Is food insecurity related to health-care use, access and absenteeism?

Detalhes bibliográficos
Autor(a) principal: Melo, António
Data de Publicação: 2019
Outros Autores: Matias, Maria Ana, Dias, Sara S, Gregório, Maria João, Rodrigues, Ana Maria, de Sousa, Rute Dinis, Canhao, Helena, Perelman, Julian
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/49213
Resumo: © The Authors 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited
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spelling Is food insecurity related to health-care use, access and absenteeism?AbsenteeismFood insecurityHealth-care accessHealth-care use© The Authors 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly citedObjective: Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism. Design: Cross-sectional data collected in 2015-2016. Health-care use was measured as the number of consultations, taking any drug and having been hospitalized in the past year. Health-care access was measured by the suspension of medication and having fewer consultations due to financial constraints. Absenteeism was measured by the weeks of sickness leave. Binary variables were modelled as a function of FI using logistic regressions; continuous variables were modelled as a function of FI using negative binomial and zero-inflated negative binomial regressions. Covariates were included sequentially. Setting: Portugal. Participants: Non-institutionalized adults from the EpiDoc3 cohort (n 5648). Results: FI was significantly associated with health-care use before controlling for socio-economic conditions and quality of life. Moderate/severe FI was positively related to the suspension of medicines (adjusted OR = 4·68; 95 % CI 3·11, 6·82) and to having fewer consultations (adjusted OR = 3·98; 95 % CI 2·42, 6·37). FI and absenteeism were not significantly associated. Conclusions: Our results support the hypothesis that FI reflects precariousness, which hinders access to health care. The greater use of health care among food-insecure people is explained by their worse quality of life and lower socio-economic condition, so that the specific role of poor nutrition is unclear.This study was funded by a NOVASaude unrestricted research grant; and the Public Health Initiatives Programme (PT06), financed by EEA Grants Financial Mechanism 2009–2014Cambridge University PressRepositório da Universidade de LisboaMelo, AntónioMatias, Maria AnaDias, Sara SGregório, Maria JoãoRodrigues, Ana Mariade Sousa, Rute DinisCanhao, HelenaPerelman, Julian2021-07-29T14:00:31Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/49213engPublic Health Nutr. 2019 Dec;22(17):3211-32191368-980010.1017/S13689800190018851475-2727info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:52:42Zoai:repositorio.ul.pt:10451/49213Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:00:50.012356Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Is food insecurity related to health-care use, access and absenteeism?
title Is food insecurity related to health-care use, access and absenteeism?
spellingShingle Is food insecurity related to health-care use, access and absenteeism?
Melo, António
Absenteeism
Food insecurity
Health-care access
Health-care use
title_short Is food insecurity related to health-care use, access and absenteeism?
title_full Is food insecurity related to health-care use, access and absenteeism?
title_fullStr Is food insecurity related to health-care use, access and absenteeism?
title_full_unstemmed Is food insecurity related to health-care use, access and absenteeism?
title_sort Is food insecurity related to health-care use, access and absenteeism?
author Melo, António
author_facet Melo, António
Matias, Maria Ana
Dias, Sara S
Gregório, Maria João
Rodrigues, Ana Maria
de Sousa, Rute Dinis
Canhao, Helena
Perelman, Julian
author_role author
author2 Matias, Maria Ana
Dias, Sara S
Gregório, Maria João
Rodrigues, Ana Maria
de Sousa, Rute Dinis
Canhao, Helena
Perelman, Julian
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Melo, António
Matias, Maria Ana
Dias, Sara S
Gregório, Maria João
Rodrigues, Ana Maria
de Sousa, Rute Dinis
Canhao, Helena
Perelman, Julian
dc.subject.por.fl_str_mv Absenteeism
Food insecurity
Health-care access
Health-care use
topic Absenteeism
Food insecurity
Health-care access
Health-care use
description © The Authors 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-01-01T00:00:00Z
2021-07-29T14:00:31Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/49213
url http://hdl.handle.net/10451/49213
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Public Health Nutr. 2019 Dec;22(17):3211-3219
1368-9800
10.1017/S1368980019001885
1475-2727
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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