Food Insecurity Prevalence and Related Health Outcomes Among Asian Americans: A Scoping Review

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Nutrition Education and Behavior Pub Date : 2024-08-01 DOI:10.1016/j.jneb.2024.05.024

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Abstract

Background

Food insecurity (FI) is a risk factor for many negative health outcomes. While 12.8% of United States (U.S.) residents experience FI, less is known about the prevalence rate and related experiences among Asian Americans (AA) and AA ethnicities.

Objective

This scoping review examines the evidence on FI and health outcomes among AA and disaggregated AA ethnicities.

Study Design, Settings, Participants

The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The inclusion criteria were peer-reviewed, original research studies that examined FI prevalence and health outcomes for aggregated and disaggregated AA groups; published in English between 1975-November 2023; and conducted in the U.S. All age groups and research designs were included. Search terms focused on FI, health outcomes, and AA. Four databases (Pubmed, EBSCOhost, Wiley, ScienceDirect) and the first ten pages of Google Scholar were scanned.

Measurable Outcome/Analysis

Descriptive information from the research articles, FI prevalence rate, and health outcomes among AA, were extracted. When available, disaggregated AA ethnicity data were included.

Results

Of the included articles (n=12), most (n=8) utilized cross-sectional research designs. Most studies (n= 9) examined AA as an aggregated racial group and FI rates ranged between 2.3%-31.0%. Of the reported health outcomes, significant associations between FI and low whole fruit intake, high body mass index (BMI), and poor diet, sleep, and physical activity among AA adults were observed. Of the studies that examined differences between AA ethnicities (n=3), FI prevalence varied inconsistently (Southeast Asians=24.6-63.3%; South Asians=3.14-38.2%; East Asians=16.45-71.7%). Within this group, FI was significantly associated only with the diagnosis of depression.

Conclusions

FI was associated with diet outcomes and BMI, but not diet-related chronic disease prevalence within AA. Due to the large fluctuation of FI prevalence within individual AA ethnicities, more research is warranted to examine the extent to which FI and other risk factors contribute to diet-related health outcomes.

Funding

San Jose State University Circle of Friends Research Assistance Award

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美籍亚裔美国人的粮食不安全流行率及相关健康结果：范围审查

背景食物无保障（FI）是导致许多不良健康后果的风险因素。虽然有 12.8% 的美国居民经历过食物不安全，但人们对亚裔美国人（AA）和 AA 族群的食物不安全发生率和相关经历知之甚少。研究设计、设置、参与者该综述遵循了系统综述和元分析首选报告项目清单。纳入标准为经同行评审的原创性研究，这些研究考察了AA总群体和细分群体的FI患病率和健康结果；研究发表于1975年至2023年11月之间的英文刊物；研究在美国进行。搜索关键词主要集中在 FI、健康结果和 AA。扫描了四个数据库（Pubmed、EBSCOhost、Wiley、ScienceDirect）和 Google Scholar 的前十页。可衡量的结果/分析从研究文章、FI 流行率和 AA 中的健康结果中提取描述性信息。结果在收录的文章（12 篇）中，大多数（8 篇）采用了横断面研究设计。大多数研究（9 篇）将 AA 作为一个综合种族群体进行研究，FI 率介于 2.3%-31.0% 之间。在报告的健康结果中，观察到 AA 族成年人的 FI 与全水果摄入量低、体重指数（BMI）高以及饮食、睡眠和体育锻炼不良之间存在显著关联。在研究 AA 族群间差异的研究中（n=3），FI 患病率的差异并不一致（东南亚人=24.6-63.3%；南亚人=3.14-38.2%；东亚人=16.45-71.7%）。在这一群体中，FI 仅与抑郁症的诊断有显著相关性。结论FI 与饮食结果和体重指数相关，但与 AA 族中与饮食相关的慢性病患病率无关。由于 FI 在个别 AA 族群中的流行率波动较大，因此有必要开展更多研究，以探讨 FI 和其他风险因素对饮食相关健康结果的影响程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.