埃塞俄比亚家庭粮食不安全及其相关因素:系统审查和元分析
Melesse Belayneh Yayeh1, Mastewal Tamiru Assegie2, Eshetu Elfios Endrias3
1Department of public health, School of public health, College of Medicine and Health Science, Bahir Dar University, Bahir, Ethiopia.
BMC nutrition
|November 28, 2025
概括
超过一半的埃塞俄比亚家庭经历粮食不安全,这是一个持续的公共卫生问题. 更大的家庭更有可能遭受粮食不安全,这凸显了有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 社会流行病学 社会流行病学
背景情况:
- 在埃塞俄比亚,家庭粮食不安全仍然是一个重大的公共卫生问题.
- 尽管政府做出了努力,但粮食不安全仍然存在,需要清楚地了解其全国的流行程度.
- 现有的研究是分散的,突出需要一个聚合分析,以告知政策.
研究的目的:
- 确定埃塞俄比亚家庭粮食不安全的综合流行情况.
- 确定与埃塞俄比亚各地区家庭粮食不安全相关的因素.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 纳入标准集中在埃塞俄比亚发表的英语研究上,这些研究与家庭粮食不安全有关.
- 数据分析使用了STATA中的随机效应模型,使用I2统计数据评估异质性,并通过漏斗图和埃格尔测试评估出版偏差.
主要成果:
- 包括包括4734个家庭的10项研究,显示家庭粮食不安全的综合流行率为51.46%.
- 阿姆哈拉地区患病率最高 (61.14%),奥罗米亚地区患病率最低 (41.52%).
- 家庭规模较大显著与粮食不安全性增加有关 (OR=6.43,95% CI:2.9813.87).
结论:
- 家庭粮食不安全影响了超过一半的埃塞俄比亚家庭,构成了重大公共卫生挑战.
- 阿姆哈拉地区特别脆弱,家庭规模是一个关键因素.
- 干预措施应包括区域资源共享,社区教育和计划生育计划,以减少家庭规模.
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