Racial and Ethnic Differences in Social Determinants of Health and Health-Related Social Needs Among Adults — Behavioral Risk Factor Surveillance System, United States, 2022

MMWR Morbidity and Mortality Weekly Report, Год журнала: 2024, Номер 73(9), С. 204 - 208

Опубликована: Март 7, 2024

Social determinants of health (SDOH) are a broad array social and contextual conditions where persons born, live, learn, work, play, worship, age that influence their physical mental wellbeing quality life. Using 2022 Behavioral Risk Factor Surveillance System data, this study assessed measures adverse SDOH health-related needs (HRSN) among U.S. adult populations. Measures included life satisfaction, emotional support, isolation or loneliness, employment stability, food stability/security, housing utility transportation access, well-being, care access. Prevalence ratios were adjusted for age, sex, education, marital status, income, self-rated health. loneliness (31.9%) lack support (24.8%) the most commonly reported measures, both which more prevalent non-Hispanic (NH) American Indian Alaska Native, NH Black African American, Native Hawaiian other Pacific Islander, multiracial, Hispanic Latino adults than White adults. The majority prevalence estimates HRSN also higher across all racial ethnic groups (except Asian) compared with data can be used to monitor needed resources in population help evaluate population-scale interventions.

Язык: Английский

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Seniors and Sustenance: A Scoping Review on Food Security in the Elderly

Advances in Human Biology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 2, 2025

Abstract The issue of food security amongst older people is a growing concern, as ageing populations face unique challenges that impact their access to adequate nutrition. This scoping review aims explore and synthesise existing literature on in later life, identifying key factors contributing insecurity seniors highlighting interventions can enhance access. By employing systematic approach based Arksey O’Malley’s framework, this study examines research from multiple databases, focussing studies published the past decade. findings reveal multifaceted problem influenced by socio-economic status, health limitations, social isolation geographic barriers. Elderly individuals often encounter mobility issues hinder ability procure food, while fixed incomes rising costs exacerbate nutritious options. In addition, identifies successful community-based programmes policy initiatives have shown promise addressing these challenges, emphasising importance tailored consider specific needs people. analysis highlights significant gaps current literature, particularly areas culturally sensitive long-term effects mental health. Furthermore, role technology mitigating presents promising yet underexplored avenue for future research. underscores critical need comprehensive strategies integrating policy, community support technological innovations effectively combat seniors. issues, stakeholders improve overall quality life outcomes elderly population, ensuring nutritional are met sustainably.

Язык: Английский

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Increasing Access to Healthy Foods through Improving Food Environment: A Review of Mixed Methods Intervention Studies with Residents of Low-Income Communities

Nutrients, Год журнала: 2022, Номер 14(11), С. 2278 - 2278

Опубликована: Май 29, 2022

Food insecurity is a broad and serious public health issue in the United States, where many people are reporting lack of access to healthy foods. The reduced availability healthy, affordable foods has led increased consumption energy-dense nutrient-poor foods, resulting increasing risk for chronic diseases such as obesity, cardiovascular diseases, type 2 diabetes mellitus. Thus, identifying promising approaches increase through improving food environment importance. purpose this review article highlight how affects directly person’s choices, environmental approaches. literature search was focused on finding different improve security, primarily those with an impact environment. Overall, potential solutions were gathered multilevel approaches, including nutrition education peer education, community-based participatory research, policy changes supplemental programs. A recommendation reduce learning create meals variety seasonal fruits vegetables purchased from farmers’ markets.

Язык: Английский

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GLP-1 Receptor Agonists and Related Mental Health Issues; Insights from a Range of Social Media Platforms Using a Mixed-Methods Approach

Brain Sciences, Год журнала: 2023, Номер 13(11), С. 1503 - 1503

Опубликована: Окт. 24, 2023

The emergence of glucagon-like peptide-1 receptor agonists (GLP-1 RAs; semaglutide and others) now promises effective, non-invasive treatment obesity for individuals with without diabetes. Social media platforms’ users started promoting semaglutide/Ozempic as a weight-loss treatment, the associated increase in demand has contributed to an ongoing worldwide shortage drug levels non-prescribed intake. Furthermore, recent reports emphasized some GLP-1 RA-associated risks triggering depression suicidal thoughts. Consistent above, we aimed assess possible impact RAs on mental health being perceived discussed popular open platforms help mixed-methods approach. Reddit posts yielded 12,136 comments, YouTube videos 14,515, TikTok 17,059, respectively. Out these posts/entries, most represented matches related sleep-related issues, including insomnia (n = 620 matches); anxiety 353); 204); issues general 165). After initiation RAs, losing weight was either marked improvement or, cases, deterioration, mood; increase/decrease anxiety/insomnia; better control range addictive behaviors. challenges accessing medications were hot topic well. To best our knowledge, this is first study documenting if how are affecting mood, health, Establishing clear cause-and-effect link between metabolic diseases, difficult because their reciprocal relationship, shared underlying mechanisms individual differences. Further research needed understand safety profile molecules putative behavioral non-behavioral addictions.

