旨在确定美国有乳腺癌病史的女性与无癌症女性相比，粮食不安全 (FI) 的患病率以及可以解释其 FI 的社会人口学特征。使用包括美国在内的 2019 年全国健康访谈 (NHIS) 调查在农业部 (USDA) 的 10 项家庭粮食安全调查模块中，粮食安全程度高/中等的参与者被视为粮食安全，粮食安全程度低/极低的参与者被视为粮食不安全。分析考虑了复杂的调查设计，包括描述性统计、双变量分析和多变量回归分析。符合条件的女性（40 岁）包括 557 名有乳腺癌病史的女性和 9678 名没有癌症病史的女性。据估计，患有乳腺癌的女性中有 4.4% 经历过 FI，而未患乳腺癌的女性中这一比例为 9.3%。控制年龄、种族/族裔、教育水平、一般健康状况和体重指数后，两个研究组之间的患病率为 0.50 (95% CI 0.33-0.78)。 在这个全国样本中，女性 FI 患病率有乳腺癌病史的女性低于无癌症病史的女性。乳腺癌幸存者中的 FI 较低，并且可能并不需要对所有患者进行乳腺癌幸存者中的常规 FI 筛查。然而，医疗保健提供者应该意识到 FI 作为健康的社会决定因素，并在癌症幸存者中存在已知的财务问题时考虑它。© 2023。作者获得 Springer Science Business Media, LLC 的独家许可，部分施普林格自然。

To determine the prevalence of food insecurity (FI) among females with a history of breast cancer compared to females without cancer in the USA and the sociodemographic characteristics that may explain their FI.Using the 2019 National Health Interview (NHIS) survey that included the US Department of Agriculture's (USDA's) 10-item Household Food Security Survey Module, participants with high/moderate food security were considered food secure and low/very low food security were considered food insecure. Analyses accounted for complex survey design and included descriptive statistics, bivariate analyses, and multivariate regression analyses.Eligible females (40+ years old) included 557 with a history of breast cancer and 9678 without a cancer history. FI was experienced by an estimated 4.4% of females with breast cancer, compared to 9.3% of females without cancer. Controlling for age, race/ethnicity, education level, general health status, and body mass index, the prevalence ratio between the two study groups was 0.50 (95% CI 0.33-0.78).In this national sample, the prevalence of FI among females with a history breast cancer was lower than females without a history of cancer.FI is low among breast cancer survivors, and routine FI screening among breast cancer survivors may not be warranted for all patients. Healthcare providers, however, should be aware of FI as a social determinant of health and consider it when there are known financial issues among cancer survivors.© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.