PMID- 37737184 OWN - NLM STAT- MEDLINE DCOM- 20230925 LR - 20231121 IS - 2049-9957 (Electronic) IS - 2095-5162 (Print) IS - 2049-9957 (Linking) VI - 12 IP - 1 DP - 2023 Sep 22 TI - Assessing food security performance from the One Health concept: an evaluation tool based on the Global One Health Index. PG - 88 LID - 10.1186/s40249-023-01135-7 [doi] LID - 88 AB - BACKGROUND: Food systems instantiate the complex interdependencies across humans, physical environments, and other organisms. Applying One Health approaches for agri-food system transformation, which adopts integrated and unifying approaches to optimize the overall health of humans, animals, plants, and environments, is crucial to enhance the sustainability of food systems. This study develops a potential assessment tool, named the global One Health index-Food Security (GOHI-FS), aiming to evaluate food security performance across countries/territories from One Health perspective and identify relevant gaps that need to be improved for sustainable food systems. METHODS: We comprehensively reviewed existing frameworks and elements of food security. The indicator framework of GOHI-FS was conceptualized following the structure-process-outcome model and confirmed by expert advisory. Publicly available data in 2020 was collected for each indicator. The weighting strategy was determined by the Fuzzy Analytical Hierarchy Process. The data for each indicator was normalized and aggregated by weighted arithmetic mean. Linear regressions were performed to evaluate the associations of GOHI-FS with health and social-economic indicators. RESULTS: The GOHI-FS includes 5 first-level indicators, 19 second-level indicators and 45 third-level indicators. There were 146 countries/territories enrolled for evaluation. The highest average score of first-level indicators was Nutrition (69.8) and the lowest was Government Support and Response (31.3). There was regional heterogeneity of GOHI-FS scores. Higher median scores with interquartile range (IQR) were shown in North America (median: 76.1, IQR: 75.5-76.7), followed by Europe and Central Asia (median: 66.9, IQR: 60.1-74.3), East Asia and the Pacific (median: 60.6, IQR: 55.5-68.7), Latin America and the Caribbean (median: 60.2, IQR: 57.8-65.0), Middle East and North Africa (median: 56.6, IQR: 52.0-62.8), South Asia (median: 51.1, IQR: 46.7-53.8), and sub-Saharan Africa (median: 41.4, IQR: 37.2-46.5). We also found significant associations between GOHI-FS and GDP per capita, socio-demographic index, health expenditure and life expectancy. CONCLUSIONS: GOHI-FS is a potential assessment tool to understand the gaps in food security across countries/territories under the One Health concept. The pilot findings suggest notable gaps for sub-Saharan Africa in numerous aspects. Broad actions are needed globally to promote government support and response for food security. CI - (c) 2023. National Institute of Parasitic Diseases. FAU - Gu, Si-Yu AU - Gu SY AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Chen, Fu-Min AU - Chen FM AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Zhang, Chen-Sheng AU - Zhang CS AD - National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, 200025, China. FAU - Zhou, Yi-Bin AU - Zhou YB AD - Minhang District Center for Disease Control and Prevention, Shanghai, 201101, China. FAU - Li, Tian-Yun AU - Li TY AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Qiang, Ne AU - Qiang N AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Zhang, Xiao-Xi AU - Zhang XX AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Liu, Jing-Shu AU - Liu JS AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Wang, Shu-Xun AU - Wang SX AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Yang, Xue-Chen AU - Yang XC AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Guo, Xiao-Kui AU - Guo XK AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. FAU - Hu, Qin-Qin AU - Hu QQ AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. qinqinhu@sjtu.edu.cn. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. qinqinhu@sjtu.edu.cn. FAU - Deng, Xiao-Bei AU - Deng XB AD - School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. dengxiaobei@sjtu.edu.cn. FAU - Han, Le-Fei AU - Han LF AUID- ORCID: 0000-0003-3254-9527 AD - School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. lfhan@sjtu.edu.cn. AD - One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, 200025, China. lfhan@sjtu.edu.cn. LA - eng GR - INV-046218/GATES/Bill & Melinda Gates Foundation/United States PT - Journal Article DEP - 20230922 PL - England TA - Infect Dis Poverty JT - Infectious diseases of poverty JID - 101606645 SB - IM MH - Animals MH - Humans MH - *One Health MH - Asia, Southern MH - Environment MH - Europe MH - Government PMC - PMC10514978 OTO - NOTNLM OT - Assessment OT - Food security OT - Indicator framework OT - One Health Index COIS- The authors have no competing interests to disclose. EDAT- 2023/09/22 12:43 MHDA- 2023/09/25 06:42 PMCR- 2023/09/22 CRDT- 2023/09/22 08:54 PHST- 2023/05/08 00:00 [received] PHST- 2023/09/01 00:00 [accepted] PHST- 2023/09/25 06:42 [medline] PHST- 2023/09/22 12:43 [pubmed] PHST- 2023/09/22 08:54 [entrez] PHST- 2023/09/22 00:00 [pmc-release] AID - 10.1186/s40249-023-01135-7 [pii] AID - 1135 [pii] AID - 10.1186/s40249-023-01135-7 [doi] PST - epublish SO - Infect Dis Poverty. 2023 Sep 22;12(1):88. doi: 10.1186/s40249-023-01135-7.