Food Insecurity and the Burden of Health-Related Social Problems in an Urban Youth Population
| Autor: | Emily A. Scherer, Areej Hassan, Eric W. Fleegler, Tamara E. Baer |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Adolescent Urban Population Social Determinants of Health Substance-Related Disorders Health Status Population Ethnic group Social issues Health Services Accessibility Food Supply Young Adult Environmental health Surveys and Questionnaires Health care Humans Social determinants of health Socioeconomics education education.field_of_study Food security business.industry digestive oral and skin physiology Public Health Environmental and Occupational Health Psychiatry and Mental health Logistic Models Agriculture Pediatrics Perinatology and Child Health Housing Female business Psychology Adolescent health |
| Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 57(6) |
| ISSN: | 1879-1972 |
| Popis: | Our study objectives were to (1) determine the prevalence of food insecurity; (2) examine the association between presence and level of food insecurity with other health-related social problems; and (3) assess the predictive values of a two-item food insecurity screen in an urban youth population.Patients aged 15-25 years completed a Web-based screening tool. Validated questions were used to identify problems in seven health-related social domains (food insecurity, health care access, education, housing, income insecurity, substance use, and intimate partner violence). Chi-square and Kruskal-Wallis tests and logistic regression models controlled for age, sex, and race/ethnicity, assessed the association between food insecurity and health-related social problems. Predictive values of a two-item food insecurity screen compared with the United States Department of Agriculture Food Security Survey were calculated.Among 400 patients (mean age 18 years; 69.2% female; 54.6% black; 58.9% public insurance), 32.5% screened positive for food insecurity. Increasing food insecurity level was significantly associated with cumulative burden of social problems (p.001). In adjusted analyses, food insecurity was associated with problems with health care access (aOR = 2.6, 95% confidence interval [CI] 1.7-4.1), education (aOR = 2.8, 95% CI 1.6-5.1), housing (aOR = 2.8, 95% CI 1.8-4.4), income insecurity (aOR = 2.3, 95% CI 1.2-4.5), and substance use (aOR = 2.5, 95% CI 1.5-4.3). The two-item screen demonstrated sensitivity of 88.5% and specificity of 84.1%.One-third of youth in sample experienced food insecurity, which was strongly associated with presence of other health-related social problems. The two-item screen effectively detected food insecurity. Food insecurity screening may lead to identification of other health-related social problems that when addressed early may improve adolescent health. |
| Databáze: | OpenAIRE |
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