Association Between Food Distress and Smoking Among Racially and Ethnically Diverse Adults, Schenectady, New York, 2013-2014.
Association Between Food Distress and Smoking Among Racially and Ethnically Diverse Adults, Schenectady, New York, 2013-2014.
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种族和种族多元化的成年人之间的食物困扰与吸烟之间的联系，纽约Schenectady，2013 - 2014年。
DOI：
10.5888/pcd14.160548
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发表时间：
2017-08-24
影响因子：
5.5
通讯作者：
Michaels IH
中科院分区：
文献类型：
--
作者：
Hosler AS;Michaels IH
吸烟和营养不良是可预防的两大主要死亡原因。本研究在不同种族和民族的城市成年人中调查了吸烟与个人和社区水平食物窘迫指标之间的关系。我们分析了2013年和2014年在纽约斯克内克塔迪收集的健康访谈调查和食品环境评估数据。我们以食物窘迫6个指标作为暴露变量，以社会人口学特征、抑郁、焦虑、感知压力、酗酒和残疾为协变量，构建了当前吸烟的logistic回归模型。分析样本包括1,917名成年人；59.4%为女性，一半以上为种族/少数民族（26.2%为非西班牙裔黑人，10.3%为西班牙裔，10.9%为圭亚那人，4.0%为多种族和其他），37.1%为当前吸烟者。所有食物困扰的指标都保持在简约的最终模型中：每天食用0或1份水果和蔬菜的人，与每天食用5份或更多水果和蔬菜的人相比，吸烟的几率增加了一倍多（优势比[or]， 2.05）。食品不安全（OR, 1.77）、接受补充营养援助计划福利（OR, 1.79）、使用食品储藏室（OR, 1.41）、居住在获得健康食品较少的社区（OR, 1.40）、经常在健康食品选择有限的商店购买食品（OR, 1.38）也与吸烟的几率显著增加相关。认识到吸烟和食物匮乏是独立相关的，将导致创新的公共卫生干预战略。我们建议加强烟草和营养公共卫生专业人员之间的合作，协同减少烟草使用，改善社区的营养行为和食物环境。
Smoking and poor nutrition are 2 leading preventable causes of death. This study investigated associations between smoking and indicators of individual- and neighborhood-level food distress among racially and ethnically diverse urban adults. We analyzed data from a health interview survey and a food environment assessment collected in 2013 and 2014 in Schenectady, New York. We constructed logistic regression models for current smoking with 6 indicators of food distress as exposure variables and sociodemographic characteristics, depression, anxiety, perceived stress, alcohol binge drinking, and disability as covariates. The analytic sample consisted of 1,917 adults; 59.4% were female, more than half were racial/ethnic minorities (26.2% non-Hispanic black, 10.3% Hispanic, 10.9% Guyanese, 4.0% multiracial and other), and 37.1% were current smokers. All indicators of food distress remained in the parsimonious final model: consuming 0 or 1 serving of fruits and vegetables daily more than doubled the odds of smoking, compared with consuming 5 or more servings (odds ratio [OR], 2.05). Food insecurity (OR, 1.77), receiving Supplemental Nutrition Assistance Program benefits (OR, 1.79), using a food pantry (OR, 1.41), living in a neighborhood with low access to healthy food (OR, 1.40), and shopping for food often at a store with limited healthy food choices (OR, 1.38) were also associated with significantly higher odds of smoking. Recognizing that smoking and food distress are independently associated would lead to innovative public health intervention strategies. We suggest stronger collaboration between tobacco and nutrition public health professionals to synergistically reduce tobacco use and improve nutrition behavior and food environments in communities.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.8
作者：
Bonevski, Billie;Regan, Tim;Bisquera, Alessandra
通讯作者：
Bisquera, Alessandra
影响因子：
3.7
作者：
Farrelly, Matthew C.;Nonnemaker, James M.;Watson, Kimberly A.
通讯作者：
Watson, Kimberly A.
DOI：
10.1097/phh.0b013e3182053d00
发表时间：
2011-09-01
影响因子：
3.3
作者：
Hosler, Akiko S.;Dharssi, Aliza
通讯作者：
Dharssi, Aliza
影响因子：
2.7
作者：
Lee, Chung Gun;Seo, Dong-Chul;Lin, Hsien-Chang
通讯作者：
Lin, Hsien-Chang