Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Scientific Operations and Response, Public Health Agency of Canada,Guelph, Ontario, Canada.
Public Health Nutr. 2024 Jan 15;27(1):e83. doi: 10.1017/S1368980024000120.
The objective of this systematic review is to synthesise the evidence on public policy interventions and their ability to reduce household food insecurity (HFI) in Canada.
Four databases were searched up to October 2023. Only studies that reported on public policy interventions that might reduce HFI were included, regardless of whether that was the primary purpose of the study. Title and abstract screening, full-text screening, data extraction, risk of bias and certainty of the evidence assessments were conducted by two reviewers.
Seventeen relevant studies covering three intervention categories were included: income supplementation, housing assistance programmes and food retailer subsidies. Income supplementation had a positive effect on reducing HFI with a moderate to high level of certainty. Housing assistance programmes and food retailer studies may have little to no effect on HFI; however, there is low certainty in the evidence that could change as evidence emerges.
The evidence suggests that income supplementation likely reduces HFI for low-income Canadians. Many questions remain in terms of how to optimise this intervention and additional high-quality studies are still needed.
本系统评价的目的是综合有关公共政策干预措施及其减少加拿大家庭粮食不安全(HFI)能力的证据。
截至 2023 年 10 月,对四个数据库进行了检索。仅纳入报告可能减少 HFI 的公共政策干预措施的研究,无论该研究是否为主要目的。两名评审员进行了标题和摘要筛选、全文筛选、数据提取、偏倚风险和证据确定性评估。
纳入了涵盖三个干预类别的 17 项相关研究:收入补充、住房援助计划和食品零售商补贴。收入补充对减少 HFI 有积极影响,具有中等到高度的确定性。住房援助计划和食品零售商的研究可能对 HFI 几乎没有影响,但证据的确定性较低,随着证据的出现,这种情况可能会发生变化。
证据表明,收入补充可能会减少加拿大低收入者的 HFI。在如何优化这种干预措施方面仍存在许多问题,需要更多高质量的研究。