Food insecurity in the military ranges between 25% and 33%, significantly higher than the 10.5% for civilians reported by the U.S. Department of Agriculture. The primary objective of this study is to analyze the association between food insecurity and intimate partner violence (IPV) victimization among U.S. Army Soldiers. The secondary objective is to determine if there are any moderating effects in the relationship between food insecurity and IPV victimization by demographic, financial, and mental health covariates. A cross-sectional, online survey was administered by the U.S. Army Public Health Center at an Army installation in 2019; 56% of respondents reported that they were married or in a relationship ( n = 2,740). The main predictor was the two-item food insecurity screener (Hunger Vital Signs), which measures marginal food insecurity (encompassing marginal, low, and very low food security). The main outcome was IPV victimization as measured by the Hurt, Insult, Threaten, Scream scale. Multiple logistic regression was used to assess the association between marginal food insecurity and IPV victimization, controlling for demographic, financial, and mental health covariates. In a multivariable model, marginally food insecure respondents had 2.05-fold greater adjusted odds of reporting any IPV victimization when compared to highly food secure respondents (95% confidence interval [1.40, 3.00]). The only interaction that was statistically significant was between anxiety and food insecurity on IPV victimization ( p = .0034). Interactions by soldier’s military rank, birth sex, and race and ethnicity were not statistically significant. IPV has implications for the emotional and physical health of survivors. In addition, service members who are food insecure may experience similar decrements in emotional and physical health due to suboptimal nutrient intake. By addressing both food insecurity and IPV, the military has the potential to increase the overall well-being of its service members and their dependents.

中文翻译：

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美国陆军士兵的粮食不安全与亲密伴侣暴力之间的关联


军队中的粮食不安全率在 25% 至 33% 之间，明显高于美国农业部报告的平民中的 10.5%。本研究的主要目的是分析美国陆军士兵的粮食不安全与亲密伴侣暴力 (IPV) 受害之间的关联。第二个目标是确定人口、财务和心理健康协变量对粮食不安全和 IPV 受害之间的关系是否存在任何调节作用。 2019 年，美国陆军公共卫生中心在陆军设施中进行了一项横断面在线调查； 56% 的受访者表示他们已婚或处于恋爱关系中 ( n = 2,740)。主要预测因素是两项粮食不安全筛查（饥饿生命体征），它衡量边际粮食不安全（包括边际、低度和极低粮食安全）。主要结果是通过伤害、侮辱、威胁、尖叫量表衡量 IPV 受害情况。使用多元逻辑回归来评估边际粮食不安全与 IPV 受害之间的关联，并控制人口、财务和心理健康协变量。在多变量模型中，与粮食高度安全的受访者相比，粮食轻微不安全的受访者报告任何 IPV 受害的调整后几率高出 2.05 倍（95% 置信区间 [1.40, 3.00]）。唯一具有统计显着性的交互作用是 IPV 受害方面的焦虑和粮食不安全之间的交互作用 (p = .0034)。士兵军衔、出生性别、种族和民族之间的相互作用不具有统计显着性。 IPV 对幸存者的情感和身体健康有影响。 此外，由于营养摄入不理想，粮食不安全的服役人员可能会出现类似的情绪和身体健康下降的情况。通过解决粮食不安全和 IPV 问题，军队有可能提高军人及其家属的整体福祉。