粮食不安全的预防服务:美国预防服务工作组的证据报告和系统审查
Elizabeth A O'Connor1, Elizabeth M Webber1, Allea M Martin1
1Kaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
查工具可以识别医疗机构的粮食不安全. 然而,由于研究中存在偏见的高风险,大多数解决粮食不安全问题的干预措施缺乏强有力的证据.
科学领域:
- 公共卫生
- 医疗服务研究
- 营养科学
背景情况:
- 据估计,美国约有12.8%的家庭受到粮食不安全的影响.
- 医疗保健机构是识别和解决粮食不安全问题的潜在点.
研究的目的:
- 审查美国医疗保健机构对食品不安全的查和干预措施的益处和危害的证据.
主要方法:
- 随机临床试验,非随机干预研究和查工具准确性研究的系统审查.
- 在 MEDLINE,CINAHL 和 Cochrane 中央注册表中搜索到 2022 年 10 月,并进行持续监控.
- 数据的提取和综合由两位审核员进行,结果以叙述形式总结.
主要成果:
- 简短的查工具显示出高灵敏度 (>95%) 和特异性 (>82%) 识别食品不安全性.
- 一个随机试验在查和常规护理后没有发现食物不安全的差异.
- 大多数干预研究 (共29项研究中的27项) 被评为质量差; 两项质量相当的研究表明,医疗定制餐点和移动食品银行可能有好处.
结论:
- 简短的查工具很可能有效地识别医疗保健机构的粮食不安全.
- 应对粮食不安全问题的证据基础受到现有研究中偏见的高风险的限制.
- 需要进一步进行高质量的研究来确定对粮食不安全的干预措施的有效性.
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