Abolhassani Mohammad Hassan, Kolahdooz Fariba, Majdzadeh Reza, Eshraghian Mohammadreza, Shaneshin Mahboubeh, Jang Se Lim, Djazayery Abolghasem
Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Aboriginal and Global Health Research, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Canada.
Iran J Public Health. 2015 Feb;44(2):244-53.
Food security is a multi-dimensional phenomenon. The objective of this study was to identify and prioritize major indices for determining food insecurity in Iran.
Descriptive study using the Delphi method was conducted through an email-delivered questionnaire. Forty-three senior experts at national or provincial level were selected based on their work experience and educational background through study panel consultation and snowballing from Tehran and other cities of Iran. During two rounds of Delphi, participants were asked to identify priority indicators for food security at provincial level in Iran.
Sixty five percent of Delphi panel participated in the first round and eighty-nine percent of them participated in the second round of Delphi. Initially, 243 indices were identified through review of literature; after excluding indictors, which was not available or measurable at provincial level in Iran, 103 indictors remained. The results of study showed that experts identified "percentage of individuals receiving less than 70% of daily energy requirement" with a median score of 90, as the most influential index for determining food insecurity. "Food expenses as a proportion of the overall expenses of the family", "per capita of dietary energy supply", and "provision of micro-nutrient supply requirement per capita" with median of 80 were in the second rank of food security priority indicators.
Out of 243 identified indicators for food security, 38 indicators were selected as the most priority indicators for food security at provincial level in Iran.
粮食安全是一个多维度现象。本研究的目的是确定并优先列出伊朗粮食不安全状况的主要指标。
采用德尔菲法进行描述性研究,通过电子邮件发送问卷。通过研究小组咨询以及从德黑兰和伊朗其他城市进行滚雪球抽样,根据工作经验和教育背景挑选了43名国家或省级高级专家。在两轮德尔菲调查中,要求参与者确定伊朗省级粮食安全的优先指标。
65%的德尔菲小组成员参与了第一轮调查,其中89%参与了第二轮调查。最初,通过文献回顾确定了243项指标;在排除伊朗省级层面无法获取或无法衡量的指标后,剩下103项指标。研究结果表明,专家们将“每日能量摄入量低于需求70%的个体比例”确定为确定粮食不安全状况的最具影响力指标,中位数得分为90。“食品支出占家庭总支出的比例”、“人均膳食能量供应”以及“人均微量营养素供应需求”,中位数为80,位列粮食安全优先指标的第二位。
在确定的243项粮食安全指标中,38项指标被选为伊朗省级粮食安全的最优先指标。