Dharmayani Putu Novi Arfirsta, Ganbold Gantsetseg, Farnaz Nadia, Scutts Taylah, Kumar Sheralle, Ajak Ariik, Williams Miriam, Mihrshahi Seema
Department of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, Macquarie Park, New South Wales, Australia.
Department of Health Sciences, Faculty of Medicine Health and Human Sciences, Macquarie University, Macquarie Park, New South Wales, Australia.
J Acad Nutr Diet. 2025 Sep;125(9):1315-1345.e9. doi: 10.1016/j.jand.2025.04.015. Epub 2025 May 6.
Although the prevalence of food insecurity among higher education students is consistently higher than the general population, and some support is available, the extent to which programs developed to address food insecurity help students in higher education institutions remains unclear.
This scoping review aimed to comprehensively synthesize the existing evidence on campus-based programs in addressing food insecurity in higher education institutions.
A search was conducted on December 5, 2023, in the electronic databases PubMed, Medline, Web of Science, and Scopus to identify food insecurity programs for students attending higher education institutions. Peer-reviewed articles written in English and published between January 1, 2003, and December 5, 2023, that met the inclusion criteria were included. There were no restrictions on study designs. Identified studies were screened in 2 stages, and data were independently extracted.
Thirty-three studies were included in this review, with most programs implemented in the United States. A wide range of programs were found, grouped into 2 categories: food assistance (ie, direct provision of food or financial resources to access food) and support services and resources (ie, food-related courses and health professional services). One-third of studies illustrated student engagement in the development and/or implementation process. Outcomes related to the programs included the prevalence of food insecurity status, diet- and food-related outcomes, and student perceptions, awareness, and utilization of the programs. Although half of the included studies reported the prevalence of food insecurity, only 5 studies evaluated whether the program led to an improvement in food security status among students. Barriers to (n = 30) and facilitators of (n = 24) programs were identified by students and other stakeholders who were directly involved in the programs.
Although this scoping review identified a wide range of campus-based programs to address food insecurity in higher education students, there is relatively limited evidence available on to what extent the programs improve food security levels. Identifying factors that hinder or facilitate campus-based programs from various stakeholders can help inform researchers and policymakers in planning and developing food insecurity programs, particularly at the higher education level.
尽管高等教育学生中粮食不安全的发生率一直高于普通人群，并且有一些支持措施，但为解决粮食不安全问题而制定的项目对高等教育机构学生的帮助程度仍不明确。
本范围综述旨在全面综合现有关于校园项目解决高等教育机构粮食不安全问题的证据。
于2023年12月5日在电子数据库PubMed、Medline、科学网和Scopus中进行检索，以识别针对高等教育机构学生的粮食不安全项目。纳入2003年1月1日至2023年12月5日期间发表的、符合纳入标准的英文同行评审文章。对研究设计没有限制。分两个阶段筛选已识别的研究，并独立提取数据。
本综述纳入了33项研究，大多数项目在美国实施。发现了广泛的项目，分为两类：食品援助（即直接提供食品或获取食品的资金资源）以及支持服务和资源（即与食品相关的课程和健康专业服务）。三分之一的研究表明学生参与了项目的开发和/或实施过程。与项目相关的结果包括粮食不安全状况的发生率、与饮食和食品相关的结果，以及学生对项目的认知、意识和利用情况。尽管一半的纳入研究报告了粮食不安全的发生率，但只有5项研究评估了项目是否导致学生粮食安全状况得到改善。直接参与项目的学生和其他利益相关者确定了项目的障碍（n = 30）和促进因素（n = 24）。
尽管本范围综述确定了广泛的校园项目来解决高等教育学生的粮食不安全问题，但关于这些项目在多大程度上提高粮食安全水平的证据相对有限。从不同利益相关者那里识别阻碍或促进校园项目的因素，有助于为研究人员和政策制定者规划和制定粮食不安全项目提供信息，特别是在高等教育层面。
