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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Food stamps, food insecurity, and health outcomes among elderly Americans
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Food stamps, food insecurity, and health outcomes among elderly Americans

机译：老年美国人的食品邮票，粮食不安全和健康结果

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This study examined associations between very low food security and health outcomes in older adults, and tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) mitigates adverse health consequences associated with very low food security. Data were drawn from the 1998-2014 waves of the Health and Retirement Study (N = 148,138 from 27,281 persons). A longitudinal analysis of the relationship between very low food security and health condition depending on SNAP participation was conducted using the individual fixed effects regression. Respondents' health status was assessed by self-rated health, grip strength, and depressive symptoms. The correlations between very low food security and physical health outcomes were negatively significant prior to SNAP enrollment (p < 0.05) but became insignificant upon participation, indicating that SNAP may have prevented poor physical health resulting from very low food security. However, results concerning mental health showed that SNAP enrollment does not modify the association between very low food security and depression; very low food security remained a significant risk factor of depressive symptoms conditional on SNAP enrollment (p < 0.001). Further analyses showed that SNAP participation is correlated with negative self-attitudes (p < 0.05), and that the correlation between SNAP and depression becomes insignificant after controlling for self-attitudes. These results suggest that a stigma effect arising from welfare use may have reduced self-esteem and resulted in depressive moods. Future research needs to delve into whether reforms to the food assistance program aimed at reducing stigma can help alleviate emotional distress among welfare recipients.
机译：本研究审查了老年成年人的低食物安全和健康结果之间的协会，并测试了参加补充营养援助计划（SNAP）是否会使与粮食安全性极低相关的不利健康后果。从1998-2014波的健康和退休研究中汲取数据（从27,281人的人员）。使用各个固定效应回归进行了根据快速参与的非常低的食物安全和健康状况之间的关系的纵向分析。受访者的健康状况被自评健康，握力和抑郁症状评估。在快速注册之前，非常低的食物安全和身体健康结果之间的相关性具有负面意义（P <0.05），但参与后变得微不足道，表明SNAP可能会因粮食安全而导致的身体健康状况不佳。但是，有关心理健康的结果表明，快速注册不会改变极低的食物安全和抑郁之间的关联;食物安全性很低仍然是抑郁症状的显着风险因素，条件对捕获注册有条件（P <0.001）。进一步的分析表明，快照参与与负自我态度相关（P <0.05），并且在控制自我态度后，卡扣和凹陷之间的相关性变得微不足道。这些结果表明，福利使用产生的耻辱效应可能会降低自尊，导致情绪抑郁。未来的研究需要深入研究旨在减少耻辱的粮食援助方案的改革，可以帮助缓解福利接受者之间的情绪困扰。

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