Food Insecurity and Chronic Disease in US Young Adults: Findings from the National Longitudinal Study of Adolescent to Adult Health
Food Insecurity and Chronic Disease in US Young Adults: Findings from the National Longitudinal Study of Adolescent to Adult Health
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DOI：
10.1007/s11606-019-05317-8
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发表时间：
2019-12-01
影响因子：
5.7
通讯作者：
Weiser, Sheri D.
中科院分区：
文献类型：
--
作者：
Nagata, Jason M.;Palar, Kartika;Weiser, Sheri D.
背景：粮食不安全，或由于财政资源不足而导致的有限或不确定的食物获取，与成年期慢性病的高患病率有关。对于这些关系，特别是在年轻的成年期，这是慢性病发展的重要时期，知之甚少。美国年轻人的全国代表性样本中的气道疾病和阻塞性气道疾病。设计横断面全国代表性数据收集自Wave IV（2008）美国24-32岁的年轻成年人主要测量食物不安全和一般健康;自我报告的糖尿病、高血压、高脂血症、“非常超重”和阻塞性气道疾病;测量的肥胖来自身体质量指数;糖尿病和高血压患者的疾病控制不足（血红蛋白A1 c>= 7.0%，血压>= 140/90 mmHg）。食物不安全的年轻人自我报告健康状况不佳的几率更大（2.63，95%置信区间（CI）1.63-4.24），糖尿病（1.67，95% CI 1.18-2.37），高血压（1.40，95% CI 1.14-1.72），“非常超重”（1.30，95% CI 1.08-1.57）和阻塞性气道疾病（1.48，95% CI 1.22-1.80）的调整模型相比，年轻人的食物安全。食物不安全与糖尿病或高血压患者的疾病控制不足无关。ConclusionsFood不安全与几种自我报告的慢性病和肥胖症有关。卫生保健提供者应筛查年轻人的粮食不安全状况，并在适当时提供转诊。未来的研究应评估早期干预措施对防止成年后期下游健康影响的影响，以应对粮食不安全。
BackgroundFood insecurity, or the limited or uncertain access to food resulting from inadequate financial resources, is associated with a higher prevalence of chronic disease in adulthood. Little is known about these relationships specifically in young adulthood, an important time for the development of chronic disease.ObjectiveTo determine the association between food insecurity and chronic disease including diabetes, hypertension, obesity, and obstructive airway disease in a nationally representative sample of US young adults.DesignCross-sectional nationally representative data collected from Wave IV (2008) of the National Longitudinal Study of Adolescent to Adult Health was analyzed using multiple logistic regression models.ParticipantsUS young adults ages 24-32 years oldMain MeasuresFood insecurity and general health; self-reported diabetes, hypertension, hyperlipidemia, "very overweight," and obstructive airway disease; measured obesity derived from body mass index; and inadequate disease control (hemoglobin A1c >= 7.0%, blood pressure >= 140/90 mmHg) among those with reported diabetes and hypertension.Key ResultsOf the 14,786 young adults in the sample, 11% were food insecure. Food-insecure young adults had greater odds of self-reported poor health (2.63, 95% confidence interval (CI) 1.63-4.24), diabetes (1.67, 95% CI 1.18-2.37), hypertension (1.40, 95% CI 1.14-1.72), being "very overweight" (1.30, 95% CI 1.08-1.57), and obstructive airway disease (1.48, 95% CI 1.22-1.80) in adjusted models compared with young adults who were food secure. Food insecurity was not associated with inadequate disease control among those with diabetes or hypertension.ConclusionsFood insecurity is associated with several self-reported chronic diseases and obesity in young adulthood. Health care providers should screen for food insecurity in young adults and provide referrals when appropriate. Future research should evaluate the impact of early interventions to combat food insecurity on the prevention of downstream health effects in later adulthood.