Risk factors for Veteran food insecurity: findings from a National US Department of Veterans Affairs Food Insecurity Screener

被引：30

作者：

Cohen, Alicia J. ^{[1
,2
,3
]}

Dosa, David M. ^{[1
,3
,4
]}

Rudolph, James L. ^{[1
,3
,4
]}

Halladay, Christopher W. ^{[1
]}

Heisler, Michele ^{[5
,6
,7
]}

Thomas, Kali S. ^{[1
,3
]}

机构：

[1] VA Providence Healthcare Syst, Ctr Innovat Long Term Serv & Supports, Providence, RI 02908 USA

[2] Brown Univ, Alpert Med Sch, Dept Family Med, Providence, RI 02903 USA

[3] Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02903 USA

[4] Brown Univ, Alpert Med Sch, Dept Med, Providence, RI 02903 USA

[5] VA Ann Arbor Healthcare Syst, Ctr Clin Management Res, Ann Arbor, MI USA

[6] Univ Michigan, Med Sch, Dept Internal Med, Ann Arbor, MI USA

[7] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA

来源：

PUBLIC HEALTH NUTRITION | 2022年 / 25卷 / 04期

关键词：

Food insecurity; Military Veterans; Social determinants of health; Military sexual trauma; HEALTH-CARE; HOMELESSNESS; HOUSEHOLDS; FEMALE; COST;

D O I：

10.1017/S1368980021004584

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Food insecurity is associated with numerous adverse health outcomes. The US Veterans Health Administration (VHA) began universal food insecurity screening in 2017. This study examined prevalence and correlates of food insecurity among Veterans screened. Design: Retrospective cross-sectional study using VHA administrative data. Multivariable logistic regression models were estimated to identify sociodemographic and medical characteristics associated with a positive food insecurity screen. Setting: All US Veterans Administration (VA) medical centres (n 161). Participants: All Veterans were screened for food insecurity since screening initiation (July 2017-December 2018). Results: Of 3 304 702 Veterans screened for food insecurity, 44 298 were positive on their initial screen (1 center dot 3 % of men; 2 center dot 0 % of women). Food insecurity was associated with identifying as non-Hispanic Black or Hispanic. Veterans who were non-married/partnered, low-income Veterans without VA disability-related compensation and those with housing instability had higher odds of food insecurity, as did Veterans with a BMI < 18 center dot 5, diabetes, depression and post-traumatic stress disorder. Prior military sexual trauma (MST) was associated with food insecurity among both men and women. Women screening positive, however, were eight times more likely than men to have experienced MST (48 center dot 9 % v. 5 center dot 9 %). Conclusions: Food insecurity was associated with medical and trauma-related comorbidities as well as unmet social needs including housing instability. Additionally, Veterans of colour and women were at higher risk for food insecurity. Findings can inform development of tailored interventions to address food insecurity such as more frequent screening among high-risk populations, onsite support applying for federal food assistance programs and formal partnerships with community-based resources.

引用

页码：819 / 828

页数：10

共 48 条

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