Majnoonian Araz, Tamamian Carine, Ovanesian Musheh, Al-Rousan Tala
Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States.
School of Public Health, College of Health and Human Services, San Diego State University, San Diego, CA, United States.
Front Public Health. 2024 Dec 11;12:1499523. doi: 10.3389/fpubh.2024.1499523. eCollection 2024.
The 2020 Nagorno-Karabakh conflict resulted in displacement of approximately 90,000 ethnic Armenians from Nagorno-Karabakh to Armenia, exacerbating existing vulnerabilities in the region. This study investigated food insecurity among displaced populations and host communities in Armenia during the conflict.
This study is a secondary analysis of cross-sectional data obtained from the 2020 REACH ARM Database Multi-Sector Needs Assessment (MSNA), which was conducted across six Armenian provinces. The original data collection was designed to assess humanitarian needs in Armenia in the aftermath of the 2020 Nagorno-Karabakh conflict. In this analysis, we examined the associations between displacement status and two outcomes of interest: the household's ability to purchase food and reduced portion sizes. Multivariable logistic regressions were performed for each food security outcome.
The study sample included 1,309 households, with most male heads (68.1%), an age distribution mostly under 50 years (81.2%), a majority having general education (55.7%) and higher education (22.8%), and 74.0% not employed. 134 households (10.2%) were displaced and staying in collective centers, 658 households (50.3%) were displaced and staying with family or friends, and 517 households (39.5%) that were not displaced but hosting displaced people. Displaced individuals staying in collective centers had 3.89 times higher odds of reporting a reduced ability to purchase food compared to non-displaced individuals (aOR: 3.89, CI: 2.396.45). Additionally, displaced individuals staying with friends or family had 2.5 times higher odds of experiencing food purchasing difficulties (aOR: 2.53, 95% CI: 1.87-3.42). Households in debt and those with children and lactating women also faced higher food insecurity risks. Similarly, displaced individuals in collective centers had 1.94 times the odds of reducing portion sizes (aOR: 1.94, 95% CI: 1.12-3.29). Female-headed households and households with lactating women also experienced higher rates of portion size reduction, while higher-income households were less likely to face such issues.
Our findings underscore the critical need for targeted humanitarian interventions to address food insecurity among displaced populations in conflict settings. Displaced individuals, especially those in collective centers, faced higher risks of food insecurity, compounded by household vulnerabilities such as debt, children, and lactating women. Female-headed households were particularly affected, necessitating gender-sensitive humanitarian interventions.
2020年纳戈尔诺-卡拉巴赫冲突导致约9万名亚美尼亚族人从纳戈尔诺-卡拉巴赫流离至亚美尼亚，加剧了该地区现有的脆弱性。本研究调查了冲突期间亚美尼亚流离失所人口和收容社区的粮食不安全状况。
本研究是对从2020年REACH ARM数据库多部门需求评估（MSNA）获得的横断面数据进行的二次分析，该评估在亚美尼亚的六个省份开展。原始数据收集旨在评估2020年纳戈尔诺-卡拉巴赫冲突后亚美尼亚的人道主义需求。在本分析中，我们研究了流离失所状况与两个感兴趣的结果之间的关联：家庭购买食物的能力和食物份量减少。对每个粮食安全结果进行多变量逻辑回归分析。
研究样本包括1309户家庭，大多数户主为男性（68.1%），年龄分布大多在50岁以下（81.2%），大多数人接受过普通教育（55.7%）和高等教育（22.8%），74.0%的人未就业。134户家庭（10.2%）流离失所并住在集体中心，658户家庭（50.3%）流离失所并与家人或朋友住在一起，517户家庭（39.5%）未流离失所但收容了流离失所者。与未流离失所的个人相比，住在集体中心的流离失所者报告购买食物能力下降的几率高出3.89倍（调整后比值比：3.
