PDF(Pubmed)
Abstract：
UNASSIGNED: Pregnant women and their offspring are particularly vulnerable to food insecurity and its adverse effects during critical periods of fetal development. Racially/ethnically minoritized women in the United States (US) who are pregnant are additionally burdened by food insecurity, which may exacerbate cardiovascular health (CVH) disparities. Despite heightened social vulnerability, few studies have employed an intersectional framework, including race and gender, to assess the food insecurity and CVH relationship.
UNASSIGNED: We used 2012-2018 and 2020 National Health Interview Survey data among US pregnant women aged 18-49 years old (N = 1,999) to assess the prevalence of food insecurity status by race/ethnicity and to investigate household food security status in relation to ideal CVH, using a modified ideal CVH (mICVH) metric. We categorized food security status as \"very low/low\", \"marginal\", or \"high\". To assess mICVH, a summary score of 7 clinical characteristics and health behaviors was dichotomized as yes [(7)] vs. no [<7]. Prevalence ratios (PRs) and 95% confidence intervals (CIs) of associations between food security status and mICVH were estimated using Poisson regression with robust variance. Models were adjusted for age, household income, educational attainment, geographic region, marital status, alcohol consumption, survey year, and race/ethnicity (in overall model).
UNASSIGNED: The mean age ± standard error was 29.0 ± 0.2 years. Among pregnant women, 12.7% reported \"very low/low\", 10.6% reported \"marginal\", and 76.7% reported \"high\" food security. \"Very low/low\" food security prevalence was higher among NH-Black (16.2%) and Hispanic/Latina (15.2%) pregnant women compared to NH-White (10.3%) and NH-Asian (3.2%) pregnant women. The mICVH prevalence was 11.6% overall and 14.5% for NH-White, 4.1% for NH-Black, 5.0% for Hispanic/Latina, and 26.7% for NH-Asian pregnant women. Among all pregnant women, \"very low/low\" and \"marginal\" vs. \"high\" food security status was associated with a lower prevalence of mICVH {[PRvery low/low = 0.26 (95% CI: 0.08-0.75)]; [PRmarginal = 0.47 (95% CI: 0.23 -0.96)]}.
UNASSIGNED: Household food insecurity was higher among pregnant women in minoritized racial/ethnic groups and was associated with lower mICVH prevalence. Given the higher burden of food insecurity among minoritized racial/ethnic groups, food security may be an important intervention target to help address disparities in poor CVH among pregnant women.
UNASSIGNED: We used 2012-2018 and 2020 National Health Interview Survey data among US pregnant women aged 18-49 years old (N = 1,999) to assess the prevalence of food insecurity status by race/ethnicity and to investigate household food security status in relation to ideal CVH, using a modified ideal CVH (mICVH) metric. We categorized food security status as \"very low/low\", \"marginal\", or \"high\". To assess mICVH, a summary score of 7 clinical characteristics and health behaviors was dichotomized as yes [(7)] vs. no [<7]. Prevalence ratios (PRs) and 95% confidence intervals (CIs) of associations between food security status and mICVH were estimated using Poisson regression with robust variance. Models were adjusted for age, household income, educational attainment, geographic region, marital status, alcohol consumption, survey year, and race/ethnicity (in overall model).
UNASSIGNED: The mean age ± standard error was 29.0 ± 0.2 years. Among pregnant women, 12.7% reported \"very low/low\", 10.6% reported \"marginal\", and 76.7% reported \"high\" food security. \"Very low/low\" food security prevalence was higher among NH-Black (16.2%) and Hispanic/Latina (15.2%) pregnant women compared to NH-White (10.3%) and NH-Asian (3.2%) pregnant women. The mICVH prevalence was 11.6% overall and 14.5% for NH-White, 4.1% for NH-Black, 5.0% for Hispanic/Latina, and 26.7% for NH-Asian pregnant women. Among all pregnant women, \"very low/low\" and \"marginal\" vs. \"high\" food security status was associated with a lower prevalence of mICVH {[PRvery low/low = 0.26 (95% CI: 0.08-0.75)]; [PRmarginal = 0.47 (95% CI: 0.23 -0.96)]}.
