2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundFood insecurity (FI) often co-exists with other social risk
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factors, which makes addressing it particularly challenging. The degree
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of association between FI and other social risk factors across different
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levels of income and before and during the COVID-19 pandemic is
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currently unknown, impeding the ability to design effective
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interventions for addressing these co-existing social risk
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factors.ObjectiveTo determine the association between FI and other
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social risk factors overall and across different levels of
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income-poverty ratios and before (2019) and during (2020-2021) the
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pandemic.DesignWe used nationally representative data from the 2019-2021
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National Health Interview Survey for our cross-sectional analysis.
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Social risk factors available in NHIS included difficulties paying for
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medical bills, difficulties paying for medications, receiving income
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assistance, receiving rental assistance, and ``not working last
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week{''''}.Subjects93,047 adults (\& GE;18 years old).Key
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ResultsIndividuals with other social risk factors (except receiving
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income assistance) were more likely to report FI, even after adjusting
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for income and education inequalities. While poverty leads to a higher
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prevalence of FI, associations between FI and other social risk factors
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were stronger among people with higher incomes, which may be related to
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their ineligibility for social safety net programs. Associations were
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similar before and during the pandemic, perhaps due to the extensive
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provision of social safety net programs during the
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pandemic.ConclusionsFuture research should explore how access to a
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variety of social safety net programs may impact the association between
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social risk factors. With the expiration of most pandemic-related social
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supports, further research and monitoring are also needed to examine FI
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in the context of increasing food and housing costs. Our findings may
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also have implications for the expansion of income-based program
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eligibility criteria and screening for social risk factors across all
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patients and not only low-income people.'
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affiliation: 'Sharareh, N (Corresponding Author), Univ Utah, Dept Populat Hlth Sci,
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Spence Fox Eccles Sch Med, Salt Lake City, UT 84112 USA.
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Sharareh, Nasser; Wallace, Andrea S.; Wilson, Fernando A., Univ Utah, Dept Populat
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Hlth Sci, Spence Fox Eccles Sch Med, Salt Lake City, UT 84112 USA.
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Adesoba, Taiwo P., Univ Arkansas Med Sci, Dept Hlth Policy \& Management, Little
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Rock, AR USA.
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Wallace, Andrea S.; Bybee, Sara, Univ Utah, Coll Nursing, Salt Lake City, UT USA.
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Potter, Lindsey N., Univ Utah, Spence Fox Eccles Sch Med, Ctr Hlth Outcomes \& Populat
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Equ, Dept Populat Hlth Sci,Huntsman Canc Inst, Salt Lake City, UT USA.
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Seligman, Hilary, Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA
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USA.
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Wilson, Fernando A., Univ Utah, Coll Social \& Behav Sci, Matheson Ctr Hlth Care
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Studies, Dept Econ, Salt Lake City, UT USA.'
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author: Sharareh, Nasser and Adesoba, Taiwo P. and Wallace, Andrea S. and Bybee, Sara
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and Potter, Lindsey N. and Seligman, Hilary and Wilson, Fernando A.
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author-email: nasser.sharareh@hsc.utah.edu
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author_list:
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- family: Sharareh
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given: Nasser
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- family: Adesoba
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given: Taiwo P.
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- family: Wallace
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given: Andrea S.
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- family: Bybee
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given: Sara
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- family: Potter
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given: Lindsey N.
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- family: Seligman
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given: Hilary
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- family: Wilson
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given: Fernando A.
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da: '2023-09-28'
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doi: 10.1007/s11606-023-08360-8
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earlyaccessdate: AUG 2023
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eissn: 1525-1497
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files: []
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issn: 0884-8734
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journal: JOURNAL OF GENERAL INTERNAL MEDICINE
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keywords: 'food insecurity; health policy; poverty; disparities; public health;
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COVID-19'
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keywords-plus: CARE; ACCESS
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language: English
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month: 2023 AUG 9
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number-of-cited-references: '35'
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orcid-numbers: 'Adesoba, Taiwo/0000-0001-8110-9830
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Sharareh, Nasser/0000-0001-9552-2028'
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papis_id: d0a691a39a5b86c790c77149410f4d1c
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ref: Sharareh2023associationsfood
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researcherid-numbers: 'Adesoba, Taiwo/ISA-9118-2023
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'
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times-cited: '0'
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title: Associations between food insecurity and other social risk factors among US
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adults
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001045122200002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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web-of-science-categories: Health Care Sciences \& Services; Medicine, General \&
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Internal
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year: '2023'
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