Household food insecurity and dietary intake among Mexican-American women participating in federal food assistance programs.
Household food insecurity and dietary intake among Mexican-American women participating in federal food assistance programs.
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DOI：
10.4278/ajhp.130104-quan-13
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发表时间：
2014-07-01
期刊：
影响因子：
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通讯作者：
Cullen, Karen W
中科院分区：
文献类型：
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作者：
Hilmers, Angela;Chen, Tzu-An;Cullen, Karen W
目的：在控制了社会文化和经济因素，包括参与联邦食品援助计划后，探讨墨西哥裔美国妇女的食物不安全与饮食摄入量之间的关系。设计：横断面。设置：德克萨斯州的三个城市。研究对象：707名墨西哥裔美国妇女(26-44岁)。测量：使用有效的测量方法获得人口统计学、人体测量学、文化适应和食品安全状况。膳食摄入量通过24小时膳食食物记录进行评估。分析：采用Logistic回归分析个人和家庭特征与食品安全状况之间的关系。单因素方差分析在调整了社会人口变量、文化适应、体重指数、参与联邦食品援助计划和能量摄入后，检验了食品安全状况和饮食摄入量之间的关联。结果：大约77%的食品不安全女性参加了至少一个联邦食品援助计划。家庭中每多一个孩子，食物不安全的几率就会增加25%。在食物不安全组中，肥胖女性的比例更高。食物安全状况对膳食摄入量没有显著影响。结论：食物不安全并不独立于妇女参与联邦食物援助计划而对膳食摄入量产生负面影响。粮食安全并不能确保营养充足的食物的消费。教育和食品援助计划需要优化，以促进入学和改善这一民族的营养状况，无论食物安全与否。
PURPOSE: To explore the association between food insecurity and dietary intake among Mexican-American women after controlling for sociocultural and economic factors including participation in federal food assistance programs.DESIGN: Cross-sectional.SETTING: Three cities in Texas.SUBJECTS: Seven hundred seven Mexican-American women (26-44 years).MEASURES: Demographics, anthropometrics, acculturation, and food security status were obtained using validated measures. Dietary intake was assessed by a 24-hour dietary food record.ANALYSIS: Logistic regression was used to examine the association between individual and household characteristics on food security status. One-way analysis of covariance tested the association between food security status and dietary intake after adjusting for socio-demographic variables, acculturation, body mass index, participation in federal food assistance programs, and energy intake.RESULTS: About 77% of food-insecure women participated in at least one federal food assistance program. Each additional child in the household increased the odds of being food insecure by 25%. A higher proportion of obese women was found in the food-insecure group. No significant differences in dietary intake were found by food security status.CONCLUSION: Food insecurity did not negatively influence dietary intake independently of women's participation in federal food assistance programs. Food security did not ensure consumption of nutritionally adequate foods. Educational and food assistance programs need to be optimized to facilitate enrollment and improve the nutritional status of this ethnic group, food secure or not.