重度抑郁症为因变量、FI 为自变量的逻辑回归模型。模型中添加了一些人口和社会经济特征，以控制潜在的偏差。所有统计估计值均使用推荐的 NLAAS 抽样权重进行加权，以确保美国人口的代表性。结果：大约 35%（加权调整后 95% CI：29.49–39.00）的亚裔美国人在调查时经历过一定程度的 FI。过去 12 个月经历 FI 增加了患临床抑郁症的可能性（加权调整优势比：1.44，权重调整置信区间：0.79-2.10）。 FI 与抑郁症之间的关联程度因种族/民族而异 (F (7, 47) = 6.53, p (3, 41) = 10.56, p (3, 41) = 9.85)。结论：食品不安全显着增加了亚裔美国人患临床抑郁症的可能性。需要更多地关注粮食不安全的亚裔美国人及其心理健康。
Background: Proper nutrition is an essential component to both physical and emotional health. Food insecurity (FI) is a potentially critical public health problem. The link between FI and elevated risk for depression has been well documented. Yet, it is largely unknown how diverse older adult populations experience FI differently. Therefore, the aims of this study were to examine how gender, race/ethnicity, and nativity may impact the magnitude of the association between FI and depression. Methods: We used a nationally representative sample of the Asian American population from the National Latino and Asian American Study (NLAAS). We built logistic regression models with major depression in the past 12 months as the dependent variable, and FI as the independent variable. Several demographic and socioeconomic characteristics were added to the models to control for potential biases. All statistical estimates were weighted, using the recommended NLAAS sampling weight, to ensure representativeness of the US population. Results: About 35% (weighted adjusted 95% CI: 29.49–39.00) of Asian Americans experienced some level of FI at the time of survey. Experiencing FI over the past 12 months increased the likelihood of having clinical depression (weighted adjusted odds ratio: 1.44, weight adjusted confidence interval: 0.79–2.10). The magnitude of associations between FI and depression varied by race/ethnicity (F (7, 47) = 6.53, p (3, 41) = 10.56, p (3, 41) = 9.85). Conclusions: Food insecurity significantly increases the likelihood of clinical depression among Asian Americans. Greater attention is needed towards food-insecure Asian Americans and their mental health.