دورية أكاديمية
Exploring Sociodemographic and Chronic Disease Factors Associated With Chronic, Seasonal, Intramonthly, and Intermittent Presentations of Food Security Instability.
العنوان: | Exploring Sociodemographic and Chronic Disease Factors Associated With Chronic, Seasonal, Intramonthly, and Intermittent Presentations of Food Security Instability. |
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المؤلفون: | Bastian GE; School of Health and Consumer Sciences, South Dakota State University, Brookings, South Dakota. Electronic address: graham.bastian@sdstate.edu. |
المصدر: | Journal of the Academy of Nutrition and Dietetics [J Acad Nutr Diet] 2024 Jun; Vol. 124 (6), pp. 686-699. Date of Electronic Publication: 2023 Dec 09. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101573920 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-2672 (Print) Linking ISSN: 22122672 NLM ISO Abbreviation: J Acad Nutr Diet Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: New York : Elsevier |
مواضيع طبية MeSH: | Food Insecurity* , Family Characteristics* , Seasons*, Humans ; Female ; Male ; Cross-Sectional Studies ; Chronic Disease/epidemiology ; Adult ; Middle Aged ; United States/epidemiology ; Food Security/statistics & numerical data ; Sociodemographic Factors ; Surveys and Questionnaires ; Socioeconomic Factors ; Food Supply/statistics & numerical data ; Pilot Projects |
مستخلص: | Background: Food insecurity impacts 13.5 million US households yearly. Although food security instability (FS-I) can have many temporal presentations, these are not measured in the current US Household Food Security Survey Module. Objective: Explore sociodemographic and chronic disease correlates of 4 FS-I types (chronic, seasonal, intramonthly, and intermittent) using a 3-item US Household Food Security Survey Module instability supplement. Design: This study was a secondary analysis of cross-sectional survey pilot data collected to validate the US Household Food Security Survey Module instability supplement. Participants and Setting: Adults at risk for food insecurity (n = 420) were recruited and answered the survey on their households' behalf from April to June 2021. The participants were recruited from 7 community organizations from 5 states (California, Florida, Maryland, North Carolina, and Washington). Main Outcome Measures: The main outcomes were the odds of having a chronic, seasonal, intramonthly, or intermittent FS-I score ≥1 based on several sociodemographic factors and having ≥1 chronic disease. Statistical Analyses Performed: Differences among the 4 FS-I types were analyzed using contingency tables and χ 2 tests of independence. Then, mixed-effects logistic binary and conditional regressions were run for each FS-I type using clustering by state and odds ratios and 95% CI to interpret results. Results: The most common FS-I type experienced by the sample was intramonthly (n = 183 [43%]). Nonchronic food insecurity was most likely to happen during the winter, at the end of the month, or randomly with no certain time frame. FS-I in any form was associated with low income, chronic FS-I was associated with younger age and male sex, seasonal FS-I was associated with having no government-subsidized health insurance and females, intramonthly FS-I was associated with participation in nutrition assistance programs, and intermittent FS-I had lower odds among Hispanic/Latino households. Conclusions: Further research is needed to explore other FS-I correlates and establish causative relationships; however, these results can be used with clinical judgment for targeted food insecurity screening and treatment. (Copyright © 2024 The Author. Published by Elsevier Inc. All rights reserved.) |
فهرسة مساهمة: | Keywords: Chronic disease; Cross-sectional studies; Food insecurity; Secondary data analysis; Sociodemographic factors |
تواريخ الأحداث: | Date Created: 20231211 Date Completed: 20240519 Latest Revision: 20240519 |
رمز التحديث: | 20240520 |
DOI: | 10.1016/j.jand.2023.12.002 |
PMID: | 38081383 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2212-2672 |
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DOI: | 10.1016/j.jand.2023.12.002 |