解决美国的粮食不安全问题:随机对照试验干预措施的系统审查
Kathryn E Williams Sites1, Lixia Zhang1
1Kent School of Social Work and Family Science, University of Louisville, Louisville, KY 40208, United States.
Nutrition reviews
|February 7, 2026
概括
这一系统性审查发现,在美国,没有任何单一的粮食不安全干预措施始终有效. 需要对长期影响和服务不足的人群进行更多的研究.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 粮食不安全影响了超过10%的美国家庭,持续了二十年.
- 现有的干预措施缺乏来自随机对照试验 (RCT) 的综合证据.
研究的目的:
- 系统地审查美国食品不安全干预措施的有效性,仅使用RCT证据.
- 评估证据的优势/局限性,并为未来的研究,实践和政策提供建议.
主要方法:
- 在PubMed,Embase,Web of Science和ProQuest Central中进行全面的搜索.
- 包括在美国进行的评估食品安全结果的RCT (25项已确定研究).
- 独立的双评审员查,数据提取和柯克兰偏差风险评估.
主要成果:
- 干预措施在不同的环境中差异很大.
- 结果不尽相同:44%的研究 (11/25) 显示了粮食安全的显著改善.
- 没有任何单一的干预措施显示出一致的有效性.
结论:
- 证据不支持任何单一的干预作为始终有效.
- 干预措施的地理和人口覆盖面存在显著差距.
- 未来的RCT需要更长的后续,专注于服务不足的领域/群体,以及严格的利用评估.
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