Evidence map›Paper›PMID 35794657›Full record

ArticleConflict and health2022

Pathways to food insecurity in the context of conflict: the case of the occupied Palestinian territory.

Tracy Kuo Lin, Rawan Kafri, Weeam Hammoudeh, Suzan Mitwalli, Zeina Jamaluddine, Hala Ghattas, Rita Giacaman, Tiziana Leone

Open access · goldAbstract read
In one paragraph

Article in Conflict and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Shifts in food consumption patterns in the Levant: a systematic review of the last six decades.The international journal of behavioral nutrition and physical activity · 2025
    Pooled it
  3. Pooled it
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  9. Famine and disease escalate: Gaza's humanitarian nightmare.Annals of medicine and surgery (2012) · 2024
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  13. Neighborhood Unsafety, Discrimination, and Food Insecurity among Nigerians Aged 15-49.International journal of environmental research and public health · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

Tracy Kuo LinInstitute for Health & Aging, Department of Social and Behavioral Sciences, University of California, San Francisco, USA.
Rawan KafriInstitute of Community and Public Health, Birzeit University, Birzeit, The West Bank, occupied Palestinian territory.
Weeam HammoudehMiddle East Centre, London School of Economics and Political Science, London, UK.
Suzan MitwalliMiddle East Centre, London School of Economics and Political Science, London, UK.
Zeina JamaluddineCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Hala GhattasCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Rita GiacamanInstitute of Community and Public Health, Birzeit University, Birzeit, The West Bank, occupied Palestinian territory.
Tiziana LeoneMiddle East Centre, London School of Economics and Political Science, London, UK. t.leone@lse.ac.uk.
London School of Economics and Political Science · GBAmerican University of Beirut · LBBirzeit University · PSInstitute on Aging · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConflict reduces availability of production input and income, increases the number of days households had to rely on less preferred foods, and limits the variety of foods eaten and the portion size of meals consumed. While existing studies examine the impact of conflict on different food security measures (e.g., Food Consumption Score, Food Insecurity Experience Scale), the relationship between these measures as well as their relationship with political, economic, and agricultural factors remain under explored. Food insecurity may not only be an externality of conflict but also food deprivation may be utilized as a weapon to discourage residency in contested territories or to incentivize rebellions. METHODOLOGY: This paper examines the association between political factors (e.g., violence, policies that require permit for passage in one's own hometown), economic factors (e.g., loss of assets, unemployment), agricultural factors (e.g., shortage of water, poor weather conditions), and food insecurity experience and dietary diversity in a conflict setting-that of the occupied Palestinian territory (oPt). The study employs generalized structural equation models to analyze the 'Survey on socio-economic conditions for Palestinian households 2014' dataset compiled by the Palestinian Central Bureau of Statistics-which contains a representative sample of the population in the oPt at governorate and locality levels.

resultsWe find that in the West Bank, residence in Area C-administered by Israel in both civil and security issues and contains illegal Israeli settlements and outposts-is associated with a higher level of agricultural hardship (p < 0.01) but lower economic hardship (p < 0.01) and a higher dietary diversity (p < 0.001), as compared to those living outside of Area C. In the Gaza Strip, living within one kilometer to a buffer zone is associated with lower dietary diversity (p < 0.01), higher level of political hardship (p < 0.01), and higher level food insecurity experience (p < 0.01) compared to not living in close proximity to a buffer zone. Concomitantly, in the Gaza Strip, food insecurity experience is associated with approximately a one-point reduction in dietary diversity as measured by the food consumption score (p < 0.01).

conclusionsThe results suggest that broader socio-political conditions in the oPt impact different aspects of food security through augmenting the economic and agricultural hardships that are experienced by the residents. As such, it is important to address these broader political and economic structures in order to have more sustainable interventions in reducing food insecurity.

Indexed as

ConflictDietary diversityFood consumption scoreFood insecurityFood insecurity experience scaleFood securityGaza StripOccupationOccupied Palestinian territoryWest Bank

Identifiers

PMID35794657
PMCPMC9261013
OpenAlexW4284900162

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.