Quandt Sara A, Arcury Thomas A, Early Julie, Tapia Janeth, Davis Jessie D
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Public Health Rep. 2004 Nov-Dec;119(6):568-76. doi: 10.1016/j.phr.2004.09.006.
Food insecurity is defined as lack of access at all times, due to economic barriers, to enough food for an active and healthy lifestyle. The objective of this study was threefold: to characterize levels of food security, food insecurity, and hunger among migrant and seasonal Latino farmworkers; to assess predictors of food insecurity for this group; and to describe the strategies farmworkers use to cope with food insecurity.
Adults from 102 farmworker households in North Carolina responded to a survey that used a Spanish-language adaptation of the U.S. Household Food Security Survey Module and questions about sociodemographic characteristics and food behaviors. Twenty-five farmworkers participated in in-depth interviews in which they described their households' food security situation and coping strategies.
Forty-eight of the 102 sample households (47.1%) were classified as food insecure, including 10 (9.8%) with moderate hunger and five (4.9%) with severe hunger. Households with children had a significantly higher prevalence of food insecurity than those without children (56.4% vs. 36.2%). Households with children accessed food programs such as the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) that were unavailable to those without children, while those without children were more likely to access food pantries and to consume wild game or fish. Coping strategies included borrowing money, reducing food variety, and adults consuming less food to protect children from hunger. Food insecurity was more than four times as prevalent among farmworker households as among the general U.S. population.
Policy changes to increase economic resources and access to federal programs are needed to decrease this food insecurity.
粮食不安全被定义为由于经济障碍,始终无法获得足够的食物以维持积极健康的生活方式。本研究的目的有三个:描述移民和季节性拉丁裔农场工人的粮食安全、粮食不安全和饥饿水平;评估该群体粮食不安全的预测因素;描述农场工人应对粮食不安全的策略。
北卡罗来纳州102个农场工人家庭的成年人回应了一项调查,该调查采用了美国家庭粮食安全调查模块的西班牙语改编版以及关于社会人口特征和饮食行为的问题。25名农场工人参与了深入访谈,他们描述了家庭的粮食安全状况和应对策略。
102个样本家庭中有48个(47.1%)被归类为粮食不安全,其中10个(9.8%)有中度饥饿,5个(4.9%)有重度饥饿。有孩子的家庭粮食不安全的患病率显著高于没有孩子的家庭(56.4%对36.2%)。有孩子的家庭可以获得诸如妇女、婴儿和儿童特别补充营养计划(WIC)等没有孩子的家庭无法获得的粮食项目,而没有孩子的家庭更有可能使用食品分发处的食物,以及食用野生动物或鱼类。应对策略包括借钱、减少食物种类,以及成年人减少食物摄入量以保护孩子免受饥饿。农场工人家庭中粮食不安全的患病率是美国普通人群的四倍多。
需要进行政策变革以增加经济资源并扩大获得联邦项目的机会,以减少这种粮食不安全状况。