PDF(Pubmed)
Abstract：
Place of residence (urban versus rural) is a contextual determinant of health that has received less attention in the food insecurity literature. The purpose of this study was to assess the urban-rural disparity in the prevalence of food insecurity and weight status among US children. Using data from the National Health and Nutrition Examination Survey (NHANES) 2013-2016 with three age groups of children (2-5, 6-11, and 12-17 years old), the associations of weight status and child and household food security status by urban-rural residence were examined using Rao-Scott Chi-square tests. Statistical significance was set at p < 0.05. Children living in urban areas were significantly more likely to experience household food insecurity (29.15%) compared to their rural counterparts (19.10%), among those aged 6-11 years. The associations between children\'s weight status and child and household food security status were significant for children living in urban areas overall and different age groups but not for children living in rural areas. These trends were more pronounced in older age groups. Given the link between food insecurity and higher obesity rates, particularly among urban children, this study highlights the importance of incorporating food security interventions into future obesity prevention programs.
摘要：
居住地（城市与农村）是健康的背景决定因素，在粮食不安全文献中受到的关注较少。这项研究的目的是评估美国儿童的粮食不安全患病率和体重状况的城乡差异。使用2013-2016年国家健康与营养调查（NHANES）的数据，包括三个年龄段的儿童（2-5、6-11和12-17岁），采用Rao-Scott卡方检验了城乡居住地的体重状况与儿童和家庭食品安全状况之间的关联.统计学显著性设定为p<0.05。与农村儿童(19.10%)相比，生活在城市地区的儿童更有可能经历家庭粮食不安全(29.15%)。在6-11岁的人群中。儿童体重状况与儿童和家庭粮食安全状况之间的关联对于居住在城市地区和不同年龄组的儿童而言是显着的，而对于居住在农村地区的儿童则不是。这些趋势在老年群体中更为明显。鉴于粮食不安全和肥胖率上升之间的联系，特别是在城市儿童中，这项研究强调了将食品安全干预措施纳入未来肥胖预防计划的重要性.
