131 lines
4.3 KiB
YAML
131 lines
4.3 KiB
YAML
|
abstract: 'BackgroundFood insecurity (FI) often co-exists with other social risk
|
||
|
|
|
||
|
|
factors, which makes addressing it particularly challenging. The degree
|
||
|
|
|
||
|
|
of association between FI and other social risk factors across different
|
||
|
|
|
||
|
|
levels of income and before and during the COVID-19 pandemic is
|
||
|
|
|
||
|
|
currently unknown, impeding the ability to design effective
|
||
|
|
|
||
|
|
interventions for addressing these co-existing social risk
|
||
|
|
|
||
|
|
factors.ObjectiveTo determine the association between FI and other
|
||
|
|
|
||
|
|
social risk factors overall and across different levels of
|
||
|
|
|
||
|
|
income-poverty ratios and before (2019) and during (2020-2021) the
|
||
|
|
|
||
|
|
pandemic.DesignWe used nationally representative data from the 2019-2021
|
||
|
|
|
||
|
|
National Health Interview Survey for our cross-sectional analysis.
|
||
|
|
|
||
|
|
Social risk factors available in NHIS included difficulties paying for
|
||
|
|
|
||
|
|
medical bills, difficulties paying for medications, receiving income
|
||
|
|
|
||
|
|
assistance, receiving rental assistance, and ``not working last
|
||
|
|
|
||
|
|
week{''''}.Subjects93,047 adults (\& GE;18 years old).Key
|
||
|
|
|
||
|
|
ResultsIndividuals with other social risk factors (except receiving
|
||
|
|
|
||
|
|
income assistance) were more likely to report FI, even after adjusting
|
||
|
|
|
||
|
|
for income and education inequalities. While poverty leads to a higher
|
||
|
|
|
||
|
|
prevalence of FI, associations between FI and other social risk factors
|
||
|
|
|
||
|
|
were stronger among people with higher incomes, which may be related to
|
||
|
|
|
||
|
|
their ineligibility for social safety net programs. Associations were
|
||
|
|
|
||
|
|
similar before and during the pandemic, perhaps due to the extensive
|
||
|
|
|
||
|
|
provision of social safety net programs during the
|
||
|
|
|
||
|
|
pandemic.ConclusionsFuture research should explore how access to a
|
||
|
|
|
||
|
|
variety of social safety net programs may impact the association between
|
||
|
|
|
||
|
|
social risk factors. With the expiration of most pandemic-related social
|
||
|
|
|
||
|
|
supports, further research and monitoring are also needed to examine FI
|
||
|
|
|
||
|
|
in the context of increasing food and housing costs. Our findings may
|
||
|
|
|
||
|
|
also have implications for the expansion of income-based program
|
||
|
|
|
||
|
|
eligibility criteria and screening for social risk factors across all
|
||
|
|
|
||
|
|
patients and not only low-income people.'
|
||
|
|
affiliation: 'Sharareh, N (Corresponding Author), Univ Utah, Dept Populat Hlth Sci,
|
||
|
|
Spence Fox Eccles Sch Med, Salt Lake City, UT 84112 USA.
|
||
|
|
|
||
|
|
Sharareh, Nasser; Wallace, Andrea S.; Wilson, Fernando A., Univ Utah, Dept Populat
|
||
|
|
Hlth Sci, Spence Fox Eccles Sch Med, Salt Lake City, UT 84112 USA.
|
||
|
|
|
||
|
|
Adesoba, Taiwo P., Univ Arkansas Med Sci, Dept Hlth Policy \& Management, Little
|
||
|
|
Rock, AR USA.
|
||
|
|
|
||
|
|
Wallace, Andrea S.; Bybee, Sara, Univ Utah, Coll Nursing, Salt Lake City, UT USA.
|
||
|
|
|
||
|
|
Potter, Lindsey N., Univ Utah, Spence Fox Eccles Sch Med, Ctr Hlth Outcomes \& Populat
|
||
|
|
Equ, Dept Populat Hlth Sci,Huntsman Canc Inst, Salt Lake City, UT USA.
|
||
|
|
|
||
|
|
Seligman, Hilary, Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA
|
||
|
|
USA.
|
||
|
|
|
||
|
|
Wilson, Fernando A., Univ Utah, Coll Social \& Behav Sci, Matheson Ctr Hlth Care
|
||
|
|
Studies, Dept Econ, Salt Lake City, UT USA.'
|
||
|
|
author: Sharareh, Nasser and Adesoba, Taiwo P. and Wallace, Andrea S. and Bybee, Sara
|
||
|
|
and Potter, Lindsey N. and Seligman, Hilary and Wilson, Fernando A.
|
||
|
|
author-email: nasser.sharareh@hsc.utah.edu
|
||
|
|
author_list:
|
||
|
|
- family: Sharareh
|
||
|
|
given: Nasser
|
||
|
|
- family: Adesoba
|
||
|
|
given: Taiwo P.
|
||
|
|
- family: Wallace
|
||
|
|
given: Andrea S.
|
||
|
|
- family: Bybee
|
||
|
|
given: Sara
|
||
|
|
- family: Potter
|
||
|
|
given: Lindsey N.
|
||
|
|
- family: Seligman
|
||
|
|
given: Hilary
|
||
|
|
- family: Wilson
|
||
|
|
given: Fernando A.
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1007/s11606-023-08360-8
|
||
|
|
earlyaccessdate: AUG 2023
|
||
|
|
eissn: 1525-1497
|
||
|
|
files: []
|
||
|
|
issn: 0884-8734
|
||
|
|
journal: JOURNAL OF GENERAL INTERNAL MEDICINE
|
||
|
|
keywords: 'food insecurity; health policy; poverty; disparities; public health;
|
||
|
|
|
||
|
|
COVID-19'
|
||
|
|
keywords-plus: CARE; ACCESS
|
||
|
|
language: English
|
||
|
|
month: 2023 AUG 9
|
||
|
|
number-of-cited-references: '35'
|
||
|
|
orcid-numbers: 'Adesoba, Taiwo/0000-0001-8110-9830
|
||
|
|
|
||
|
|
Sharareh, Nasser/0000-0001-9552-2028'
|
||
|
|
papis_id: d0a691a39a5b86c790c77149410f4d1c
|
||
|
|
ref: Sharareh2023associationsfood
|
||
|
|
researcherid-numbers: 'Adesoba, Taiwo/ISA-9118-2023
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '0'
|
||
|
|
title: Associations between food insecurity and other social risk factors among US
|
||
|
|
adults
|
||
|
|
type: Article; Early Access
|
||
|
|
unique-id: WOS:001045122200002
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '0'
|
||
|
|
web-of-science-categories: Health Care Sciences \& Services; Medicine, General \&
|
||
|
|
Internal
|
||
|
|
year: '2023'
|