Food insecurity is associated with multiple chronic conditions and physical health status among older US adults.
Food insecurity is associated with multiple chronic conditions and physical health status among older US adults.
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DOI：
10.1016/j.pmedr.2020.101211
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发表时间：
2020-12
影响因子：
2.8
通讯作者：
Wolfson JA
中科院分区：
文献类型：
--
作者：
Leung CW;Kullgren JT;Malani PN;Singer DC;Kirch M;Solway E;Wolfson JA
在过去的二十年中，老年人的粮食不安全增加了45%，但其与健康结果的关系尚未得到广泛研究。这项研究的目的是检查食品不安全，多种慢性疾病和自我报告的健康状况之间的关联，在美国老年人的全国代表性样本中。数据来自全国健康老龄化民意调查，这是一项全国性的横断面调查，于2019年12月在2，048名50-80岁的人中进行。使用美国农业部粮食安全调查模块的六项简表评估粮食不安全。关注的主要结果是自我报告的慢性疾病和自我报告的身体健康状况的数量。多项逻辑回归模型被用来检查食品安全状况和利益的结果之间的关联，调整社会人口特征。老年人粮食不安全的总体发生率为14%。调整社会人口特征后，粮食不安全与多种慢性病呈正相关（2-3种慢性病与0-1种慢性病的RR 1.60，95% CI 1.08，2.36; 4-10种慢性病与0-1种慢性病的RR 2.59，95% CI 1.55，4.33）。粮食不安全也与自我报告的健康状况较低有关（健康状况良好与极好/非常好的RR 1.84，95% CI 1.16，2.93;健康状况一般/较差与极好/非常好的RR 5.13，95% CI 3.08，8.52）。粮食无保障是老年人健康的一个重要社会决定因素。这些发现有助于临床和公共卫生工作，同时缓解老年人的粮食不安全和促进健康行为。
In the past two decades, food insecurity has increased by 45% among older adults but its relationship to health outcomes has not been extensively studied. The objective of this study was to examine the associations between food insecurity, multiple chronic conditions, and self-reported health status among a nationally representative sample of older U.S. adults. Data came from the National Poll on Healthy Aging, a national cross-sectional survey conducted in December 2019 among 2,048 individuals aged 50–80 years. Food insecurity was assessed using the six-item short form of the USDA Food Security Survey Module. The primary outcomes of interest were the number of self-reported chronic conditions and self-reported physical health status. Multinomial logistic regression models were used to examine the associations between food security status and the outcomes of interest, adjusting for sociodemographic characteristics. The overall prevalence of food insecurity among older adults was 14%. After adjustment for sociodemographic characteristics, food insecurity was positively associated with multiple chronic conditions (RRR 1.60, 95% CI 1.08, 2.36, for 2–3 conditions vs. 0–1; RRR 2.59, 95% CI 1.55, 4.33 for 4–10 chronic conditions vs. 0–1). Food insecurity was also associated with lower self-reported health status (RRR 1.84, 95% CI 1.16, 2.93 for good vs. excellent/ very good health; RRR 5.13, 95% CI 3.08, 8.52 for fair/poor vs. excellent/very good health). Food insecurity is an important social determinant of health among older adults. These findings can contribute to clinical and public health efforts to simultaneously alleviate food insecurity and promote health behaviors among older adults.
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影响因子：
7.2
作者：
Miilunpalo, S;Vuori, I;Urponen, H
通讯作者：
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10.1080/21551197.2015.1054575
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影响因子：
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作者：
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通讯作者：
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