Dharmaraju Nikitha, Mauleshbhai Sonam Shah, Arulappan Nirupama, Thomas Beeson, Marconi D Sam, Paul Sherin Susan, Mohan Venkat Raghava
Department of Community Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.
J Family Med Prim Care. 2018 Jul-Aug;7(4):819-822. doi: 10.4103/jfmpc.jfmpc_185_17.
As we are moving from millennium development goals to sustainable development goals, food insecurity is imposing a formidable challenge to the policymakers, especially in developing countries such as India. A survey conducted in the urban slum areas of Vellore district, 6 years back, had reported food insecurity as high as 75%. The current study was a resurvey to assess the food security status in the aforementioned area.
A community-based survey was conducted in which data were collected using a self-administered questionnaire from 150 households, selected through multistaged cluster sampling, who had given oral consent to be a part of the survey. The prevalence of food security calculated from this study was compared with the results from a previous survey to look for any significant improvement.
Nearly 42.7% of the households were food secure, while 26.7% were food insecure without hunger and 30.6% were food insecure with some degree of hunger. Low socioeconomic status (odds ratio [OR]: 3.25, 95% confidence interval [CI]: 1.29-8.16; < 0.012) and presence of debt (OR: 3.84, 95% CI: 1.90-7.73; < 0.001) were the major risk factors for food insecurity. A comparison with the findings from the previous study has shown a statistically significant improvement in food security from 25.4% to 42.7% (Chi-square: 27.072, df: 2, < 0.0001).
Although food security levels have shown marked improvement over the years, much needs to be done for India to be free from the shackles of hunger.
随着我们从千年发展目标迈向可持续发展目标,粮食不安全问题给政策制定者带来了巨大挑战,尤其是在印度等发展中国家。6年前在韦洛尔区城市贫民窟地区进行的一项调查显示,粮食不安全率高达75%。本研究是一项重新调查,旨在评估上述地区的粮食安全状况。
进行了一项基于社区的调查,通过多阶段整群抽样从150户家庭中选取样本,这些家庭已口头同意参与调查,并使用自填式问卷收集数据。将本研究计算出的粮食安全患病率与之前调查的结果进行比较,以寻找是否有显著改善。
近42.7%的家庭粮食安全,26.7%的家庭粮食不安全但无饥饿,30.6%的家庭粮食不安全且有一定程度的饥饿。社会经济地位低(优势比[OR]:3.25,95%置信区间[CI]:1.29 - 8.16;<0.012)和有债务(OR:3.84,95%CI:1.90 - 7.73;<0.001)是粮食不安全的主要风险因素。与之前研究结果相比,粮食安全状况从25.4%提高到42.7%,具有统计学显著改善(卡方值:27.072,自由度:2,<0.0001)。
尽管多年来粮食安全水平已显著提高,但印度要摆脱饥饿的束缚仍有许多工作要做。