Social Vulnerability and Child Food Insecurity in Developed Countries: A Systematic Review

IF 8 1区医学 Q1 NUTRITION & DIETETICS

Advances in Nutrition Pub Date : 2025-02-01 DOI:10.1016/j.advnut.2025.100365

Liyuwork Mitiku Dana , César Ramos-García , Deborah A Kerr , Jane M Fry , Jeromey Temple , Christina M Pollard

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引用次数: 0

Abstract

Food insecurity (FI) is a serious public health concern in economically developed countries, mainly due to unequal resource distribution. Identifying social vulnerability factors [i.e., characteristics of a person or group regarding their capacity to anticipate, cope with, resist, and recover from the effects of child FI (CFI)] and their positive or negative relationship with CFI is important to support targeted action with a scale and intensity that is proportionate to the level of disadvantage. This review aimed to systematically and comprehensively identify key social vulnerability contributors to CFI in economically developed countries and discuss the factors in the context of the socio-ecological model. Five research databases were searched for observational studies published in 2000 assessing social vulnerability factors related to FI in children residing in developed countries. Data screening and extraction were independently conducted by 2 reviewers who recorded factors related to CFI. The QualSyst tool was used to assess risk of bias. From the studies identified (N = 5689), 49 articles, predominantly from the United States and Canada, met the inclusion criteria. The identified social vulnerability factors associated with CFI were grouped into 5 based on the socio-ecological model: 1) individual child, 2) parental, 3) household, 4) community, and 5) societal factors. The most frequently reported contributors to CFI were income (household factor). Other social vulnerability factors were identified, including the child’s age, parental depression, household crowdedness, social connection, poverty, and residential instability. The lack of consistent measures to define both social vulnerability and CFI in diverse population subgroups impeded meaningful pooling and interpretation of factors interacting with CFI. Recommendations for future studies are to use comparable measures to estimate the extent and severity of CFI and to investigate the relation between social vulnerability, severity, and trajectories of CFI in developed countries.

This trial was registered at PROSPERO as CRD42022291638.

查看原文本刊更多论文

发达国家的社会脆弱性和儿童粮食不安全：系统回顾。

粮食不安全（FI）是经济发达国家一个严重的公共卫生问题，主要是由于资源分配不平等。确定社会脆弱性因素（即个人或群体在预测、应对、抵制和从儿童粮食不安全影响中恢复的能力方面的特征）及其与儿童粮食不安全的积极或消极关系，对于支持采取与不利程度相称的规模和强度的有针对性行动至关重要。本综述旨在系统和全面地识别经济发达国家CFI的主要社会脆弱性因素，并在社会生态模型（SEM）的背景下讨论这些因素。从2000年发表的观察性研究中检索了5个研究数据库，这些研究评估了与发达国家儿童FI相关的社会脆弱性因素。数据筛选和提取由两名记录CFI相关因素的审稿人独立进行。使用QualSyst工具评估偏倚风险。在确定的研究中（N= 5689）， 49篇论文符合纳入标准，主要来自美国和加拿大。根据扫描电镜，将与CFI相关的社会脆弱性因素分为5类：i)个体儿童；(二)父母;3)家庭;(四)社区;5)社会因素。报告中最常见的CFI因素是收入（家庭因素）。其他社会脆弱性因素包括儿童年龄、父母抑郁、家庭拥挤、社会联系、贫困和居住不稳定。在不同人群亚群中，缺乏一致的措施来定义社会脆弱性和CFI，这阻碍了有意义的汇集和解释与CFI相互作用的因素。对未来研究的建议是使用可比较的措施来估计CFI的程度和严重程度，并调查发达国家CFI的社会脆弱性、严重程度和发展轨迹之间的关系。该审查方案已在PROSPERO注册（CRD42022291638）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Nutrition 医学-营养学

CiteScore

17.40

自引率

2.20%

发文量

117

审稿时长

56 days

期刊介绍： Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.