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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Food Insecurity as a Risk Factor for Outcomes Related to Ebola Virus Disease in Kono District, Sierra Leone: A Cross-Sectional Study
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Food Insecurity as a Risk Factor for Outcomes Related to Ebola Virus Disease in Kono District, Sierra Leone: A Cross-Sectional Study

机译：粮食不安全作为Kono区埃博拉病毒病的结果的危险因素，塞拉利昂：横断面研究

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摘要

Studies have shown that people suffering from food insecurity are at higher risk for infectious and non-communicable diseases and have poorer health outcomes. No study, however, has examined the association between food insecurity and outcomes related to Ebola virus disease (EVD). We conducted a cross-sectional study in two Ebola-affected communities in Kono district, Sierra Leone, from November 2015 to September 2016. We enrolled persons who were determined to have been exposed to Ebola virus. We assessed the association of food insecurity, using an adapted version of the Household Food Insecurity Access Scale, a nine-item scale well validated across Africa, with having been diagnosed with EVD and having died of EVD, using logistic regression models with cluster-adjusted standard errors. We interviewed 326 persons who were exposed to Ebola virus; 61 (19%) were diagnosed with EVD and 45/61 (74%) died. We found high levels (87%) of food insecurity, but there was no association between food insecurity and having been diagnosed with EVD. Among EVD cases, those who were food insecure had 18.3 times the adjusted odds of death than those who were food secure (P = 0.03). This is the first study to demonstrate a potential relationship between food insecurity and having died of EVD, although larger prospective studies are needed to confirm these findings.
机译：研究表明，患有粮食不安全的人具有更高的感染性和非传染性疾病的风险，并具有较差的健康结果。然而，没有研究过研究与埃博拉病毒疾病相关的食物不安全和结果之间的关联（EVD）。 2015年11月至2016年11月，我们在塞拉利昂塞拉利昂塞拉区塞拉区的两个埃博拉受影响社区进行了横断面研究。我们注册了被确定为埃博拉病毒的人。我们评估了粮食不安全的协会，利用适应的家庭食品不安全访问量表，跨越非洲验证的九个项目规模，通过诊断患有EVD并死于EVD，使用带有聚类调整的逻辑回归模型标准错误。我们采访了326名接触埃博拉病毒的人; 61（19％）被诊断为EVD和45/61（74％）死亡。我们发现高水平（87％）的粮食不安全，但粮食不安全之间没有关联，并被诊断为EVD。在EVD病例中，那些食物不安全的人的死亡人数的调整赔率高出18.3倍，而不是食物安全的人（P = 0.03）。这是第一项研究，虽然需要更大的前瞻性研究以确认这些调查结果，但仍然是展示粮食不安全与EVD之间的潜在关系。

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