Impact of food insecurity and food environment on the diet quality of older African Americans during the COVID-19 pandemic.
Impact of food insecurity and food environment on the diet quality of older African Americans during the COVID-19 pandemic.
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DOI：
10.3389/fpubh.2023.1268961
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发表时间：
2023
影响因子：
5.2
通讯作者：
Shaheen, Magda
中科院分区：
文献类型：
--
作者：
Kibe, Lucy W.;Schrode, Katrina;Bazargan, Mohsen;Shaheen, Magda
关键词：
高质量的饮食对于增进健康和确保良好的健康至关重要，特别是对于那些患有慢性病的人。老年非裔美国人已经背负着更高的慢性病患病率，也面临着饮食不佳的更高风险。新冠肺炎疫情对所有美国人获取健康食品的途径产生了持久的影响，但一些人口群体受到的影响不成比例。老年非裔美国人在大流行前已经经历了健康食品获取机会的减少，他们尤其受到影响，但大流行对他们的粮食不安全和粮食环境的全面影响尚不清楚。为了弥补这一差距，我们在2021年10月至2022年7月新冠肺炎大流行期间，对南洛杉矶的102名老年非裔美国人进行了一项研究。参与者完成了关于饮食摄入量、食物不安全和邻里食物环境的调查。我们使用健康饮食指数(HEI)-2015来衡量饮食质量。分析包括描述性、双变量卡方检验、t检验、方差分析、多元线性回归和Logistic回归。虽然总体饮食质量不是最理想的，但大多数参与者都达到了水果和蔬菜消费指南。食物不安全与较低的总体饮食质量和较低的总水果和全果摄入量有关。然而，食物环境和饮食质量之间没有关联。根据我们的发现，进一步的干预对于改善饮食质量至关重要，特别是在大流行后患有慢性病的老年非裔美国人中。
A high quality diet is vital in promoting wellbeing and ensuring good health, particularly for those living with chronic conditions. Older African Americans, already burdened with a higher prevalence of chronic conditions, also face a higher risk for suboptimal diets. The COVID-19 pandemic had lasting effects on access to healthy food for all Americans, but some demographic groups were disproportionately affected. Older African Americans, who already experienced reduced access to healthy food pre-pandemic, were particularly afflicted, but the full extent of the pandemic's impact on their food insecurity and food environment remains unclear. To address this gap, we conducted a study among 102 older African Americans in South Los Angeles between October 2021 and July 2022 during the COVID-19 pandemic. Participants completed surveys on dietary intake, food insecurity, and neighborhood food environment. We measured dietary quality using the healthy eating index (HEI)-2015. The analysis included descriptive, bivariate chi-square, t-tests, analysis of variance, and multiple linear and logistic regression. While overall dietary quality was suboptimal, most participants met the guidelines for fruit and vegetable consumption. Food insecurity was associated with lower overall diet quality and lower total fruit and whole fruit intake. However, there was no association between food environment and diet quality. In light of our findings, further intervention is critical to improving diet quality, especially among older African Americans living with chronic conditions in the post-pandemic era.
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作者：
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DOI：
10.1016/j.jand.2020.03.020
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