Aguiar Ana, Maia Isabel, Pinto Marta, Duarte Raquel
EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal.
Port J Public Health. 2022 Mar 18:1-8. doi: 10.1159/000522319.
The current worldwide COVID-19 pandemic has been having a considerable impact not only on health but also on the economy of societies, emphasizing food insecurity as a significant public health concern.
The objective of this study was to characterize the scenario of food insecurity in Portugal during the COVID-19 pandemic and explore its related sociodemographic characteristics.
This is a cross-sectional study, using data from an online survey, performed from November 2020 until February 2021, including 882 residents aged 18 years or older in Portugal. Data on sociodemographics and food security status were collected, the latter was evaluated using the United States Household Food Security Survey Module: Six-Item Short Form. Crude and adjusted logistic regression models were performed (covariates: education, household income perception, and the working status during the COVID-19 pandemic). The odds ratio (OR) and respective 95% confidence intervals (CI) were estimated.
Most participants were women (71.3%), with a mean age of 36.8 years (SD 11.0). Food insecurity prevalence was 6.8%. Less-educated individuals (≤12 years of schooling; OR 2.966; 95% CI 1.250-7.042), and those who were and remained unemployed since the beginning of the pandemic (OR 2.602; 95% CI 1.004-6.742) had higher odds of belonging to a food-insecure household, regardless of education, working status during the COVID-19 pandemic, and household income perception. Moreover, lower odds of belonging to a food-insecure household were observed among those reporting a comfortable household income (OR 0.007; 95% CI 0.001-0.062) than those who perceived their household income as insufficient, independently of education and the working status during the COVID-19 pandemic.
These findings highlight the population groups that are at a greater risk of food insecurity during the current COVID-19 pandemic. Effective public health strategies should be developed aiming to address food insecurity during this crisis, especially among the higher risk groups.
当前全球范围内的新冠疫情不仅对健康产生了重大影响,也对社会经济造成了冲击,凸显了粮食不安全作为一个重大公共卫生问题的重要性。
本研究的目的是描述新冠疫情期间葡萄牙粮食不安全的情况,并探讨其相关的社会人口学特征。
这是一项横断面研究,使用了2020年11月至2021年2月期间进行的在线调查数据,包括882名年龄在18岁及以上的葡萄牙居民。收集了社会人口学和粮食安全状况的数据,后者使用美国家庭粮食安全调查模块:六项简表进行评估。进行了粗逻辑回归模型和调整逻辑回归模型(协变量:教育程度、家庭收入感知以及新冠疫情期间的工作状态)。估计了比值比(OR)和相应的95%置信区间(CI)。
大多数参与者为女性(71.3%),平均年龄为36.8岁(标准差11.0)。粮食不安全患病率为6.8%。受教育程度较低的个体(≤12年教育;OR 2.966;95% CI 1.250 - 7.042),以及自疫情开始以来一直失业的人(OR 2.602;95% CI 1.004 - 6.742)属于粮食不安全家庭的几率更高,无论其教育程度、新冠疫情期间的工作状态以及家庭收入感知如何。此外,与那些认为家庭收入不足的人相比,报告家庭收入宽裕的人属于粮食不安全家庭的几率较低(OR 0.007;95% CI 0.001 - 0.062),这与教育程度和新冠疫情期间的工作状态无关。
这些发现突出了在当前新冠疫情期间面临粮食不安全风险更高的人群。应制定有效的公共卫生策略,以应对此次危机期间的粮食不安全问题,特别是在高风险群体中。