Food insecurity and disability in the United States
Food insecurity and disability in the United States
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DOI：
10.1016/j.dhjo.2018.09.006
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发表时间：
2019-04-01
影响因子：
4.5
通讯作者：
Rodriguez, Laura L.
中科院分区：
文献类型：
--
作者：
Heflin, Colleen M.;Altman, Claire E.;Rodriguez, Laura L.
背景：有残疾成年人的家庭粮食不安全的比例过高，但将粮食不安全与残疾联系起来的机制尚未明确。目的：开发和实证检验的潜在途径连接特定类型的残疾与粮食不安全的模型。方法：使用汇总的、重复的横断面国家健康与营养调查数据（1999-2014），包括38,354名参与者，我们运行probit模型来估计粮食不安全的概率，这是不同残疾措施集和我们的控制变量的函数。我们探索了壮年个体（19-59岁）与60岁及以上个体的这些模式差异的程度。结果：限制工作的残疾、功能限制和管理金钱的困难与壮年和老年人食品不安全的可能性增加有关，以及其他形式的残疾。行动能力限制、视力障碍和听力障碍只会增加壮年个体食物不安全的可能性。结论：这些发现表明，残疾通过多种途径与粮食不安全相关。需要修订公共卫生和政策解决办法，以解决残疾人粮食不安全发生率高的问题。(C) 2018爱思唯尔公司版权所有。
Background: Households with a disabled adult are disproportionately food insecure, yet the mechanisms linking food insecurity to disability are under-specified.Objective: To develop and empirically examine a model of the potential pathways connecting specific types of disability with food insecurity.Methods: With pooled, repeated cross-sectional National Health and Nutrition Examination Survey data (1999-2014) including 38,354 participants, we ran probit models to estimate the probability of being food insecure as a function of different sets of disability measures and our control variables. We explored the extent to which these patterns differed for prime-aged individuals (19-59) from those age 60 and older.Results: Work-limiting disabilities, functional limitations, and trouble managing money were associated with an increased likelihood of food insecurity for both prime-aged and older individuals, net of other forms of disability. Mobility limitations, trouble seeing, and trouble hearing increased the likelihood of food insecurity for prime-aged individuals only.Conclusion: These findings suggest that disabilities are associated with food insecurity through multiple pathways. Revised public health and policy solutions are needed to address the high rates of food insecurity among those with disabilities. (C) 2018 Elsevier Inc. All rights reserved.