Institute of Development Studies, Brighton, UK.
Nutr Rev. 2021 Dec 8;80(1):78-90. doi: 10.1093/nutrit/nuab001.
Links among agriculture, nutrition, and health (ANH) are established, but the role of inequity is less understood. In this scoping review, we aimed to understand the range of ways that ANH research addresses inequity issues in low- and middle-income countries. We used PRISMA guidelines to structure our study. From an initial >26 000 studies, 243 published reports met inclusion criteria and were mapped. The number of reports addressing inequity in ANH research has increased over time from < 10 articles in 2008 to > 40 in 2018. Within equity, a majority of articles (n = 327) focused on describing how nutrition and health outcomes differ for different groups. Many (n = 134) looked at the material circumstances that shape people's life chances. Fewer (n = 51) looked at the most basic structural determinants of (in)equity. The same aspects of equity remain the least studied in ANH research, including the intersections of equity issues shaping life chances, and inequity's structural determinants. We suggest ways forward for this community, drawing on conceptual frameworks and theory of inequity from different disciplines.
农业、营养与健康（ANH）之间存在关联，但人们对不平等问题的认识还不够充分。在本次范围综述中，我们旨在了解 ANH 研究在中低收入国家解决不平等问题的各种方式。我们使用 PRISMA 指南来组织研究。最初有超过 26000 项研究，其中 243 篇已发表的报告符合纳入标准并进行了映射。随着时间的推移，ANH 研究中涉及不平等问题的报告数量有所增加，从 2008 年的不足 10 篇增加到 2018 年的 40 多篇。在公平性方面，大多数文章（n=327）侧重于描述不同群体的营养和健康结果有何差异。许多文章（n=134）着眼于塑造人们生活机会的物质环境。较少的文章（n=51）关注（不平等）的最基本结构决定因素。ANH 研究中对公平性的同样方面仍研究得最少，包括影响生活机会的公平问题的交叉点以及不公平的结构决定因素。我们借鉴不同学科的公平问题概念框架和理论，为该领域提出了前进的方向。
