PDF(Pubmed)
Abstract：
Over the past decade, the prevalence of food insecurity declined in the United States but curiously climbed in Philadelphia, Pennsylvania, a sizable metropolitan area where many households experience food insecurity and are dependent on programs like SNAP. Therefore, we aimed to determine the burden of food insecurity among populations near Philadelphia Federally Qualified Health Center (FQHC) clinic sites.
This cross-sectional study was conducted in North Philadelphia, a populous and impoverished section of Philadelphia with many zip codes reporting 30-45% or more of the population below the federal poverty line. Students and clinicians affiliated with a local FQHC conducted surveys on residents (n = 379) within 1-mile radiuses of three FQHC sites, using the Hunger Vital Sign™, a validated food security tool. Survey data were collected through door-to-door visits in the summer of 2019. We used simple, age-adjusted bivariable, and multivariable logistic regression models to predict food insecurity with independent variables, including age, sex, language preference, and BMI category.
Food insecurity in North Philadelphia was much higher (36.9%) than previously reported in Philadelphia and nationwide. Food insecurity was inversely associated with age (AOR = 0.98, 95% CI: 0.97, 1.00), overweight (AOR = 0.58, 95% CI: 0.32, 1.06), and obesity (AOR = 0.60, 95% CI: 0.33, 1.09).
In North Philadelphia, the burden of food insecurity is higher than in the greater Philadelphia area, Pennsylvania state, and the rest of the nation and is predicted by age and BMI of residents. These findings demonstrate a need for more locally targeted research and interventions on food insecurity in impoverished urban settings.
This cross-sectional study was conducted in North Philadelphia, a populous and impoverished section of Philadelphia with many zip codes reporting 30-45% or more of the population below the federal poverty line. Students and clinicians affiliated with a local FQHC conducted surveys on residents (n = 379) within 1-mile radiuses of three FQHC sites, using the Hunger Vital Sign™, a validated food security tool. Survey data were collected through door-to-door visits in the summer of 2019. We used simple, age-adjusted bivariable, and multivariable logistic regression models to predict food insecurity with independent variables, including age, sex, language preference, and BMI category.
Food insecurity in North Philadelphia was much higher (36.9%) than previously reported in Philadelphia and nationwide. Food insecurity was inversely associated with age (AOR = 0.98, 95% CI: 0.97, 1.00), overweight (AOR = 0.58, 95% CI: 0.32, 1.06), and obesity (AOR = 0.60, 95% CI: 0.33, 1.09).
In North Philadelphia, the burden of food insecurity is higher than in the greater Philadelphia area, Pennsylvania state, and the rest of the nation and is predicted by age and BMI of residents. These findings demonstrate a need for more locally targeted research and interventions on food insecurity in impoverished urban settings.
摘要：
在过去的十年里，食品不安全的患病率在美国下降，但在费城却奇怪地攀升，宾夕法尼亚,一个相当大的大都市地区，许多家庭经历粮食不安全，并依赖SNAP等计划。因此,我们旨在确定费城联邦合格健康中心(FQHC)诊所附近人群的粮食不安全负担.
这项横断面研究是在北费城进行的，费城人口众多且贫困的地区，许多邮政编码报告30-45％或更多的人口低于联邦贫困线。隶属于当地FQHC的学生和临床医生对三个FQHC站点1英里半径内的居民（n=379）进行了调查，使用饥饿生命体征™，一个经过验证的粮食安全工具。调查数据是通过2019年夏季的上门走访收集的。我们用简单的，年龄调整双变量，和多变量逻辑回归模型来预测具有自变量的粮食不安全，包括年龄,性别,语言偏好，BMI类别。
北费城的粮食不安全状况（36.9％）比以前在费城和全国范围内报道的要高得多。粮食不安全与年龄呈负相关(AOR=0.98，95%CI：0.97，1.00)，超重（AOR=0.58，95%CI：0.32，1.06），和肥胖（AOR=0.60，95%CI：0.33，1.09）。
在北费城,粮食不安全的负担比费城地区要高，宾夕法尼亚州,以及全国其他地区，并根据居民的年龄和BMI进行预测。这些发现表明，需要对贫困城市环境中的粮食不安全进行更多针对当地的研究和干预。
这项横断面研究是在北费城进行的，费城人口众多且贫困的地区，许多邮政编码报告30-45％或更多的人口低于联邦贫困线。隶属于当地FQHC的学生和临床医生对三个FQHC站点1英里半径内的居民（n=379）进行了调查，使用饥饿生命体征™，一个经过验证的粮食安全工具。调查数据是通过2019年夏季的上门走访收集的。我们用简单的，年龄调整双变量，和多变量逻辑回归模型来预测具有自变量的粮食不安全，包括年龄,性别,语言偏好，BMI类别。
北费城的粮食不安全状况（36.9％）比以前在费城和全国范围内报道的要高得多。粮食不安全与年龄呈负相关(AOR=0.98，95%CI：0.97，1.00)，超重（AOR=0.58，95%CI：0.32，1.06），和肥胖（AOR=0.60，95%CI：0.33，1.09）。
在北费城,粮食不安全的负担比费城地区要高，宾夕法尼亚州,以及全国其他地区，并根据居民的年龄和BMI进行预测。这些发现表明，需要对贫困城市环境中的粮食不安全进行更多针对当地的研究和干预。
