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台灣公共衛生雜誌 ScopusTSSCI

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篇名 台灣糧食不安全與個人相關因素探討
卷期 42:6
並列篇名 Personal determinants of food insecurity in Taiwan
作者 杜欣恬林嶔張新儀李美璇
頁次 636-650
關鍵字 糧食不安全糧食不安全經驗量表國民營養健康調查社會人口學food insecurityFIESNAHSITsocial demographyScopusTSSCI
出刊日期 202312
DOI 10.6288/TJPH.202312_42(6).112081

中文摘要

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。

英文摘要

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.

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