Interventions to Address Food Insecurity Among Adults in Canada and the US

作者：Carlos Irwin A. Oronce, Isomi M Miake-Lye, Meron M. Begashaw, Marika Booth, William H. Shrank, Paul G Shekelle · 发表于：JAMA Health Forum · 年份：2021 · DOI：10.1001/jamahealthforum.2021.2001 · 被引用次数：89 · 研究领域：Food Security and Health in Diverse Populations、Child Nutrition and Water Access、Homelessness and Social Issues

Importance: Inadequate access to food is a risk factor for poor health and the effectiveness of federal programs targeting food insecurity, such as the Supplemental Nutrition Assistance Program (SNAP), are well-documented. The associations between other types of interventions to provide adequate food access and food insecurity status, health outcomes, and health care utilization, however, are unclear. Objective: To review evidence on the association between food insecurity interventions and food insecurity status, clinically-relevant health outcomes, and health care utilization among adults, excluding SNAP. Data Sources: A systematic search for English-language literature was performed in PubMed Central and Cochrane Trials databases (inception to January 23, 2020), the Social Interventions Research and Evaluation Network database (December 10, 2019); and the gray literature using Google (February 1, 2021). Study Selection: Studies of any design that assessed the association between food insecurity interventions for adult participants and food insecurity status, health outcomes, and health care utilization were screened for inclusion. Studies of interventions that described addressing participants' food needs or reporting food insecurity as an outcome were included. Interventions were categorized as home-delivered food, food offered at a secondary site, monetary assistance in the form of subsidies or income supplements, food desert interventions, and miscellaneous. Data Extrac...