Daneshi-Maskooni Milad, Shab-Bidar Sakineh, Badri-Fariman Mahtab, Aubi Erfan, Mohammadi Younes, Jafarnejad Sadegh, Djafarian Kurosh
Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Dept. of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2017 Nov;46(11):1454-1464.
Data on the questionnaire-based prevalence of food insecurity are needed to develop food and nutrition security studies and policies. The present study aimed to assess the questionnaire-based prevalence of food insecurity in Iran.
A systematic search of cross-sectional studies were conducted on databases including PubMed, Google Scholar, Scopus, Magiran, Iranmedex, SID and Medlib up to 29 Oct 2015. Estimation of food insecurity prevalence was according to the instruments including 9-items-HFIAS, 18 and 6-items USDA (US-HFSSM) and Radimer/Cernel food security questionnaires. Pooled effect was estimated using random-effect model and heterogeneity was assessed by Cochran's Q and 2 tests.
Thirteen articles included in the study based on screening and assessment of eligibility. The questionnaire-based prevalence of food insecurity was 49.2% (CI95%: 43.8-54.6). The according to sub-groups analysis, the food insecurity without and with hunger was 29.6% (CI95%: 25.7-33.6) and 19.2% (CI95%: 16-22.3), respectively.
The about half of the population were food insecure. The food insecurity without hunger was more than the food insecurity with hunger. An ongoing food insecurity assessment system is needed to support evidence-informed policy and to plan interventions to increase the food security in different areas.
开展粮食与营养安全研究及政策制定需要基于问卷调查的粮食不安全患病率数据。本研究旨在评估伊朗基于问卷调查的粮食不安全患病率。
截至2015年10月29日,在包括PubMed、谷歌学术、Scopus、Magiran、Iranmedex、SID和Medlib在内的数据库中对横断面研究进行系统检索。根据包括9项HFIAS、18项和6项美国农业部(US-HFSSM)以及拉迪默/塞尔内尔粮食安全问卷等工具来估计粮食不安全患病率。使用随机效应模型估计合并效应,并通过 Cochr an's Q和I²检验评估异质性。
基于筛选和资格评估,13篇文章纳入本研究。基于问卷调查的粮食不安全患病率为49.2%(95%CI:43.8 - 54.6)。根据亚组分析,无饥饿的粮食不安全和有饥饿的粮食不安全分别为29.6%(95%CI:25.7 - 33.6)和19.2%(95%CI:16 - 22.3)。
约一半人口存在粮食不安全。无饥饿的粮食不安全情况多于有饥饿的粮食不安全情况。需要一个持续的粮食不安全评估系统来支持基于证据的政策制定,并规划干预措施以提高不同地区的粮食安全。