McKay Fiona H, Godrich Stephanie L
School of Health and Social Development, Faculty of Health, Deakin University, Melbourne Burwood Campus, Burwood, VIC 3125, Australia.
School of Medical and Health Sciences, Edith Cowan University, South West Campus, Bunbury, WA 6230, Australia.
Appl Physiol Nutr Metab. 2021 Dec;46(12):1448-1458. doi: 10.1139/apnm-2020-1075. Epub 2021 Oct 12.
Food insecurity disproportionately impacts Aboriginal and Torres Strait Islander Australians. This review sought to investigate research and evaluations of programs and interventions implemented to address food insecurity among Aboriginal and Torres Strait Islander communities. A rapid review was conducted to collate the available research from 6 databases. The search was conducted in May 2020. Search constructs related to food insecurity, Aboriginal and Torres Strait Islander people, and Australia. Twenty-five publications were included in this review, 24 reported on an intervention, while 9 were evaluations of an intervention. Interventions included behaviour change projects, including projects that sought to change purchasing and cooking behaviours, school-based education programs, and gardening programs. In general, the studies included in this sample were small and lacked a systematic consideration of the factors that shape the experience of food insecurity among Aboriginal and Torres Strait Islander people specifically. Based on the findings of this review, authors suggest greater consideration to the systematic determinants of food insecurity among Aboriginal and Torres Strait Islander communities to have lasting and sustainable impact on food insecurity. This review has been registered with the international prospective register of systematic reviews (PROSPERO: CRD42020183709). Food insecurity among Aboriginal and Torres Strait Islander people poses significant risk to health and wellbeing. Small-scale food security interventions may not provide ongoing and sustained impact. Any intervention to promote food security will need to involve Aboriginal and Torres Strait Islander people and be sustained once external parties have left.
粮食不安全对澳大利亚原住民和托雷斯海峡岛民的影响尤为严重。本综述旨在调查为解决原住民和托雷斯海峡岛民社区粮食不安全问题而实施的项目及干预措施的研究与评估。通过快速综述对6个数据库中的现有研究进行了整理。检索于2020年5月进行。检索关键词涉及粮食不安全、原住民和托雷斯海峡岛民以及澳大利亚。本综述纳入了25篇出版物,其中24篇报告了一项干预措施,9篇是对一项干预措施的评估。干预措施包括行为改变项目,如旨在改变购买和烹饪行为的项目、校本教育项目以及园艺项目。总体而言,本样本中的研究规模较小,且缺乏对专门影响原住民和托雷斯海峡岛民粮食不安全经历的因素的系统考量。基于本综述的结果,作者建议更多地考虑原住民和托雷斯海峡岛民社区粮食不安全的系统性决定因素,以便对粮食不安全问题产生持久和可持续的影响。本综述已在国际系统评价前瞻性注册库(PROSPERO:CRD42020183709)注册。原住民和托雷斯海峡岛民的粮食不安全对健康和福祉构成重大风险。小规模的粮食安全干预措施可能无法提供持续的影响。任何促进粮食安全的干预措施都需要让原住民和托雷斯海峡岛民参与其中,并且在外部机构撤离后仍能持续下去。