Household Food Insecurity and Associated Factors among Iranian Patients with Esophageal and Gastric Cancers.

Autor: Sohrabi M; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Mollanoroozy E; Epidemiology & Biostatistics Department, School of Public Health, Neyshabur University of Medical, Sciences, Neyshabur, Iran., Abbasi H; Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran., Mehrabadi S; Student Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran., Zamani F; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Ajdarkosh H; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Hatamian S; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Bahavar A; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Safarnezhad Tameshkel F; Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Gholami A; Noncommunicable Diseases Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.; Epidemiology & Biostatistics Department, School of Public Health, Neyshabur University of Medical, Sciences, Neyshabur, Iran.
Jazyk: angličtina
Zdroj: Middle East journal of digestive diseases [Middle East J Dig Dis] 2023 Apr; Vol. 15 (2), pp. 76-82. Date of Electronic Publication: 2023 Apr 30.
DOI: 10.34172/mejdd.2023.326
Abstrakt: Background: Household food insecurity (HFI) which has still been one of the major global public health issues is related to adverse health outcomes in individuals. Therefore, this study aimed to determine the prevalence of HFI and its associated factors in Iranian patients with esophageal and gastric cancers. Methods: The data of this cross-sectional study was obtained from 315 patients with esophageal and gastric cancers who were selected from a gastrointestinal cancer-based cohort study conducted in Firoozgar hospital, in Tehran. Food insecurity (FI) was measured using the Iranian version of the HFI questionnaire that was completed by a trained interviewer. The multivariable logistic regression model was used to determine the independent association of each factor with HFI. A P value lower than 0.05 was considered statistically significant. Results: The mean±SD of participants' age was 63.2±12.6 years and 65.4% were men. Most of the patients (75.8%) suffered from gastric cancer and 24.2% from esophageal cancer. The overall prevalence of FI among participants' households was 35.2%. There was an independent significant association between wealth index (WI) and HFI after the use of the multivariable logistic regression model, in such a way that the odds of FI in the poorest, poor, moderate, and rich patients' households were respectively, 6.41, 5.05, 2.74 and 2.04 times higher compared with the richest households. Conclusion: More than a third of participants' households struggled with FI, which was found to have a higher prevalence in loweconomic households. Therefore, health policymakers should intervene in food-insecure households by developing, establishing, and implementing strategies and control programs to improve affordable food access.
Competing Interests: Competing Interests The authors declare no conflict of interest related to this work.
(© 2023 Middle East Journal of Digestive Diseases.)
Databáze: MEDLINE
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