Nutrition Institute Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 367. Bloco J-2 andar, sala 18, Ilha do Governador, CEP: 21941-590Rio de Janeiro, RJ, Brazil.
Public Health Nutr. 2021 Jul;24(10):3136-3146. doi: 10.1017/S1368980020004164. Epub 2020 Oct 22.
To assess the access to government programmes and their association with food insecurity (FI) in families from quilombolas communities in Brazil.
An analysis of secondary data from the 2011 Quilombolas Census was performed in Brazilian territories. The Brazilian Household Food Insecurity Measurement Scale (Escala Brasileira de Insegurança Alimentar, EBIA) was used to assess the household FI status. The relationships of governmental programmes with the levels of FI were estimated using logistic regression models.
Greater national survey census of food and nutritional security of the recognised Quilombolas Brazilian territories.
Totally, 8743 quilombolas families.
The prevalence of household FI was 86·1 % (moderate/severe FI: 55·9 %, 95 % CI 54·8, 56·9). After adjustment for socio-demographic variables, access to rural development programmes (Food Acquisition Program: OR: 0·6, 95 % CI 0·4, 0·8, P-value < 0·01) and health programmes (Center for Family Health Support: OR: 0·5, 95 % CI 0·5, 0·7, P-value < 0·001) is inversely and significantly associated with moderate/severe FI. The Brazilian conditional cash transfer programme (Bolsa Família) was associated with quilombolas families with moderate/severe levels of FI (OR: 3·3, 95 % CI 2·8, 4·0, P-value < 0·001).
The prevalence of FI was high among quilombolas families. Despite reduced participation in governmental programmes, rural development, agriculture and conditional cash transfer programmes are fundamental to the autonomy of quilombolas communities. In spite of the low participation, when families are able to access these programmes, the study revealed the importance of these initiatives in reducing the likelihood of severe levels of FI.
评估巴西夸雷尔波拉社区家庭获得政府计划的情况及其与食物不安全（FI）的关联。
对巴西境内 2011 年夸雷尔波拉普查的二次数据进行了分析。使用巴西家庭食物不安全测量量表（Escala Brasileira de Insegurança Alimentar，EBIA）评估家庭 FI 状况。使用逻辑回归模型估计政府计划与 FI 水平的关系。
更大的全国食物和营养安全调查普查的认可的夸雷尔波拉巴西领土。
共有 8743 个夸雷尔波拉家庭。
家庭 FI 的患病率为 86.1%（中度/重度 FI：55.9%，95%CI 54.8,56.9）。调整社会人口统计学变量后，获得农村发展计划（食品获取计划：OR：0.6，95%CI 0.4,0.8，P 值<0.01）和卫生计划（家庭健康支持中心：OR：0.5，95%CI 0.5,0.7，P 值<0.001）与中度/重度 FI 呈负相关且有统计学意义。巴西有条件现金转移计划（Bolsa Família）与中度/重度 FI 的夸雷尔波拉家庭相关（OR：3.3，95%CI 2.8,4.0，P 值<0.001）。
FI 在夸雷尔波拉家庭中的患病率很高。尽管参与政府计划的比例降低，但农村发展、农业和有条件现金转移计划对夸雷尔波拉社区的自治至关重要。尽管参与率较低，但当家庭能够获得这些计划时，研究表明这些计划在降低严重程度 FI 的可能性方面具有重要意义。
