粮食不安全筛查：美国预防服务工作组建议声明
Screening for Food Insecurity: US Preventive Services Task Force Recommendation Statement.
作者信息
Nicholson Wanda K, Silverstein Michael, Wong John B, Chelmow David, Coker Tumaini Rucker, Fernandez Alicia, Gibson Ericka, Jaén Carlos Roberto, Krousel-Wood Marie, Lee Sei, Rao Goutham, Ruiz John M, Stevermer James, Tsevat Joel, Underwood Sandra Millon, Wiehe Sarah
机构信息
George Washington University, Washington, DC.
Brown University, Providence, Rhode Island.
出版信息
JAMA. 2025 Apr 15;333(15):1333-1339. doi: 10.1001/jama.2025.0879.
IMPORTANCE
According to survey data, 12.8% of households experienced food insecurity in 2022, with 7.7% of households experiencing low food security and 5.1% experiencing very low food security. Nearly one-third of households with incomes below the federal poverty threshold are food insecure. Food insecurity is one among a multitude of medical, psychological, and social conditions common among economically disadvantaged households.
OBJECTIVE
The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on the benefits and harms of screening for food insecurity in the health care setting.
POPULATION
Children, adolescents, and adults.
EVIDENCE ASSESSMENT
The USPSTF concludes that the evidence is insufficient and the balance of benefits and harms for screening for food insecurity on health outcomes in the primary care setting cannot be determined.
RECOMMENDATION
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for food insecurity on health outcomes in the primary care setting. (I statement).
重要性
根据调查数据，2022年有12.8%的家庭经历了粮食不安全状况，其中7.7%的家庭粮食安全程度较低，5.1%的家庭粮食安全程度极低。收入低于联邦贫困线的家庭中，近三分之一面临粮食不安全问题。粮食不安全是经济弱势家庭中常见的众多医疗、心理和社会状况之一。
目的
美国预防服务工作组（USPSTF）委托进行了一项系统评价，以评估在医疗环境中筛查粮食不安全状况的益处和危害的证据。
人群
儿童、青少年和成年人。
证据评估
USPSTF得出结论，证据不足，无法确定在初级保健环境中筛查粮食不安全状况对健康结果的利弊平衡。
建议
USPSTF得出结论，目前的证据不足以评估在初级保健环境中筛查粮食不安全状况对健康结果的利弊平衡。（I声明）
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