Emerging themes in food security: environmental justice, extended families and the multiple roles of grandmothers.
Emerging themes in food security: environmental justice, extended families and the multiple roles of grandmothers.
复制标题
DOI：
10.1186/s12939-018-0856-3
复制
发表时间：
2018-09-12
影响因子：
4.8
通讯作者：
Pérez-Stable EJ
中科院分区：
文献类型：
--
作者：
Alderete E;Sonderegger L;Pérez-Stable EJ
产前和围产期的营养状况决定了人类成人新陈代谢和能量平衡的发展。鉴于长期压力对成年后罹患慢性疾病的敏感性的累积影响，贫困家庭的幼儿尤其容易受到粮食不安全的影响。关注拉丁美洲粮食不安全经历的定性研究很少。在阿根廷，尽管2001年经济危机后社会经济指标有所改善，但北部的弱势省份仍然承受着历史不平等的负担。这项研究是在阿根廷圣萨尔瓦多德胡胡伊市的初级卫生保健患者中进行的。它通过具有粮食不安全状况的幼儿的母亲的叙述，从生态发展概念框架的角度分析了环境和家庭层面的压力源。我们对 1 岁至 6 岁以下儿童的母亲进行了 11 次半结构化访谈，这些儿童参加了初级卫生保健诊所的母婴健康项目，并且生活在粮食不安全的家庭中。访谈重点关注环境背景以及获取和准备日常膳食的资源和过程。生态生物发展（EBD）框架和脆弱性资产方法为概念化研究结果的重要性提供了基础。我们的研究结果表明，有必要了解压力源、脆弱性和健康状况不佳之间的关联途径，以及社会关系的缓解作用。例如，了解暴露于环境污染物的压力与克服粮食不安全的能力之间的联系，或者制定战略，将大家庭等亲属网络提供的支持纳入粮食安全计划。研究结果还表明，为弱势家庭成员（例如粮食不安全家庭中的祖母）制定支持机制的重要性，因为她们作为年轻亲属的供养者和照顾者发挥着重要作用。这项研究产生的经验证据可以为基于社区的战略和公共卫生政策提供信息，以解决面临多种压力因素健康影响的弱势群体的粮食不安全问题。
Pre- and perinatal nutritional status defines the development of adult metabolism and energy balance in humans. Young children in poor households are disproportionately more vulnerable to food insecurity given the cumulative impact of chronic stress on susceptibility to chronic diseases as an adult. Qualitative studies focusing on the experience of food insecurity in Latin America are scarce. In Argentina, although socioeconomic indicators improved in the aftermath of the 2001ecomomic crisis, the disadvantaged provinces in the north continue to bear the burden of historical inequities. The study was conducted among Primary Health Care patients in the city of San Salvador de Jujuy, Argentina. It analyzes environmental and household level stressors through the narratives of mothers with young children living with food insecurity, from the perspectives of eco-developmental conceptual frameworks. We conducted 11 semi-structured interviews with mothers of children < 1 to 6 years of age who participated in maternal-child health programs in Primary Health Care clinics and lived in food insecure households. Interviews focused on the environmental context and the resources and processes for obtaining and preparing daily meals. The Eco-bio-developmental (EBD) framework and the vulnerability-assets approach, provided a basis for conceptualizing the significance of findings. Our results indicated the need to understand pathways in the association of stressors, vulnerability and ill health, as well as the mitigating role of social relationships. For example, understanding the link between the stress of being exposed to environmental contaminants and the capacity to overcome food insecurity, or developing strategies to integrate the support provided by kinship networks like extended families into food security programs. The results also indicate the importance of developing support mechanisms for vulnerable family members like grandmothers in food insecure households who play instrumental roles as providers and caretakers of younger relatives. The empirical evidence generated by this study may inform community based strategies and public health policies to address food insecurity in vulnerable population groups who face health effects from multiple stressors.
登录
查看更多内容
DOI：
10.1590/0102-311x00153414
发表时间：
2015-11-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Bortolini, Gisele Ane;Vitolo, Márcia Regina;Santos, Leonor Maria Pacheco
通讯作者：
Santos, Leonor Maria Pacheco
影响因子：
4.2
作者：
Connell, CL;Lofton, KL;Rehner, TA
通讯作者：
Rehner, TA
DOI：
10.1093/geronb/62.2.s108
发表时间：
2007-03-01
影响因子：
6.2
作者：
Hughes, Mary Elizabeth;Waite, Linda J.;Luo, Ye
通讯作者：
Luo, Ye
影响因子：
12.7
作者：
Hilmers, Angela;Hilmers, David C.;Dave, Jayna
通讯作者：
Dave, Jayna
DOI：
10.1111/j.1759-5436.1991.mp22001008.x
发表时间：
1991-01-01
影响因子：
0.7
作者：
EVANS, A
通讯作者：
EVANS, A