College of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
the College of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
Nutr Rev. 2022 Sep 5;80(10):2089-2099. doi: 10.1093/nutrit/nuac029.
Food insecurity (FI) and adverse childhood experiences (ACEs) disproportionally affect vulnerable populations and are key social determinants of health that predict nutrition-related outcomes. It is critical to understand how FI and ACEs are interrelated so prevention studies can be designed to better promote health equity.
A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to determine the association between FI and ACEs.
Google Scholar, PubMed, and Scopus databases were used to find articles relevant to the study. Inclusion criteria included quantitative, qualitative, or mixed-methods studies of humans, using an experimental or observational research design to examine the relationship between FI and ACEs using the validated ACEs measure in its entirety.
Studies were assessed for study design, data set, population descriptions, and results of the association between FI and ACEs. Additionally, all included studies were assessed for bias and validity.
A total of 10 articles were included in the systematic review. Of those articles, 9 were reports on cross-sectional studies, and 1 reported on a longitudinal study; however, all 10 studies used a retrospective approach. Six studies were conducted using secondary data. Results reported in all 10 articles indicated a significant positive association between FI and ACEs. Evidence indicated greater odds of FI among individuals with high ACE scores, with most studies indicating a dose-response or a threshold effect of higher ACEs being associated with more severe FI.
FI and ACEs are consistently related. Prevention study interventions should be designed to address FI and problems stemming from ACEs. Filling knowledge gaps regarding the relationship between ACEs and FI is critical for designing nutrition interventions that promote food security, prevent the occurrence of ACEs, and improve health outcomes among vulnerable populations with high ACEs.
PROSPERO registration no.: CRD42020210106.
食品不安全（FI）和不良的儿童经历（ACEs）不成比例地影响弱势群体，是预测营养相关结果的关键社会决定因素。了解 FI 和 ACEs 是如何相互关联的，以便设计预防研究，从而更好地促进健康公平，这一点至关重要。
使用系统评价和荟萃分析的首选报告项目进行了系统文献综述，以确定 FI 和 ACEs 之间的关联。
使用 Google Scholar、PubMed 和 Scopus 数据库查找与该研究相关的文章。纳入标准包括针对人类的定量、定性或混合方法研究，使用实验或观察性研究设计，使用完整的经过验证的 ACEs 测量方法来检查 FI 和 ACEs 之间的关系。
研究评估了研究设计、数据集、人群描述以及 FI 和 ACEs 之间关联的结果。此外，所有纳入的研究都评估了偏倚和有效性。
该系统评价共纳入 10 篇文章。其中 9 篇为横断面研究报告，1 篇为纵向研究报告；然而，所有 10 项研究均采用回顾性方法。6 项研究使用二次数据进行。所有 10 篇文章报告的结果均表明 FI 和 ACEs 之间存在显著的正相关。证据表明，在 ACE 评分较高的个体中，FI 的可能性更大，大多数研究表明 ACE 越高，与更严重的 FI 相关的可能性就越大。
FI 和 ACEs 之间存在一致性的关联。预防研究干预措施的设计应解决 FI 和 ACE 引起的问题。填补 ACEs 和 FI 之间关系的知识空白，对于设计促进粮食安全、预防 ACEs 发生以及改善 ACEs 较高的弱势群体健康结果的营养干预措施至关重要。
PROSPERO 注册号：CRD42020210106。
