Human Environments Analysis Laboratory, Western University, London, Ontario, Canada.
Fam Community Health. 2020 Oct/Dec;43(4):296-312. doi: 10.1097/FCH.0000000000000273.
This systematic review explores experiences of household food insecurity in rural areas of developed countries. A search of 5 databases resulted in 32 peer-reviewed articles for inclusion. Data were analyzed using directed content analysis to broaden the understanding of rural household food insecurity. Elements of food security (ie, availability, accessibility, acceptability, adequacy, and agency) were exemplified across the literature. In addition, 4 key themes were found: exercising human capital, realizing social capital, coping with compounding stressors, and navigating complex systems. This review demonstrates the need for interventions that improve social connectedness, individual coping skills, and system navigation.
本系统综述探讨了发达国家农村地区家庭粮食不安全的经验。通过对 5 个数据库的搜索,共纳入了 32 篇同行评议文章。使用有针对性的内容分析来分析数据,以拓宽对农村家庭粮食不安全的理解。文献中例举了粮食安全的各个要素(即供应、可及性、可接受性、充足性和机构)。此外,还发现了 4 个主题:发挥人力资本、实现社会资本、应对多重压力源以及驾驭复杂系统。本综述表明需要采取干预措施,以改善社会联系、个人应对技能和系统导航。