The Influence of the COVID 19 Pandemic on Food Insecurity Among Cancer Survivors Across New York State.

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2024-12-01 Epub Date: 2024-04-29 DOI:10.1007/s10900-024-01358-1
Marlene Camacho-Rivera, Katherine Haile, Eshani Pareek, Debra D'Angelo, Francesca Gany, Francesca Maglione, Kellie Jack, Alexina Cather, Erica Phillips
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Abstract

People surviving cancer represent a particularly vulnerable population who are at a higher risk for food insecurity (FI) due to the adverse short- and long-term effects of cancer treatment. This analysis examines the influence of the COVID-19 pandemic on the prevalence of FI among cancer survivors across New York State (NYS). Data from the 2019 and 2021 NYS Behavioral Risk Factor Surveillance System (BRFSS) were used to estimate the prevalence of FI. Multivariable logistic regression was used to explore socioeconomic determinants of FI. Among cancer survivors, FI varied geographically with a higher prevalence in New York City compared to the rest of the state (ROS) prior to (25.3% vs. 13.8%; p = .0025) and during the pandemic (27.35% vs. 18.52%; p = 0.0206). In the adjusted logistic regression model, pre-pandemic FI was associated with non-White race (OR 2.30 [CI 1.16-4.56]), household income <$15,000 (OR 22.67 [CI 6.39-80.43]) or $15,000 to less than <$25,000 (OR 22.99 [CI 6.85-77.12]), and more co-morbidities (OR 1.39 [CI 1.09-1.77]). During the pandemic, the association of FI with non-White race (OR 1.76 [CI 0.98-3.16]) was attenuated but remained significant for low household income and more co-morbidities. FI was newly associated with being out of work for less than one year (OR 6.36 [CI 1.80-22.54] and having one (OR 4.42 [CI 1.77-11.07]) or two or more children in the household (OR 4.54 [CI 1.78-11.63]). Our findings highlight geographic inequities and key determinants of FI among cancer survivors that are amendable to correction by public health and social policies, for which several were momentarily implemented during the pandemic.

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COVID 19 大流行对纽约州癌症幸存者粮食不安全状况的影响》(The Influence of the COVID 19 Pandemic on Food Insecurity Among Cancer Survivors Across New York State)。
癌症幸存者是一个特别脆弱的群体,他们因癌症治疗的短期和长期不利影响而面临较高的粮食不安全(FI)风险。本分析研究了 COVID-19 大流行对纽约州(NYS)癌症幸存者中食物无保障流行率的影响。我们使用 2019 年和 2021 年纽约州行为风险因素监测系统 (BRFSS) 的数据来估算 FI 的流行率。多变量逻辑回归用于探究 FI 的社会经济决定因素。在癌症幸存者中,FI 存在地域差异,在大流行之前(25.3% 对 13.8%;p = 0.0025)和大流行期间(27.35% 对 18.52%;p = 0.0206),纽约市的流行率高于该州其他地区(ROS)。在调整后的逻辑回归模型中,大流行前的 FI 与非白人种族 (OR 2.30 [CI 1.16-4.56])、家庭收入
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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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