Silva Etna Kaliane Pereira da, Medeiros Danielle Souto de, Martins Poliana Cardoso, Sousa Líllian de Almeida, Lima Gislane Pereira, Rêgo Maria Amanda Sousa, Silva Tainan Oliveira da, Freire Alessandra Silva, Silva Fernanda Moitinho
Universidade Federal da Bahia, Vitória da Conquista, Brasil.
Cad Saude Publica. 2017 Jun 1;33(4):e00005716. doi: 10.1590/0102-311X00005716.
This study aimed to measure the prevalence of food insecurity in a rural area of Northeast Brazil and investigate this outcome according to residence in quilombola communities (descendants of African slaves) versus non-quilombola communities. This was a cross-sectional study in 21 rural communities, 9 of which quilombolas, in 2014, using the Brazilian Food Insecurity Scale (EBIA). Prevalence rates and prevalence ratios were estimated for food insecurity, and Poisson multiple regression analysis with robust variance was performed. Food insecurity was found in 52.1% of the families: 64.9% in quilombola communities and 42% in the others. Food insecurity was associated with belonging to a quilombola community (PR = 1.25), lower economic status (PR = 1.89; 2.98, and 3.22 for status C2, D, and E, respectively), beneficiaries of Bolsa Família program (PR = 1.52), and four or more household members (PR = 1.20). Food insecurity prevalence was high in the entire population, but it was even higher in quilombola communities, even though they belonged to the same coverage area. The results emphasize this population's vulnerability.
本研究旨在衡量巴西东北部一个农村地区粮食不安全的患病率,并根据居住在基隆波拉社区(非洲奴隶后裔)与非基隆波拉社区的情况调查这一结果。这是一项于2014年在21个农村社区开展的横断面研究,其中9个是基隆波拉社区,采用巴西粮食不安全量表(EBIA)。估计了粮食不安全的患病率和患病率比,并进行了具有稳健方差的泊松多元回归分析。在52.1%的家庭中发现存在粮食不安全情况:在基隆波拉社区为64.9%,在其他社区为42%。粮食不安全与属于基隆波拉社区(患病率比=1.25)、较低的经济地位(C2、D和E级别的患病率比分别为1.89、2.98和3.22)、家庭补助金计划的受益人(患病率比=1.52)以及四名或更多家庭成员(患病率比=1.20)有关。整个人口中粮食不安全患病率很高,但在基隆波拉社区更高,尽管它们属于同一覆盖区域。研究结果强调了这一人群的脆弱性。