Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study.
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study.
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DOI：
10.3389/fpubh.2023.1269857
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发表时间：
2023
影响因子：
5.2
通讯作者：
Perez-Escamilla, Rafael
中科院分区：
文献类型：
--
作者：
Martinez-Brockman, Josefa L.;Hromi-Fiedler, Amber;Galusha, Deron;Oladele, Carol;Acosta, Lisbette;Adams, O. Peter;Maharaj, Rohan G.;Nazario, Cruz M.;Nunez, Maxine;Nunez-Smith, Marcella;Perez-Escamilla, Rafael
截至2022年，全球有13亿人被认为粮食不安全。在加勒比区域，截至2020年，中度或严重粮食不安全的比率为71.3%，是拉丁美洲所有次区域中最高的。以经验为基础的衡量标准，如拉丁美洲和加勒比粮食安全标准，是全球使用的粮食不安全的有效衡量工具。东加勒比健康结果研究网络(ECHORN)队列研究是在波多黎各和美属维尔京群岛这两个加勒比海美国领土以及巴巴多斯和特立尼达和多巴哥进行的基于人群的纵向队列研究。这项研究的目的是在ECHORN队列中检查与家庭食物不安全相关的人口统计学、心理社会、行为和环境风险因素(≥40 )。对基线ECHORN队列研究数据进行横断面分析。主要结果是家庭粮食不安全(无、轻度、中度/严重)。总共检查了16个已知的和潜在的危险因素与肾综合征出血热的关系。双因素分析采用单因素方差分析和卡方检验。多因素和性别分层分析采用有序Logistic回归分析。超过四分之一的样本(27.3%)经历了肾综合征出血热。在双变量分析中，除性别外，所有被检查的危险因素都与HFI状态显著相关。在多变量分析中，在调整后的模型中，除性别、教育程度、婚姻状况、吸烟状况和居住在波多黎各外，所有变量都是HFI的显著预测因素。在性别分层分析中，抑郁、食物可获得性、自我评估的身体健康和岛屿位置与女性HFI恶化的几率显著相关，而对男性则不相关。对于男性和女性来说，饮用水来源都是一个重要的风险因素。ECHORN队列研究中的HFI患病率与该地区进行的其他研究相当。虽然与男性相比，女性患HFI的风险并没有增加，但一组不同的风险因素影响了她们对HFI的易感性。需要更多的研究来了解水和食品安全在ECHORN队列中是如何相互关联的。
Globally, 1.3 billion people were considered food insecure as of 2022. In the Caribbean region, the prevalence of moderate or severe food insecurity was 71.3% as of 2020, the highest of all subregions in Latin America. Experienced based measurement scales, like the Latin American and Caribbean Food Security Scale, are efficient measurement tools of food insecurity used globally. The Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study is a population-based longitudinal cohort study in the two Caribbean U.S. territories of Puerto Rico and the U.S. Virgin Islands, as well as in Barbados and Trinidad & Tobago. The purpose of this research was to examine the demographic, psychosocial, behavioral, and environmental risk factors associated with household food insecurity (HFI) among adults ≥40 years of age in the ECHORN cohort. A cross-sectional analysis of baseline ECHORN cohort study data was conducted. The primary outcome was household food insecurity (none, mild, moderate/severe). A total of 16 known and potential risk factors were examined for their association with HFI. The ANOVA and chi-square statistics were used in bivariate analysis. Ordinal logistic regression was used for the multivariable and sex stratified analyses. More than one-quarter of the sample (27.3%) experienced HFI. In bivariate analyses, all risk factors examined except for sex, were significantly associated with HFI status. In the multivariable analysis, all variables except sex, education, marital status, smoking status, and residing in Puerto Rico were significant predictors of HFI in the adjusted model. In sex stratified analysis, depression, food availability, self-rated physical health, and island site were significantly associated with increased odds of worsening HFI for women, but not for men. Source of potable water was an important risk factor for both men and women. The prevalence of HFI in the ECHORN cohort study is comparable to other studies conducted in the region. While women did not have an increased risk of HFI compared to men, a different set of risk factors affected their vulnerability to HFI. More research is needed to understand how water and food security are interrelated in the ECHORN cohort.
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DOI：
10.1016/j.ssmph.2022.101066
发表时间：
2022-03
期刊：
SSM - population health
影响因子：
--
作者：
McClain AC;Cory H;Mattei J
通讯作者：
Mattei J
影响因子：
3.3
作者：
Collins, Shalean M.;Owuor, Patrick Mbullo;Young, Sera L.
通讯作者：
Young, Sera L.
影响因子：
4.5
作者：
Hackett, Michelle;Melgar-Quinonez, Hugo;Uribe, Martha C. Alvarez
通讯作者：
Uribe, Martha C. Alvarez
影响因子：
1.6
作者：
Ostolaza, Cesar;Rosas, Carla;Colon-Ramos, Uriyoan
通讯作者：
Colon-Ramos, Uriyoan
DOI：
10.1002/ajhb.23309
发表时间：
2020-01
期刊：
American journal of human biology : the official journal of the Human Biology Council
影响因子：
--
作者：
Brewis A;Workman C;Wutich A;Jepson W;Young S;Household Water Insecurity Experiences - Research Coordination Network (HWISE-RCN)
通讯作者：
Household Water Insecurity Experiences - Research Coordination Network (HWISE-RCN)