撒哈拉以南非洲儿童和青少年的粮食不安全和心理健康：系统审查

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review Pub Date : 2025-07-27 DOI:10.1016/j.childyouth.2025.108493

Ibrahim Kasujja , Crick Lund , Tatiana Taylor Salisbury

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引用次数: 0

摘要

背景：粮食不安全和心理健康状况是撒哈拉以南非洲地区儿童和青少年面临的重要公共卫生问题。许多潜在的生物、心理和社会机制可以解释儿童和青少年粮食不安全与心理健康之间的联系。众所周知，粮食不安全的经历会影响个人的心理状态，导致焦虑、孤立、压力和悲伤。目的系统回顾粮食不安全与儿童和青少年心理健康（CAMH）之间关系的文献，以及粮食不安全减少干预措施对SSA儿童和青少年心理健康结果的影响。方法系统检索APA PsycINFO、CINAHL、EconLit、Embase、MEDLINE、Scopus、PubMed、Cochrane Library等8个数据库，筛选相关研究。对纳入的研究的质量和粮食不安全和CAMH报告之间的相关性进行了评估。结果在文献检索中共检索到9547篇已发表论文。17项观察性研究符合纳入标准，纳入本综述。未发现干预研究的文章。粮食不安全与CAMH恶化之间存在显著正相关。纳入观察性研究的文章质量可接受。结论粮食不安全与SSA地区儿童青少年的内化和外化问题有关。虽然没有发现减少粮食不安全的干预措施，但有必要设计和开展干预研究，以评估此类干预措施对CAMH的影响。虽然粮食不安全与心理健康状况之间关联的横断面证据已得到充分确立，但仍需要进行纵向研究，以评估双向、时间关联，并揭示粮食不安全影响心理健康（社会因果关系）和心理健康状况影响粮食不安全（社会漂移）的机制。要打破粮食不安全的恶性循环，实现联合国2030年可持续发展目标，就需要减少粮食不安全状况并改善CAMH。

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Food insecurity and mental health among children and adolescents in sub-Saharan Africa: systematic review

Background

Food insecurity and mental health conditions are important public health problems among children and adolescents in sub-Saharan Africa (SSA). Many potential biological, psychological and social mechanisms may explain the association between food insecurity and mental health among children and adolescents. Experiences of food insecurity are known to affect an individual’s psychological state resulting in anxiety, isolation, stress, and sadness.

Aims

To systematically review the literature on the association between food insecurity and child and adolescent mental health (CAMH) and the impact of food insecurity reduction interventions on CAMH outcomes in SSA.

Methods

A systematic search of eight databases (APA PsycINFO, CINAHL, EconLit, Embase, MEDLINE, Scopus, PubMed and Cochrane Library) was conducted to identify relevant studies. Included studies were assessed for quality and correlations between food insecurity and CAMH reported.

Results

9547 published articles were retrieved during literature search. Seventeen observational studies met the inclusion criteria and were included in the review. No articles of intervention studies were identified. Positive significant associations were found between food insecurity and worse CAMH outcomes. Included articles of observational studies were of acceptable quality.

Conclusions

Experiencing food insecurity is associated with both internalising and externalizing problems among children and adolescents in SSA. While no interventions reducing food insecurity were found, there is a need to design and conduct intervention studies to assess the impact of such interventions on CAMH. Although cross-sectional evidence for the association between food insecurity and mental health conditions is well established, there is a need for longitudinal studies to assess the bi-directional, temporal associations, and unpack mechanisms through which food insecurity affects mental health (social causation) and through which mental health conditions affect food insecurity (social drift). Reducing food insecurity and improving CAMH is needed to break the cycle of food insecurity and to achieve the United Nations 2030 Sustainable Development Goals.

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来源期刊

Children and Youth Services Review Multiple-

CiteScore

6.30

自引率

6.10%

发文量

303

期刊介绍： Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.