Sharareh Nasser, Wallace Andrea S
Department of Population Health Sciences, University of Utah, Salt Lake City, UT 84108, USA.
College of Nursing, University of Utah, Salt Lake City, UT 84108, USA.
Healthcare (Basel). 2022 Feb 17;10(2):380. doi: 10.3390/healthcare10020380.
The prevalence of food insecurity (FI) in United States households has fluctuated between 10% and 15% for the past two decades, well above the Healthy People 2030 goal. FI is associated with increased use of healthcare services and the prevalence of multiple health conditions. Our current efforts to address FI may be limited by measures that lack granularity, timeliness, and consideration of larger food access barriers (e.g., availability of food providers and lack of knowledge regarding where to obtain food). If the Healthy People 2030 goal of reducing FI to 6% is to be met, we need better and faster methods for monitoring and tracking FI in order to produce timely interventions. In this paper, we review key contributors of FI from an access barrier perspective, investigate the limitations of current FI measures, and explore how data from one nonprofit organization may enhance our understanding of FI and facilitate access to resources at the local level. We also propose a conceptual framework illustrating how nonprofit organizations may play an important role in understanding and addressing FI and its intertwined social needs, such as housing and healthcare problems.
在过去二十年中，美国家庭粮食不安全（FI）的发生率在10%至15%之间波动，远高于《健康人民2030》的目标。FI与医疗服务使用增加以及多种健康状况的发生率相关。我们目前应对FI的努力可能受到一些措施的限制，这些措施缺乏粒度、及时性，且未考虑更大的食物获取障碍（例如，食品供应商的可及性以及对从何处获取食物缺乏了解）。如果要实现《健康人民2030》将FI降至6%的目标，我们需要更好、更快的方法来监测和跟踪FI，以便及时进行干预。在本文中，我们从获取障碍的角度回顾了FI的关键促成因素，研究了当前FI衡量方法的局限性，并探讨了一个非营利组织的数据如何增进我们对FI的理解，并促进地方层面的资源获取。我们还提出了一个概念框架，说明非营利组织如何在理解和应对FI及其相互交织的社会需求（如住房和医疗问题）方面发挥重要作用。
