索马里粮食不安全的区域差异和社会人口决定因素:一项全国调查的二次横断面分析。

IF 2.8 3区 医学 Q3 ENVIRONMENTAL SCIENCES
Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed, Ahmed Abdiaziz Alasow, Gallad Dahir Hassan
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引用次数: 0

摘要

背景:粮食不安全是索马里面临的一项重大公共卫生挑战。40年来,索马里的国家脆弱性、环境脆弱性和社会政治不稳定造成了长期的粮食获取限制。尽管现有的研究主要考察了宏观层面的决定因素,但在了解个人层面的社会人口因素如何影响不同人口亚群的粮食安全结果方面,仍存在很大差距。方法:本横断面研究分析了索马里人口与健康调查的数据,涉及52,154名13岁及以上的参与者。多阶段分层整群抽样技术确保了城市、农村和游牧人口的代表性。使用双变量和多变量逻辑回归分析来检查社会人口特征与家庭粮食不安全之间的关系,并计算调整后的优势比来确定独立预测因素。结果:在多个维度上观察到显著差异。受教育程度显示出强大的保护作用,与没有受过正规教育的人相比,受过高等教育的人粮食不安全的几率降低了82%。中年人离婚、丧偶,女性为户主的家庭脆弱性增加。观察到极端的区域异质性,Bakool和Gedo的居民面临的风险比Awdal高出13倍以上。农村和游牧人口的患病几率明显高于城市居民。结论:索马里的粮食不安全是通过社会人口脆弱性和明显的地理不平等的复杂交叉途径运作的。索马里的粮食不安全源于一场复杂的、多方面的危机,涉及社会、政治、经济和环境领域。有效的干预措施必须同时解决教育基础设施发展问题,为弱势人口群体提供有针对性的支持,并实施基于地方的战略,以认识到索马里不同地区极端的脆弱性地理聚集性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Regional disparities and sociodemographic determinants of food insecurity in Somalia: a secondary cross-sectional analysis of a National survey.

Background: Food insecurity represents a critical public health challenge in Somalia, where four decades of state fragility, environmental vulnerability, and sociopolitical instability have created chronic food access limitations. Although existing research has primarily examined macro-level determinants, there remains a substantial gap in understanding how individual-level sociodemographic factors influence food security outcomes among various population subgroups.

Methods: This cross-sectional study analyzed data from the Somalia Demographic and Health Survey involving 52,154 participants aged 13 years and above. A multistage stratified cluster sampling technique ensured representation across urban, rural, and nomadic populations. Bivariate and multivariate logistic regression analyses were used to examine the associations between sociodemographic characteristics and household food insecurity, with adjusted odds ratios calculated to identify independent predictors.

Results: Significant disparities were observed across multiple dimensions. Educational attainment demonstrated strong protective effects, with higher education reducing food insecurity odds by 82% compared with no formal education. Middle-aged adults divorced and widowed individuals, and female-headed households showed elevated vulnerability. Extreme regional heterogeneity was observed, with residents in Bakool and Gedo facing more than 13 times greater risk than those in Awdal. Rural and nomadic populations had significantly higher odds than urban dwellers.

Conclusion: Food insecurity in Somalia operates through complex, intersecting pathways of sociodemographic vulnerability and pronounced geographical inequalities. Food insecurity in Somalia results from a complex, multifaceted crisis spanning social, political, economic, and environmental domains. Effective interventions must simultaneously address educational infrastructure development, provide targeted support for vulnerable demographic groups, and implement place-based strategies that recognize the extreme geographic clustering of vulnerability across Somalia's diverse regions.

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来源期刊
Journal of Health, Population, and Nutrition
Journal of Health, Population, and Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
0.00%
发文量
49
审稿时长
6 months
期刊介绍: Journal of Health, Population and Nutrition brings together research on all aspects of issues related to population, nutrition and health. The journal publishes articles across a broad range of topics including global health, maternal and child health, nutrition, common illnesses and determinants of population health.
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