{"title":"经济状况和健康相关的生活质量与亚特兰大，乔治亚州和休斯顿，德克萨斯州慈善食品援助接受者的粮食不安全状况的转变有关。","authors":"Craig Gundersen, Fred Brooks, Daphne C Hernandez","doi":"10.1016/j.jand.2025.06.030","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The literature on the determinants of US food insecurity is extensive. Yet, the research on transitions in food insecurity among a group, especially those at risk of food insecurity-recipients of charitable food assistance-is more limited.</p><p><strong>Objectives: </strong>This study examines changes in financial well-being and health-related quality of life as correlates of transitions in food insecurity status among recipients of charitable food assistance.</p><p><strong>Design: </strong>Survey data were collected 6 months apart during 2022 and 2023. Food insecurity was measured at both time points using the 18-item US Department of Agriculture Food Security Survey Module. At both time points, recipients reported on their financial well-being using a 10-item scale and their health-related quality of life using 3 measures: global health and the number of physical and mental unhealthy days. Other time-varying and time-invariant variables are also included.</p><p><strong>Participants: </strong>Recipients of charitable food assistance (n = 777) were recruited and surveyed from 10 food pantries in Atlanta, GA, and 10 food pantries in Houston, TX. Participants were followed up 6 months later. The sample is composed of those who participated in both surveys.</p><p><strong>Main outcome measures: </strong>Marginal food insecurity, food insecurity, and very low food security.</p><p><strong>Statistical analyses performed: </strong>Standard descriptive statistics are displayed along with results from 2-way fixed effects models.</p><p><strong>Results: </strong>Over a 6-month period, 21.5% of respondents saw a change in marginal food insecurity, 24.1% in food insecurity, and 14.0% in very low food security. These changes were associated with changes in the number of days the respondent reported having trouble with mental health during the past 30 days and perceptions of financial well-being.</p><p><strong>Conclusions: </strong>These results demonstrate that practitioners, such as nutrition and dietetics practitioners, should be aware that food insecurity status among a group at high risk of food insecurity frequently changes over a short period. These changes were associated with factors potentially trackable by nutrition and dietetics practitioners in community settings, which may facilitate the distribution of appropriate resources more quickly.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":4.0000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Financial Well-Being and Health-Related Quality of Life Are Associated With Transitions in Food Insecurity Status Among Recipients of Charitable Food Assistance in Atlanta, GA, and Houston, TX.\",\"authors\":\"Craig Gundersen, Fred Brooks, Daphne C Hernandez\",\"doi\":\"10.1016/j.jand.2025.06.030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The literature on the determinants of US food insecurity is extensive. Yet, the research on transitions in food insecurity among a group, especially those at risk of food insecurity-recipients of charitable food assistance-is more limited.</p><p><strong>Objectives: </strong>This study examines changes in financial well-being and health-related quality of life as correlates of transitions in food insecurity status among recipients of charitable food assistance.</p><p><strong>Design: </strong>Survey data were collected 6 months apart during 2022 and 2023. Food insecurity was measured at both time points using the 18-item US Department of Agriculture Food Security Survey Module. At both time points, recipients reported on their financial well-being using a 10-item scale and their health-related quality of life using 3 measures: global health and the number of physical and mental unhealthy days. Other time-varying and time-invariant variables are also included.</p><p><strong>Participants: </strong>Recipients of charitable food assistance (n = 777) were recruited and surveyed from 10 food pantries in Atlanta, GA, and 10 food pantries in Houston, TX. Participants were followed up 6 months later. The sample is composed of those who participated in both surveys.</p><p><strong>Main outcome measures: </strong>Marginal food insecurity, food insecurity, and very low food security.</p><p><strong>Statistical analyses performed: </strong>Standard descriptive statistics are displayed along with results from 2-way fixed effects models.</p><p><strong>Results: </strong>Over a 6-month period, 21.5% of respondents saw a change in marginal food insecurity, 24.1% in food insecurity, and 14.0% in very low food security. These changes were associated with changes in the number of days the respondent reported having trouble with mental health during the past 30 days and perceptions of financial well-being.</p><p><strong>Conclusions: </strong>These results demonstrate that practitioners, such as nutrition and dietetics practitioners, should be aware that food insecurity status among a group at high risk of food insecurity frequently changes over a short period. These changes were associated with factors potentially trackable by nutrition and dietetics practitioners in community settings, which may facilitate the distribution of appropriate resources more quickly.</p>\",\"PeriodicalId\":379,\"journal\":{\"name\":\"Journal of the Academy of Nutrition and Dietetics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Academy of Nutrition and Dietetics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jand.2025.06.030\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Academy of Nutrition and Dietetics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jand.2025.06.030","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Financial Well-Being and Health-Related Quality of Life Are Associated With Transitions in Food Insecurity Status Among Recipients of Charitable Food Assistance in Atlanta, GA, and Houston, TX.
Background: The literature on the determinants of US food insecurity is extensive. Yet, the research on transitions in food insecurity among a group, especially those at risk of food insecurity-recipients of charitable food assistance-is more limited.
Objectives: This study examines changes in financial well-being and health-related quality of life as correlates of transitions in food insecurity status among recipients of charitable food assistance.
Design: Survey data were collected 6 months apart during 2022 and 2023. Food insecurity was measured at both time points using the 18-item US Department of Agriculture Food Security Survey Module. At both time points, recipients reported on their financial well-being using a 10-item scale and their health-related quality of life using 3 measures: global health and the number of physical and mental unhealthy days. Other time-varying and time-invariant variables are also included.
Participants: Recipients of charitable food assistance (n = 777) were recruited and surveyed from 10 food pantries in Atlanta, GA, and 10 food pantries in Houston, TX. Participants were followed up 6 months later. The sample is composed of those who participated in both surveys.
Main outcome measures: Marginal food insecurity, food insecurity, and very low food security.
Statistical analyses performed: Standard descriptive statistics are displayed along with results from 2-way fixed effects models.
Results: Over a 6-month period, 21.5% of respondents saw a change in marginal food insecurity, 24.1% in food insecurity, and 14.0% in very low food security. These changes were associated with changes in the number of days the respondent reported having trouble with mental health during the past 30 days and perceptions of financial well-being.
Conclusions: These results demonstrate that practitioners, such as nutrition and dietetics practitioners, should be aware that food insecurity status among a group at high risk of food insecurity frequently changes over a short period. These changes were associated with factors potentially trackable by nutrition and dietetics practitioners in community settings, which may facilitate the distribution of appropriate resources more quickly.
期刊介绍：
The Journal of the Academy of Nutrition and Dietetics is the premier source for the practice and science of food, nutrition, and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, foodservice systems, leadership and management, and dietetics education.
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