住房、食品和双重不安全与美国老年人健康的社会决定因素之间的关系

IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
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引用次数: 0

摘要

背景住房和食品安全等基本需求对老年人的健康和福祉至关重要。不利的健康社会决定因素(SDOH)增加了未满足的社会需求和实现最佳健康的障碍。本研究采用 SDOH 框架,调查了美国老年人的住房、食品和双重不安全状况与 SDOH 之间的关系。研究设计、环境、参与者这项横断面研究使用了 2022 年全国健康访谈调查中具有全国代表性的 65 岁及以上成年人数据(样本数=8835)。结果回归分析表明,黑人(OR=3.36,CI=2.42, 4.68)、高中以下学历者(OR=2.02,CI=1.20, 3.41)和低收入者(OR=29.49,CI=12.94, 67.21)的住房不安全可能性明显高于同龄人,但人口较多家庭的住房不安全可能性相对较低(OR=0.28,CI=0.18, 0.44)。只有高中教育背景(OR=1.92,CI=1.29,2.87)、黑人(OR=1.88,CI=1.30,2.72)、低收入者(OR=10.38,CI=5.76,18.69)以及没有可靠交通工具(OR=2.99,CI=2.06,4.34)的人更有可能面临粮食不安全问题。没有可靠交通工具(OR=6.57,CI=2.82,15.31)、黑人(OR=2.28,CI=1.07,4.85)和低收入者(OR=16.59,CI=2.30,119.71)更有可能面临双重不安全的挑战,但在人口较多的家庭(OR=0.17,CI=0.05,0.62)中,这种可能性较小。我们的研究结果凸显了解决未满足的基本需求的必要性,特别是低收入和少数种族老年人的住房和食品不安全挑战。我们需要进行更多的研究,以确定最佳的缓解方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of Housing, Food, and Dual Insecurity With the Social Determinants of Health Among Older Americans

Background

Basic needs such as housing and food security are essential in health and wellbeing among older adults. Adverse social determinants of health (SDOH) increase unmet social needs and barriers to optimal health. The adverse SDOH associated with housing, food, and dual housing-food insecurity are less understood for older adults.

Objective

Using an SDOH framework, this study examined any association between housing, food, and dual insecurity, and the SDOH among older US adults.

Study Design, Settings, Participants

This cross-sectional study used nationally representative data from the 2022 National Health Interview Survey for adults aged 65 and older (N=8,835).

Measurable Outcome/Analysis

Outcome measures were housing insecurity (receipt of housing assistance), food insecurity (based on the USDA Adult Food Security Module), and dual insecurity. Controlling for individual heterogeneity, stratified logistic regression models were used to evaluate associations between food, housing, and dual insecurity, and the SDOH.

Results

Regression analyses showed significantly higher likelihoods of housing insecurity among Blacks (OR=3.36, CI=2.42, 4.68), individuals with less than a high school education background (OR= 2.02, CI=1.20, 3.41), and low-income earners (OR= 29.49, CI=12.94, 67.21) relative to their counterparts, but a relatively lower likelihood of housing insecurity among those in larger households (OR= 0.28, CI=0.18, 0.44). Individuals with only a high school education background (OR= 1.92, CI=1.29, 2.87), Blacks (OR=1.88, CI=1.30, 2.72), low-income earners (OR=10.38, CI=5.76, 18.69), and those without reliable transportation (OR= 2.99, CI=2.06, 4.34) were more likely to experience food insecurity. Dual insecurity was a more likely challenge among individuals without reliable transportation (OR=6.57, CI=2.82, 15.31), Blacks (OR=2.28, CI=1.07, 4.85), and low-income earners (OR=16.59, CI=2.30, 119.71), but less likely among those in larger households (OR=0.17, CI=0.05, 0.62).

Conclusions

Income, race, and limited availability of material resources are associated with housing, food, and dual insecurity. Our findings highlight the need to address unmet basic needs, specifically, housing and food insecurity challenges among low-income and racially minoritized older adults. Additional research is needed to inform the best course of mitigation.

Funding

None

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来源期刊
CiteScore
4.20
自引率
11.50%
发文量
379
审稿时长
44 days
期刊介绍: The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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