Язык: Английский

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Food Insecurity and Diabetes: Overview of Intersections and Potential Dual Solutions

Diabetes Care, Год журнала: 2023, Номер 46(9), С. 1599 - 1608

Опубликована: Июнь 24, 2023

Food insecurity increases the risk of developing diabetes and its complications. In this article, we describe complex relationship that exists between food potential mechanisms may underlie association. We then how two different types interventions, food-is-medicine federal nutrition assistance programs, help address both health. Finally, outline research, policy, practice opportunities exist to reduce diabetes-related health disparities.

Язык: Английский

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Effects of Food and Nutrition Insecurity on Global Health

New England Journal of Medicine, Год журнала: 2025, Номер 392(7), С. 686 - 697

Опубликована: Фев. 12, 2025

Язык: Английский

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Global burden and future trends of metabolic dysfunction-associated steatotic liver disease: 1990-2021 to 2045

Annals of Hepatology, Год журнала: 2025, Номер unknown, С. 101898 - 101898

Опубликована: Март 1, 2025

Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly non-alcoholic fatty disease, is a growing global health challenge. This study examines the burden of MASLD from 1990 to 2021 and projects data for 2045. Using Global Burden Disease (GBD) Study 2021, analyzed across 204 countries focusing on prevalence, incidence, deaths, disability-adjusted life years (DALYs). Linear Joinpoint regression assessed trends, an age-period-cohort model evaluated outcomes, Bayesian forecasted future cases. In approximately 1.27 billion people globally had MASLD, with higher prevalence in males (51.41%). There were 48.35 million new cases, primarily (52.24%). The age-standardized rate (ASPR) increased 12,085.09 15,018.07 per 100,000 (AAPC 0.71). incidence (ASIR) rose 475.54 593.28 caused 138,328 females experiencing mortality (52.18%). East Asia, South North Africa/Middle highest rates, while Western Europe showed fastest growth. By 2045, ASIR projected reach 928.10 100,000, resulting 667.58 predominantly affecting males. poses significant notable gender regional disparities. increase by 2045 underscores need urgent public interventions targeted strategies mitigate this epidemic.

Язык: Английский

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The lived experience of food insecurity among adults with obesity: a quantitative and qualitative systematic review

Journal of Public Health, Год журнала: 2024, Номер 46(2), С. 230 - 249

Опубликована: Фев. 26, 2024

Food insecurity and obesity are increasing both globally in the UK. In this review we systematically assess lived experiences of people with who food insecure often turn to banks.

Язык: Английский

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Ranking food security indicators and metrics in Hawaiʻi: a Delphi approach

Frontiers in Sustainable Food Systems, Год журнала: 2025, Номер 8

Опубликована: Янв. 7, 2025

A comprehensive set of regionally relevant indicators and metrics is crucial for tracking progress in transforming food systems to meet the UN Sustainable Development Goals (SDGs). Household security, foundational sustainable, equitable, resilient systems, aligns with SDG 2 (Zero Hunger). Policymakers require accurate data guide decisions, yet a major challenge developing scientifically sound, participatory, reproducible approaches sub-national system metrics. This study addresses this need by using Delphi research method create multi-indicator both stand-alone complementary security specific Hawaiʻi. Engaging 24 experts Hawaiʻi, 58% response rate second round, consensus was achieved on 55 71 (78%). The U.S. Food Security Survey Module (HFSSM) received highest rating among (3.5, SD = 0.8). Complementary were organized within framework encompassing four dimensions security: availability, access, utilization, stability. Access top ratings, including ‘rate households below ALICE threshold’ (4.4, 0.7). stands Asset Limited, Income Constrained, Employed, refers that earn enough be ineligible many public assistance programs but not afford basic necessities. Results highlight clarify terminology, address (in)security misconceptions, develop new gaps, prioritize initiatives like Supplementary Nutrition Assistance Program (SNAP) Hawaiʻi’s high living costs enhance access. multidimensional model presented here adaptable other regions, extending its impact beyond

Язык: Английский

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Development of a statewide network hub for screening, referral, and enrollment into food as medicine programs across Kentucky

Frontiers in Public Health, Год журнала: 2025, Номер 12

Опубликована: Янв. 7, 2025

Widespread recognition of food as medicine interventions' role in reducing insecurity and improving health outcomes has recently emerged. Several states have released In Lieu Services, state-approved alternative services that may be offered by managed care organizations place covered benefits, or 1,115 Medicaid waivers, which allow for expanded nutrition to reduce improve outcomes. However, there are significant gaps understanding how create a statewide system delivering "healthcare food" interventions. The University Kentucky Food Health Alliance first piloted the development hub facilitating referral to, enrollment in, evaluation programs across two healthcare providers (one urban one rural). We then used quasi experimental study design examine effects on systolic diastolic blood pressure target population eligible individuals aged 18-64 with high and/or type 2 diabetes rural areas. Participant allocation was based geographic location each program arm no control group. This feasibility case aims to: (1) outline between providers; (2) describe enrollment; (3) summarize lessons learned from network blueprint other states; (4) present clinical three programs. Ninety-two referrals were received UK HealthCare 21 enrolled medically tailored meals 28 grocery prescription (53% rate). Thirty-two Appalachian Regional Healthcare 26 meal kits (81% On average, reduction 9.67 mmHg among participants 6.89 participants. Creating address requires key support host stakeholders. Policy steps moving forward need consider funding infrastructure screening, referral, engagement hubs improved ClinicalTrials.gov, NCT06033664.

Язык: Английский

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