UNASSIGNED: Household food insecurity was higher among pregnant women in minoritized racial/ethnic groups and was associated with lower mICVH prevalence. Given the higher burden of food insecurity among minoritized racial/ethnic groups, food security may be an important intervention target to help address disparities in poor CVH among pregnant women.
摘要：
孕妇及其后代在胎儿发育的关键时期特别容易受到粮食不安全及其不利影响。在美国（US），怀孕的种族/种族化妇女还受到粮食不安全的负担，这可能会加剧心血管健康（CVH）的差异。尽管社会脆弱性加剧，很少有研究采用交叉框架，包括种族和性别,评估粮食不安全和CVH的关系。
■我们使用了2012-2018年和2020年美国18-49岁孕妇（N=1,999）的国家健康访谈调查数据，以评估按种族/民族划分的食物不安全状况，并调查家庭食物安全状况与理想CVH的关系。使用修改的理想CVH(mICVH)度量。我们将粮食安全状况归类为“非常低/低”，\"边际\",或“高”。要评估mICVH，将7种临床特征和健康行为的汇总评分分为yes[（7）]vs.没有[<7]。使用具有稳健方差的泊松回归估算了粮食安全状况与mICVH之间关联的患病率比（PR）和95％置信区间（CI）。模型根据年龄进行了调整，家庭收入,教育程度,地理区域,婚姻状况,酒精消费,调查年,和种族/民族(在整体模型中)。
■平均年龄±标准误差为29.0±0.2岁。在孕妇中,12.7%报告“非常低/低”，10.6%报告了“边际”，76.7%报告“高”粮食安全。与NH-白人（10.3％）和NH-亚洲（3.2％）孕妇相比，NH-Black（16.2％）和西班牙裔/拉丁裔（15.2％）孕妇的“非常低/低”食品安全率更高。mICVH患病率总体为11.6%，NH-White为14.5%，NH-Black为4.1%，西班牙裔/拉丁裔为5.0%，NH-亚洲孕妇为26.7%。在所有孕妇中，“非常低/低”和“边际”与“高”食品安全状况与mICVH的低患病率相关{[PRverylow/low=0.26(95%CI:0.08-0.75)];[PRmargar=0.47(95%CI:0.23-0.96)]}。
■在少数民族/族裔群体中，孕妇的家庭食物不安全程度更高，并且与mICVH患病率更低相关。鉴于少数族裔/种族群体的粮食不安全负担较高，粮食安全可能是一个重要的干预目标，以帮助解决孕妇中不良CVH的差异。
■我们使用了2012-2018年和2020年美国18-49岁孕妇（N=1,999）的国家健康访谈调查数据，以评估按种族/民族划分的食物不安全状况，并调查家庭食物安全状况与理想CVH的关系。使用修改的理想CVH(mICVH)度量。我们将粮食安全状况归类为“非常低/低”，\"边际\",或“高”。要评估mICVH，将7种临床特征和健康行为的汇总评分分为yes[（7）]vs.没有[<7]。使用具有稳健方差的泊松回归估算了粮食安全状况与mICVH之间关联的患病率比（PR）和95％置信区间（CI）。模型根据年龄进行了调整，家庭收入,教育程度,地理区域,婚姻状况,酒精消费,调查年,和种族/民族(在整体模型中)。
■平均年龄±标准误差为29.0±0.2岁。在孕妇中,12.7%报告“非常低/低”，10.6%报告了“边际”，76.7%报告“高”粮食安全。与NH-白人（10.3％）和NH-亚洲（3.2％）孕妇相比，NH-Black（16.2％）和西班牙裔/拉丁裔（15.2％）孕妇的“非常低/低”食品安全率更高。mICVH患病率总体为11.6%，NH-White为14.5%，NH-Black为4.1%，西班牙裔/拉丁裔为5.0%，NH-亚洲孕妇为26.7%。在所有孕妇中，“非常低/低”和“边际”与“高”食品安全状况与mICVH的低患病率相关{[PRverylow/low=0.26(95%CI:0.08-0.75)];[PRmargar=0.47(95%CI:0.23-0.96)]}。
■在少数民族/族裔群体中，孕妇的家庭食物不安全程度更高，并且与mICVH患病率更低相关。鉴于少数族裔/种族群体的粮食不安全负担较高，粮食安全可能是一个重要的干预目标，以帮助解决孕妇中不良CVH的差异。
