对美国食品银行(USFB)和食品储藏室面临的挑战进行系统性的范围审查

IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
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引用次数: 0

摘要

背景美国的全国健康调查显示,通过食物不安全、经济困难和疾病管理不善等途径,慢性疾病的发病率较高。食品援助计划提供了一个独特的机会,根据参与者的健康状况来满足他们的营养需求。研究设计、设置、参与者系统范围综述可衡量的结果/分析根据系统范围综述指南,搜索结果按照 PRISMA 指南进行报告。在 PubMed、ScienceDirect、Google Scholar、Embase 和 Cochrane Library 等五个电子搜索引擎上搜索了 2013-2023 年间发表的有关 USFB 或茶水间的文章。结果共筛选出 96 篇文章。运营挑战下的主题包括供应链、合作伙伴关系、分配和遵守公平原则。影响食品安全和浪费的资源累积、分配和基础设施也是其他挑战。受益者,特别是老年人、残疾人和难民,以及他们未得到满足的需求都记录在案。在大流行期间,由于缺乏训练有素的工作人员、工作人员接触病毒的机会增加以及供应链中断,家庭机构的应变能力受到了考验。尽管存在挑战,但也发现了一些机遇,如满足弱势群体的健康需求、通过食品储藏室提高人们的认识、测试供应效率模式以及邀请捐赠。尽管存在通过 USFB 改善健康状况的机遇,但我们的综述显示,关于运营挑战的文章较多,而关于管理慢性病的营养需求的文献有限(96 篇中只有 5 篇)。鉴于粮食不安全与贫困人口慢性病激增之间的既定联系,我们的研究结果优先考虑通过强有力的粮食安全计划对健康需求和循证干预措施进行评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Systematic Scoping Review to Characterize the Challenges in US Food Banks (USFB) and Pantries

Background

National health surveys in the US indicated a higher odds of chronic health conditions, through pathways of food insecurity, financial challenges, and poor disease management. Food assistance programs offer a unique opportunity to address the nutritional needs of participants in light of their health conditions. Characterizing the challenges and opportunities in USFB would be a first step to addressing the health needs of those food insecure.

Objective

The purpose of this systematic scoping review was to characterize the challenges in the USFB and to identify areas for further research and intervention.

Study Design, Settings, Participants

Systematic scoping review.

Measurable Outcome/Analysis

Adhering to the guidelines for systematic scoping review, the search results were reported per the PRISMA guidelines. Five electronic search engines, PubMed, ScienceDirect, Google Scholar, Embase, and Cochrane Library, were searched for articles on USFB or pantries, published between 2013-2023. Intervention studies were excluded.

Results

A total of 96 articles were selected. Themes under operational challenges encompassed supply-chain, partnerships, distribution, and adherence to equity principles. Resource accrual, allocation, and infrastructure that affect food safety and waste were other challenges. Beneficiaries particularly, the elderly, people with disabilities, and refugees, and their unmet needs were documented. During the pandemic the resilience of FBs was tested by lack of trained staff, increased exposure of staff to the virus, and disruptions in the supply-chain. Despite challenges, opportunities such as meeting the health needs of vulnerable demographics, increasing awareness through pantries, testing models for supply efficiency, and inviting donations were identified. Regardless of the opportunities to improve health through USFB, our synthesis revealed a higher representation of articles on operational challenges and limited literature (5 out of 96) on the nutritional needs to manage chronic conditions.

Conclusions

The scope of USFB has evolved, and so have the challenges. Given the established association between food insecurity and the surge of chronic diseases among the poor, our findings prioritize assessment of health needs and evidence-based interventions through the robust food security program.

Funding

Extension, Department of Nutrition and Experiment Station, University of Nevada, Reno

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来源期刊
CiteScore
4.20
自引率
11.50%
发文量
379
审稿时长
44 days
期刊介绍: The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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