Food insecurity and health-related quality of life among a nationally representative sample of older adults: cross-sectional analysis.
Food insecurity and health-related quality of life among a nationally representative sample of older adults: cross-sectional analysis.
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DOI：
10.1186/s12877-024-04716-9
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发表时间：
2024-02-01
期刊：
影响因子：
4.1
通讯作者：
Leung, Cindy W.
中科院分区：
文献类型：
--
作者：
Aljahdali, Abeer A.;Na, Muzi;Leung, Cindy W.
粮食不安全是老年人的一个重大健康问题，导致生活质量和心理健康下降。然而，老年人中的证据有限。因此，该研究评估了粮食安全与与健康相关生活质量相关的多种结果之间的关联。我们研究了参与者的性别和参与联邦补充营养援助计划（SNAP）/或接受食品券计划是否可能改变这些关联。2007-2012年全国健康和营养检查调查（NHANES）的横截面分析。3，375名年龄≥ 60岁且家庭收入≤联邦贫困线（FPBL）300%的成年人样本。粮食安全评估使用18个项目的美国家庭粮食安全调查模块，并分为粮食安全，边际粮食安全和粮食不安全。结果是CDC健康相关生活质量指标（HRQOL-4）。大约8%的人经历了边际粮食安全，12%经历了粮食不安全。在过去一个月里，粮食不安全与≥ 16天的身体健康状况不佳显著相关（OR 1.88，95% CI 1.23，2.85，P趋势= 0.005），≥ 16天的心理健康状况不佳多变量校正后，OR 2.22，95% CI 1.50，3.28，P趋势< 0.0001）和焦虑≥ 16天（OR 3.33，95% CI 2.30，4.81，P趋势< 0.0001）。食品不安全和身体健康状况差之间的关联在女性中更强（P-交互作用= 0.02）。在那些从联邦SNAP/食品券计划中受益的人中，没有证据表明这些协会中的任何一个都有影响。粮食不安全与多种不良健康结果呈正相关。需要针对老年人的公共卫生计划和政策，以减轻粮食不安全的程度，促进整体健康和福祉。
Food insecurity is a significant health issue among older adults and contributes to poorer quality of life and mental health. However, limited evidence is available among older adults. Thus, the study evaluated the associations between food security and multiple outcomes related to health-related quality of life. We examined whether participants’ sex and participation in the federal Supplemental Nutrition Assistance Program (SNAP)/or receiving the Food Stamp program might modify these associations. Cross-sectional analysis of the 2007–2012 National Health and Nutrition Examination Surveys (NHANES). A sample of 3,375 adults aged ≥ 60 years with household incomes ≤ 300% of the federal poverty level (FPBL). Food security was assessed using the 18-item US Household Food Security Survey Module and categorized as food security, marginal food security, and food insecurity. Outcomes were the CDC Health-Related Quality of Life measures (HRQOL-4). Approximately 8% experienced marginal food security and 12% experienced food insecurity. Over the past month, food insecurity was significantly associated with ≥ 16 days of poor physical health (OR 1.88, 95% CI 1.23, 2.85, P-trend = 0.005), ≥ 16 days of poor mental health (OR 2.22, 95% CI 1.50, 3.28, P-trend < 0.0001), and ≥ 16 days of feeling anxious (OR 3.33, 95% CI 2.30, 4.81, P-trend < 0.0001) after multivariate adjustment. The association between food insecurity and poor physical health was stronger in females (P-interaction = 0.02). There was no evidence for effect modification in any of these associations among those receiving benefits from the federal SNAP/Food Stamp program. Food insecurity was positively associated with multiple adverse health outcomes. Public health programs and policies targeted for older adults are needed to mitigate the extent of food insecurity to promote overall health and well-being.
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