Food insecurity in recently resettled African refugee communities

最近重新安置的非洲难民社区的粮食不安全

• 批准号: 0519177
• 负责人: Craig Hadley
• 金额: $ 10.18万
• 依托单位: Brown University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2006-02-28
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=0519177&HistoricalAwards=false
• 关键词: Food; insecurity; recently; resettled; African

The United Nations estimates that that there are currently 10 million refugees in the world. A small number of these individuals are eligible for resettlement in the USA, but little is known about the health and well being of these individuals once they are resettled into developed countries. Theorists hypothesize that while freed from the violence and war that characterize refugee situations, refugees will face poverty and concomitant shifts in dietary practice and health seeking behavior, which may negatively affect health. This study will focus on one particularly important aspect of public health: food insecurity. Food insecurity is a good indicator of poor dietary practice and is associated with a range of health outcomes including excess body weight. The aim is to quantify the magnitude of food insecurity in two refugee communities, examine the cultural, social, and economic correlates of food insecurity (and its sequelae), and assess the validity of current food insecurity measurement tools. The project utilizes a two site, two ethnic group longitudinal study design. Methods of data collection include focus groups, participant observation, a survey, and anthropometric measures of weight and height. It will be the largest longitudinal study to date of these populations, and one of the few measuring the health impact of resettlement among African refugees living in the USA. Such data is imperative to addressing concerns about the costs and burdens of hosting refugees.Broader ImpactConcern over the well-being of refugees and the costs of hosting refugees are widespread, and there is growing interest in the social determinants of health and well-being. This project will add significantly to our understanding in each of these areas. The project will help fill a huge gap in knowledge about public health nutrition among resettled refugees, as it aims to not only identify who is most at risk of food insecurity but why, and in doing so would offer useful programmatic insights. This information will be particularly important for designing interventions and health-education programs. The research would also address the pressing issue of how to best measure food insecurity among newly arrived refugees. Ensuring that a food security scale is a valid indicator of deprivation is of enormous importance for monitoring and advocacy and for identifying determinants of food insecurity. Several refugees will also be hired as interviewers. The results that come from the project will be distributed to both professional groups that represent refugees and to resettlement agencies; the information can be used by these groups for advocacy and to monitor trends in several health outcomes.

联合国估计，目前世界上有1000万难民。这些人中有少数人有资格在美国重新安置，但是一旦将这些人重新安置到发达国家，这些人的健康和福祉知之甚少。理论家假设，虽然摆脱了难民局势的暴力和战争，但难民将面临饮食实践和寻求健康行为的贫困和伴随的转变，这可能会对健康产生负面影响。这项研究将集中在公共卫生的一个特别重要的方面：粮食不安全。粮食不安全是饮食习惯不佳的良好指标，并且与一系列健康结果有关，包括体重过高。目的是量化两个难民社区中粮食不安全的程度，研究粮食不安全（及其后遗症）的文化，社会和经济相关性，并评估当前粮食不安全感测量工具的有效性。该项目利用两个地点，两个种族纵向研究设计。数据收集方法包括焦点组，参与者观察，调查以及体重和身高的人体测量指标。这将是迄今为止这些人口的最大纵向研究，也是衡量美国居住在美国的非洲难民对健康影响的少数人。这种数据对于解决对托管难民的成本和负担的担忧至关重要。公民对难民福祉的影响很大，托管难民的成本普遍存在，并且对健康和福祉的社会决定因素越来越兴趣。该项目将极大地增加我们在这些领域中的每个领域的理解。该项目将有助于填补有关重新安置难民中公共卫生营养的巨大知识，因为它不仅旨在确定谁最面临粮食不安全感的风险，而且为什么为什么会提供有用的程序化见解。此信息对于设计干预措施和健康教育计划尤为重要。这项研究还将解决如何最好地衡量新来难民中粮食不安全的紧迫问题。确保粮食安全量表是剥夺的有效指标，对于监测和倡导以及确定粮食不安全的决定因素至关重要。几个难民也将被聘为面试官。该项目的结果将分配给代表难民和重新安置机构的两个专业团体；这些小组可以使用该信息进行倡导并监测几种健康结果的趋势。