Factors associated with Afghan household food security pre- and post-Taliban regime.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Public Health Policy Pub Date : 2023-12-01 Epub Date: 2023-09-14 DOI:10.1057/s41271-023-00439-0
Seyyed Amin Allah Sadat, Mohammad Reza Pakravan-Charvadeh, Saeed Gholamrezai, Mehdi Rahimian, Ginny Lane, Daniel Béland, Mustafa Koc, Nancy Clark, Nasrin Omidvar, Rasoul Sadeghi, Hassan Vatanparast
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Abstract

To determine multifaceted determinants of household vulnerability to food insecurity in Afghanistan before and after the Taliban takeover, we randomly selected 555 households from 13 provinces, conducted in-person surveys, and applied the Household Food Insecurity Assess Scale (HFIAS) and Structural Equation Modeling (SEM). We collected data from January to April 2022. We observed an increase in both prevalence and severity of food insecurity among Afghan households after the Taliban takeover. Approximately, 98% and 70% of interviewed households were food insecure after and before the Taliban takeover, respectively. Similarly, households were more likely to be severely food insecure (81%) than before (40%). Our results showed that policy and political conditions contributed substantially to the food insecurity of Afghan households after the Taliban takeover. We recommend that the Taliban forces facilitate the presence of humanitarian organizations and NGOs to improve low-income households' food security, especially for women and children. We also recommend that international organizations enhance their attempts to negotiate with the Taliban to ensure freedom for women.

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塔利班政权前后阿富汗家庭粮食安全的相关因素。
为了确定塔利班接管前后阿富汗家庭粮食不安全脆弱性的多方面决定因素,我们从 13 个省随机抽取了 555 个家庭,进行了面对面调查,并应用了家庭粮食不安全评估量表(HFIAS)和结构方程模型(SEM)。我们收集了 2022 年 1 月至 4 月的数据。我们观察到,塔利班接管阿富汗后,阿富汗家庭粮食不安全的发生率和严重程度都有所上升。在塔利班接管后和接管前,分别约有 98% 和 70% 的受访家庭粮食无保障。同样,与塔利班接管前(40%)相比,严重缺乏粮食保障的家庭比例更高(81%)。我们的研究结果表明,政策和政治条件在很大程度上导致了塔利班接管后阿富汗家庭的粮食不安全状况。我们建议塔利班部队为人道主义组织和非政府组织的存在提供便利,以改善低收入家庭的粮食保障,尤其是妇女和儿童的粮食保障。我们还建议国际组织加强与塔利班谈判的努力,以确保妇女的自由。
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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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