A Meta-analysis of the Prevalence of Food Insecurity Among People Experiencing Housing Insecurity and Homelessness in the United States.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2025-01-06 DOI:10.1177/00333549241305349

Carolyn L Jackson, Cody A Hart, C Jeff Uribe-Lacy, Phillip Yang, Jack Tsai

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Abstract

Objectives: Studies suggest that people experiencing housing insecurity and homelessness (HIH) have varying experiences with food insecurity. We estimated the prevalence of food insecurity and identified the factors associated with it among people experiencing HIH in the United States.

Methods: We conducted a meta-analysis of the prevalence of food insecurity among people experiencing HIH and a systematic review of associated factors through a comprehensive search of 8 academic databases. We identified 3398 unique articles and included 40 studies in the review that met the following criteria: included observational or experimental data on the prevalence of food insecurity among people experiencing HIH, conducted in the United States, and written in English.

Results: The overall prevalence of food insecurity was 57% (95% CI, 48%-65%). Most people experiencing HIH had food insecurity, and our estimated prevalence among people experiencing HIH was >4 times higher than the prevalence in the US population. Experiencing symptoms of a mental health condition (eg, depression, posttraumatic stress disorder, anxiety) in addition to HIH was most frequently (7 datasets) associated with increased odds of food insecurity. Social and institutional support was most frequently (5 datasets) associated with decreased odds of food insecurity.

Conclusion: Our findings suggest that multisector coordination is needed to address individual- and system-level factors associated with food insecurity and HIH.

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在美国经历住房不安全和无家可归的人群中食物不安全患病率的荟萃分析。

目的：研究表明，经历住房不安全和无家可归（HIH）的人在粮食不安全方面有不同的经历。我们估计了食品不安全的普遍程度，并确定了在美国经历HIH的人中与之相关的因素。方法：通过对8个学术数据库的全面检索，我们对HIH患者中食品不安全的患病率进行了荟萃分析，并对相关因素进行了系统回顾。我们确定了3398篇独特的文章，并在综述中纳入了40项研究，这些研究符合以下标准：包括在美国进行的、用英语撰写的关于HIH患者食物不安全患病率的观察性或实验性数据。结果：粮食不安全的总体发生率为57% （95% CI, 48%-65%）。大多数经历HIH的人都有食物不安全，我们估计HIH人群的患病率是美国人口患病率的4倍。除HIH外，经历精神健康状况症状（如抑郁、创伤后应激障碍、焦虑）最常与粮食不安全几率增加相关（7个数据集）。社会和机构支持最常与粮食不安全发生率降低相关（5个数据集）。结论：我们的研究结果表明，需要多部门协调，以解决与粮食不安全和HIH相关的个人和系统层面的因素。

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

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.