PDF(Pubmed)
Abstract：
UNASSIGNED: Healthcare screening identifies factors that impact patient health and well-being. Hunger as a Vital Sign (HVS) is widely applied as a screening tool to assess food security. However, there are no common practice screening questions to identify patients who are nutrition insecure or acquire free food from community-based organizations. This study used self-reported survey data from a non-Medicaid insured adult population approximately one year after the start of the COVID-19 pandemic (2021). The survey examined the extent to which the HVS measure might have under-estimated population-level food insecurity and/or nutrition insecurity, as well as under-identified food and nutrition insecurity among patients being screened for social risks in the healthcare setting.
UNASSIGNED: Data from a 2021 English-only mailed/online survey were analyzed for 2791 Kaiser Permanente Northern California (KPNC) non-Medicaid insured members ages 35-85 years. Sociodemographics, financial strain, food insecurity, acquiring free food from community-based organizations, and nutrition insecurity were assessed. Data from respondents\' electronic health records were abstracted to identify adults with diet-related chronic health conditions. Data were weighted to the age × sex × racial/ethnic composition of the 2019 KPNC adult membership. Differences between groups were evaluated for statistical significance using adjusted prevalence ratios (aPRs) derived from modified log Poisson regression models.
UNASSIGNED: Overall, 8.5% of participants reported moderate or high food insecurity, 7.7% had acquired free food from community-based organizations, and 13% had nutrition insecurity. Black and Latino adults were significantly more likely than White adults to have food insecurity (17.4% and 13.1% vs 5.6%, aPRs = 2.97 and 2.19), acquired free food from community-based organizations (15.1% and 15.3% vs 4.1%, aPRs = 3.74 and 3.93), nutrition insecurity (22.1% and 23.9% vs 7.9%, aPRs = 2.65 and 2.64), and food and nutrition insecurity (32.4% and 32.5% vs 12.3%, aPRs = 2.54 and 2.44). Almost 20% of adults who had been diagnosed with diabetes, prediabetes, ischemic CAD, or heart failure were food insecure and 14% were nutrition insecure.
UNASSIGNED: Expanding food-related healthcare screening to identify and assess food insecurity, nutrition insecurity, and use of community-based emergency food resources together is essential for supporting referrals that will help patients achieve optimal health.
UNASSIGNED: Data from a 2021 English-only mailed/online survey were analyzed for 2791 Kaiser Permanente Northern California (KPNC) non-Medicaid insured members ages 35-85 years. Sociodemographics, financial strain, food insecurity, acquiring free food from community-based organizations, and nutrition insecurity were assessed. Data from respondents\' electronic health records were abstracted to identify adults with diet-related chronic health conditions. Data were weighted to the age × sex × racial/ethnic composition of the 2019 KPNC adult membership. Differences between groups were evaluated for statistical significance using adjusted prevalence ratios (aPRs) derived from modified log Poisson regression models.
UNASSIGNED: Overall, 8.5% of participants reported moderate or high food insecurity, 7.7% had acquired free food from community-based organizations, and 13% had nutrition insecurity. Black and Latino adults were significantly more likely than White adults to have food insecurity (17.4% and 13.1% vs 5.6%, aPRs = 2.97 and 2.19), acquired free food from community-based organizations (15.1% and 15.3% vs 4.1%, aPRs = 3.74 and 3.93), nutrition insecurity (22.1% and 23.9% vs 7.9%, aPRs = 2.65 and 2.64), and food and nutrition insecurity (32.4% and 32.5% vs 12.3%, aPRs = 2.54 and 2.44). Almost 20% of adults who had been diagnosed with diabetes, prediabetes, ischemic CAD, or heart failure were food insecure and 14% were nutrition insecure.
UNASSIGNED: Expanding food-related healthcare screening to identify and assess food insecurity, nutrition insecurity, and use of community-based emergency food resources together is essential for supporting referrals that will help patients achieve optimal health.
摘要：
■医疗保健筛查确定了影响患者健康和福祉的因素。饥饿作为生命体征（HVS）被广泛用作评估粮食安全的筛查工具。然而,没有常见的实践筛查问题来识别营养不安全或从社区组织获得免费食物的患者。这项研究使用了COVID-19大流行(2021年)开始后大约一年的非医疗补助保险成年人的自我报告调查数据。调查研究了HVS措施可能低估人口水平的粮食不安全和/或营养不安全的程度，以及在医疗保健环境中接受社会风险筛查的患者中识别不足的食物和营养不安全。
■对2791名年龄在35-85岁的北加州KaiserPermanente（KPNC）非医疗补助保险成员进行了分析，该数据来自2021年的仅英语邮寄/在线调查。社会人口统计学，财务压力，粮食不安全，从社区组织获得免费食物，并对营养不安全进行了评估。从受访者的电子健康记录中提取数据，以识别患有与饮食相关的慢性健康状况的成年人。数据加权为2019年KPNC成年会员的年龄×性别×种族/族裔组成。使用从改良的对数泊松回归模型得出的调整后的患病率比（aPR）评估组间差异的统计学意义。
■总的来说，8.5%的参与者报告中度或高度粮食不安全，7.7%的人从社区组织获得了免费食物，13%的人有营养不安全。黑人和拉丁裔成年人比白人成年人更容易出现食物不安全(17.4%和13.1%对5.6%，aPRs=2.97和2.19)，从社区组织获得免费食物(15.1%和15.3%vs4.1%，aPRs=3.74和3.93)，营养不安全(22.1%和23.9%vs7.9%，aPRs=2.65和2.64)，粮食和营养不安全(32.4%和32.5%vs12.3%，aPRs=2.54和2.44)。几乎20%的成年人被诊断患有糖尿病，前驱糖尿病，缺血性CAD，或心力衰竭是食物不安全，14%是营养不安全。
■扩大与食品相关的医疗保健筛查，以识别和评估粮食不安全，营养不安全，和以社区为基础的紧急食物资源一起使用对于支持转诊至关重要，这将有助于患者实现最佳健康。
■对2791名年龄在35-85岁的北加州KaiserPermanente（KPNC）非医疗补助保险成员进行了分析，该数据来自2021年的仅英语邮寄/在线调查。社会人口统计学，财务压力，粮食不安全，从社区组织获得免费食物，并对营养不安全进行了评估。从受访者的电子健康记录中提取数据，以识别患有与饮食相关的慢性健康状况的成年人。数据加权为2019年KPNC成年会员的年龄×性别×种族/族裔组成。使用从改良的对数泊松回归模型得出的调整后的患病率比（aPR）评估组间差异的统计学意义。
■总的来说，8.5%的参与者报告中度或高度粮食不安全，7.7%的人从社区组织获得了免费食物，13%的人有营养不安全。黑人和拉丁裔成年人比白人成年人更容易出现食物不安全(17.4%和13.1%对5.6%，aPRs=2.97和2.19)，从社区组织获得免费食物(15.1%和15.3%vs4.1%，aPRs=3.74和3.93)，营养不安全(22.1%和23.9%vs7.9%，aPRs=2.65和2.64)，粮食和营养不安全(32.4%和32.5%vs12.3%，aPRs=2.54和2.44)。几乎20%的成年人被诊断患有糖尿病，前驱糖尿病，缺血性CAD，或心力衰竭是食物不安全，14%是营养不安全。
■扩大与食品相关的医疗保健筛查，以识别和评估粮食不安全，营养不安全，和以社区为基础的紧急食物资源一起使用对于支持转诊至关重要，这将有助于患者实现最佳健康。
