Food insecurity and health in the first 1,001 days

前 1,001 天的粮食不安全与健康

• 批准号: ES/Y007905/1
• 负责人: Zoe Chantal Annick Bell
• 金额: $ 16.95万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FY007905%2F1
• 关键词: Food; insecurity; health; first; 001

Food insecurity (FI) is a complex social issue affecting the most vulnerable in our population. It is when an individual struggles to afford or access enough food. In the UK, 1 in 4 UK households with children are affected, and almost 1 in 2 if households are affected if they have 3 or more children or individuals from minoritised ethnic groups or individuals with disabilities. This means they have skipped meals, have not eaten when hungry, or have not eaten for one full day. FI can affect the type and amount of food they eat, and their physical and mental health. FI is expected to increase in the UK due to the current cost-of-living crisis. Experiences of FI may be unevenly distributed within households, with women more affected than men. Women tend to be food managers, carry the mental health burden from juggling food budgets to access sufficient healthy food, and often skip food to ensure others in their household are fed. This is a concern as women have complex nutritional requirements due to their menstrual cycle, pregnancy, and breastfeeding. During pregnancy, the food women eat is important for both their own and their baby's health. For example, some vitamins and minerals are essential for the baby's development. However, research from the USA shows these needs are rarely met when women are FI, which increases the risks to the pregnant woman (such as developing depression) and to the baby (such as being born too early). Thus, FI can have lifelong effects for the health of women and their children. It also increases the costs to maternity services, wider health services, and society. Currently, little is known about FI during and after pregnancy in the UK. Research on FI does not include the experiences of pregnant women or women who have recently had a baby, despite recognition that giving every child the best start in life is crucial to reducing health inequalities. This fellowship aims to explore FI and health of women during and after pregnancy, specifically in the first 1,001 days of life. The fellowship will include the following objectives:(1) To undertake a placement with Lambeth Council to strengthen knowledge-exchange between researchers and policymakers, help me access FI women and increase the impact of this fellowship.(2) To contribute to the limited evidence on FI by publishing three papers from my doctoral research. (3) To conduct a study to explore women's experience of FI before and during pregnancy. (4) To run creative workshops with a group of multi-ethnic FI women to co-produce a zine or comic portraying their everyday experiences of FI to share with key stakeholders. (5) To attend and present my doctoral and fellowship research at national conferences in addition to attending training courses to build my scientific research skills.(6) To develop a larger programme of work which will identify FI in women during and after pregnancy and create a pathway to support women and mitigate the impact of FI.This fellowship will allow me to conduct a new piece of research on FI in women during and after pregnancy while allowing me to develop build on my research skills to help me become a future leader in women's health.

粮食不安全（FI）是一个复杂的社会问题，影响着我们人口中最脆弱的群体。这是当一个人难以负担或获得足够的食物时。在英国，有四分之一的有孩子的家庭受到影响，如果家庭有 3 个或以上的孩子或少数族裔群体或残疾人，则几乎有二分之一的家庭受到影响。这意味着他们不吃饭，饥饿时没有吃东西，或者一整天没有吃东西。 FI 会影响他们所吃食物的类型和数量，以及他们的身心健康。由于当前的生活成本危机，预计英国的金融投资将会增加。家庭内的金融危机经历可能分布不均，女性比男性更受影响。女性往往是食品管理者，她们因平衡食品预算以获取足够的健康食品而承受着心理健康负担，并且经常不吃食物以确保家里其他人有饭吃。这是一个令人担忧的问题，因为女性由于月经周期、怀孕和母乳喂养而具有复杂的营养需求。怀孕期间，女性吃的食物对于她们自己和婴儿的健康都很重要。例如，某些维生素和矿物质对于婴儿的发育至关重要。然而，美国的研究表明，当女性患有 FI 时，这些需求很少得到满足，这增加了孕妇（例如患抑郁症）和婴儿（例如过早出生）的风险。因此，FI 可以对妇女及其子女的健康产生终生影响。它还增加了孕产服务、更广泛的卫生服务和社会的成本。目前，在英国，人们对怀孕期间和怀孕后的 FI 知之甚少。尽管人们认识到为每个孩子提供最好的人生开端对于减少健康不平等至关重要，但对 FI 的研究并不包括孕妇或最近生过孩子的妇女的经历。该奖学金旨在探讨女性怀孕期间和怀孕后（特别是生命的前 1,001 天）的 FI 和健康。该奖学金将包括以下目标：（1）在兰贝斯理事会进行安置，以加强研究人员和政策制定者之间的知识交流，帮助我接触FI妇女并增加该奖学金的影响力。（2）为有限的证据做出贡献通过发表我的博士研究的三篇论文来了解 FI。 (3) 开展一项研究，探讨女性在怀孕前和怀孕期间的 FI 经历。 (4) 与一群多民族的 FI 女性举办创意研讨会，共同制作一本杂志或漫画，描绘她们在 FI 的日常经历，与主要利益相关者分享。 (5) 除了参加培训课程以培养我的科学研究技能外，还参加并在全国会议上展示我的博士和奖学金研究。(6) 制定更大的工作计划，识别女性怀孕期间和怀孕后的 FI，并创建一条支持女性并减轻 FI 影响的途径。这项奖学金将使我能够对女性怀孕期间和怀孕后的 FI 进行一项新的研究，同时使我能够发展我的研究技能，帮助我成为未来的领导者女性健康。