The Intersection of Disability, Race, Ethnicity, and Financial Background on Food Insecurity Among Medical Students.

IF 5.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Mytien Nguyen, Bassel M Shanab, Pavan Khosla, Dowin Boatright, Sarwat I Chaudhry, Eric J Brandt, Nour M Hammad, Karri L Grob, Morgan Brinker, Caden Cannon, Katherine Cermack, Maha Fathali, John W R Kincaid, Yuxing Emily Ma, Yuu Ohno, Aishwarya Pradeep, Anitza Quintero, Neelufar Raja, Brendan L Rooney, Sasha Stogniy, Kiara K Smith, George Sun, Jahnavi Sunkara, Belinda Tang, Gabriella VanAken Rubick, JiCi Wang, Sanaea Z Bhagwagar, Nathan Luzum, Frank Liu, John S Francis, Lisa M Meeks, Cindy W Leung
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引用次数: 0

Abstract

Purpose: Food insecurity is negatively associated with college students' well-being and academic performance. Little is known about the prevalence of food insecurity among medical students. This study examined variations in food insecurity among medical students at 15 schools, analyzing differences by disability status, race, ethnicity, and financial background.

Method: Between March-October 2024, 1,659 students across 15 MD-granting medical schools completed an online survey. Over the past 12 months, food insecurity was assessed using the 10-item U.S. Household Food Security Survey Module. Additional survey measures included age, gender identity, race, ethnicity, Pell Grant recipient status, disability status, and graduation year. Poisson regression models were utilized to estimate the relative risk of food insecurity based on self-reported disability, race, ethnicity, and financial background and their intersections.

Results: In the analytic sample, a higher proportion of students with disability (33.7% vs 21.8%, P < .001), from low-income backgrounds (34.9% vs 20.3%, P < .001), and those underrepresented in medicine (URiM) reported food insecurity (37.6% vs 19.7%, P < .001). Across intersectional groups, URiM low-income students with disability have the highest rate of food insecurity (62.5% vs 16.8% for nondisabled non-URiM non-low-income peers, P < .001). In the fully adjusted model, compared to nondisabled non-URiM non-low-income students, non-URiM and URiM low-income students with disability (non-URiM aRR: 2.44, 95% CI 1.72-3.48; URiM aRR: 3.52, 95% CI 2.79-4.45) had a higher relative risk of food insecurity.

Conclusions: In this study, nearly 1 in 4 medical students were food insecure. URiM, low-income, and students with disabilities reported food insecurity at a significantly higher rate than their peers, with over half of URiM low-income students with disabilities reporting food insecurity. These findings suggest a promising yet underutilized avenue for approaches to enhancing well-being. Proactive efforts should prioritize supporting marginalized students by linking them to nutrition resources and advocating for policies that address their essential needs.

残疾、种族、民族和经济背景对医学生食品不安全的影响。
目的:粮食不安全与大学生幸福感和学业成绩呈负相关。人们对医学生中普遍存在的食品不安全问题知之甚少。这项研究调查了15所学校医学生在食物不安全方面的差异,分析了残疾状况、种族、民族和经济背景的差异。方法:在2024年3月至10月期间,来自15所医学博士授予医学院的1,659名学生完成了一项在线调查。在过去的12个月里,粮食不安全状况是通过10项美国家庭粮食安全调查模块进行评估的。其他调查指标包括年龄、性别认同、种族、民族、佩尔助学金获得者身份、残疾状况和毕业年份。使用泊松回归模型来估计基于自我报告的残疾、种族、民族和经济背景及其交集的粮食不安全的相对风险。结果:在分析样本中,较高比例的残疾学生(33.7%对21.8%,P < .001),低收入背景的学生(34.9%对20.3%,P < .001),以及代表性不足的医学学生(URiM)报告食品不安全(37.6%对19.7%,P < .001)。在交叉群体中,URiM低收入残疾学生的食物不安全率最高(62.5% vs非残疾非URiM非低收入同龄人的16.8%,P < .001)。在完全调整模型中,与非残疾非URiM非低收入学生相比,非URiM和URiM低收入残疾学生(non-URiM aRR: 2.44, 95% CI 1.72-3.48;URiM aRR: 3.52, 95% CI 2.79-4.45)食品不安全的相对风险较高。结论:在本研究中,近四分之一的医学生食物不安全。低收入和残疾学生报告粮食不安全的比例明显高于同龄人,超过一半的低收入残疾学生报告粮食不安全。这些发现为增进福祉的方法提供了一条有希望但未得到充分利用的途径。积极努力应优先支持边缘化学生,将他们与营养资源联系起来,并倡导解决其基本需求的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Academic Medicine
Academic Medicine 医学-卫生保健
CiteScore
7.80
自引率
9.50%
发文量
982
审稿时长
3-6 weeks
期刊介绍: Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.
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