Jenkins Rosemary H, Aliabadi Shirin, Vamos Eszter P, Taylor-Robinson David, Wickham Sophie, Millett Christopher, Laverty Anthony A
Public Health Policy Evaluation Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus; The Reynolds Building; St Dunstan's Road; London W6 8RP, UK.
Global Digital Health Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.
EClinicalMedicine. 2021 Mar 15;33:100781. doi: 10.1016/j.eclinm.2021.100781. eCollection 2021 Mar.
In 2010, the UK government implemented austerity measures, involving reductions to public spending and welfare reform. We aimed to systematically review the relationship of austerity policies with food insecurity including foodbank use in the UK.
We undertook a narrative systematic review (CRD42020164508) and searched seven databases, grey literature, and reference lists through September 2020. Studies with austerity policies (including welfare reform) as exposure and food insecurity (including foodbank use as a proxy) as study outcome were included. We included quantitative longitudinal and cross-sectional studies. Two reviewers assessed eligibility, extracted data directly from studies, and undertook quality assessment.
Eight studies were included: two individual-level studies totalling 4129 participants and six ecological studies. All suggested a relationship between austerity and increased food insecurity. Two studies found that austerity policies were associated with increased food insecurity in European countries including the UK. Six studies found that the welfare reform aspect of UK austerity policies was associated with increased food insecurity and foodbank use. Sanctions involving delays to benefits as a response to a claimant not actively seeking work may increase food insecurity, with studies finding that increases of 100 sanctions per 100,000 people may have led to increases of between 2 and 36 food parcels per 100,000 population.
UK austerity policies were consistently linked to food insecurity and foodbank use. Policymakers should consider impacts of austerity on food insecurity when considering how to reduce budget deficits.
NIHR School for Public Health Research.
2010年，英国政府实施了紧缩措施，包括削减公共开支和福利改革。我们旨在系统回顾紧缩政策与英国粮食不安全状况（包括食品银行使用情况）之间的关系。
我们进行了一项叙述性系统综述（CRD42020164508），并检索了7个数据库、灰色文献以及截至2020年9月的参考文献列表。纳入以紧缩政策（包括福利改革）为暴露因素、以粮食不安全状况（包括将食品银行使用情况作为替代指标）为研究结果的研究。我们纳入了定量纵向研究和横断面研究。两名评审员评估研究的合格性，直接从研究中提取数据，并进行质量评估。
纳入了8项研究：2项个体水平研究，共4129名参与者，以及6项生态学研究。所有研究均表明紧缩与粮食不安全状况增加之间存在关联。两项研究发现，紧缩政策与包括英国在内的欧洲国家粮食不安全状况增加有关。六项研究发现，英国紧缩政策中的福利改革方面与粮食不安全状况增加及食品银行使用增加有关。作为对申领者未积极寻找工作的回应而实施的福利延迟制裁可能会增加粮食不安全状况，研究发现，每10万人中制裁增加100次可能导致每10万人口中食品包裹增加2至36份。
英国的紧缩政策一直与粮食不安全状况及食品银行使用有关。政策制定者在考虑如何减少预算赤字时应考虑紧缩政策对粮食不安全状况的影响。
英国国家卫生研究院公共卫生研究学院。
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