透過您的圖書館登入
IP:3.141.152.173
  • 期刊

台灣糧食不安全與個人相關因素探討

Personal determinants of food insecurity in Taiwan

摘要


目標:檢視數種糧食不安全經驗量表(Food Insecurity Experience Scale, FIES)的個人化糧食不安全(Food insecurity, FI)分類方法(依序:安全、輕度、中度、重度),選取與FAO建議(FAO-FI)的族群估算結果一致性最佳之切點,據以探討影響台灣FI盛行率之個人因素。方法:使用2019年的台灣國民營養健康調查數據,納入之參與者為2266名16歲及以上且有回答完整FIES(0-8分)的國民。從數個FI計算方式中,選取與FAO-FI結果一致性最高者,進行個人層級分析。數據以SUDDAN加權並校正抽樣的設計效應,以序位羅吉斯迴歸探討FI之危險因子。結果:台灣2019年FAO-FI的「中重度」與「重度」FI盛行率分別為2.29%及0.44%。Ganhao-Arranhado等人的FI分類結果與FAO-FI差異最小。16-40歲、初中、專科或大學肄業、自覺經濟狀況困難,以及有吃檳榔習慣者有顯著較高的FI風險;偶爾抽菸者的風險比無抽菸習慣者低。調整所在縣市後,租屋或其他住屋狀況是FI的危險因子。結論:2019年的台灣糧食安全狀況較2014年進步,國人的FI與眾多的社會人口學及行為變項相關。

並列摘要


Objectives: To assess available food insecurity (FI) classification (ranked as secure, mild, moderate and severe) approaches used to personalize the Food Insecurity Experience Scale (FIES) and select a method most consistent with the population Food and Agriculture Organization (FAO)-FI measure, so as to explore FI status in Taiwan for individuals. Methods: From the 2019 Nutrition and Health Survey in Taiwan (NAHSIT), 2266 participants ≥16 years who had completed the FIES (ranges 0-8) were recruited. To choose the best FIES classification fit, FIs derived by various cuts were weighted and adjusted for design effect by SUDAAN and compared with the FAO-FI. The associations between the chosen FI and socio-demographic data were explored further by ordinal logistic regression. Results: In 2019, the "moderate and severe" and "severe" FI prevalences in Taiwan were 2.29% and 0.44%, respectively. The cut-off proposed by Ganhao-Arranhado was most consistent with FAO-FI. The risk for FI was high for 16-40-year-olds; junior high school educated; junior college or university students; where self-perceived economic status was difficult; and where there was any betel nut chewing. However, with occasional smoking there was a lower risk. After adjustment for locality, housing instability became a significant risk factor for FI. Conclusions: Food security status, assessed as FIES in Taiwan, improved from 2014 to 2019. FI was associated with a range of potentially modifiable risk factors.

並列關鍵字

food insecurity FIES NAHSIT social demography

參考文獻


顏佩如:客家山城小學的世界之旅全球教育課程之合作行動研究。 台中教育大學學報:教育類 2007;21:81-116。doi:10.7037/JNTUE.200712.0081。Yen PJ, Chang SH. The worldview travel of a Hakka Primary School in a Taiwan mountain county-a study of cooperative action research of curriculum development on global education. J National Taichung Univ: Educ 2007;21:81-116. doi:10.7037/JNTUE.200712.0081. [In Chinese]
薛立敏、陳綉里:住宅租擁選擇下家計消費支出之比較。住宅學報 1998;7:21-40。doi:10.6375/JHS.199808.0021。Hsueh LM, Chen HL. A comparison of household expenditure by tenure choice-Taiwan evidence. J Hous Stud 1998;7:21-40. doi:10.6375/JHS.199808.0021. [In Chinese: English abstract]
彭建文、蔡怡純:不同縣市住宅自有率差異分析-縱橫資料分析法之應用。都市與計劃 2010;37:433-54.doi:10.6128/CP.37.4.433。Peng CW, Tsai IC. Determinants of homeownership rates by panel data analysis. City Plann 2010;37:433-54. doi:10.6128/CP.37.4.433. [In Chinese: English abstract]
Chen L, Wahlqvist ML, Teng NC, Lu HM. Imputed food insecurity as a predictor of disease and mental health in Taiwanese elementary school children. Asia Pac J Clin Nutr 2009;18:605-19. doi:10.6133/apjcn.2009.18.4.22.
Zarocostas J. Hope for nutrition summit as global hunger spikes. Lancet 2021;398:2061-2. doi:10.1016/S0140-6736(21)02743-4.

延伸閱讀