Food Insecurity and Health Outcomes of Children With Intellectual and Developmental Disabilities in the United States.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-11-01 DOI:10.1352/1944-7558-128.6.462
Samina Dhuliawala, Nalin Payakachat, Jacob T Painter, Taren Swindle, Chenghui Li
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Abstract

We aimed to (a) provide nationally representative estimates of food insecurity (FI) among children with intellectual and developmental disabilities (IDD), and (b) determine the association between FI and four health outcomes (overall health, problem behavior, activities of daily living, functional limitations) in 5,657 children with IDD compared to 1:1 propensity score matched children without IDD. Mixed-effects ordered logistic regression models were used. Children with IDD were more likely to experience FI than children without IDD (43.3% vs. 30.0%, p < 0.001). FI and IDD were independently associated with worse scores on all four health outcomes. Having both FI and IDD further exacerbated the adverse impacts on these health outcomes. The association was stronger among children with moderate-to-severe FI than those with mild FI.

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美国智力和发育障碍儿童的食物不安全与健康结果
我们的目标是(a)提供具有全国代表性的智力和发育残疾儿童粮食不安全估计数,以及(b)在5657名IDD儿童中,与1:1倾向评分匹配的非IDD儿童相比,确定FI与四种健康结果(整体健康、问题行为、日常生活活动、功能限制)之间的关系。采用混合效应有序逻辑回归模型。患有IDD的儿童比没有IDD的孩子更有可能经历FI(43.3%vs.30.0%,p<0.001)。FI和IDD与所有四种健康结果的较差分数独立相关。同时患有FI和IDD进一步加剧了对这些健康结果的不利影响。中度至重度FI儿童的相关性比轻度FI儿童更强。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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