Abstract
Introduction: In the scenario of food insecurity (FI), food is a fundamental human right, and it is up to the State to ensure the permanence of public food policies. AI has worsened in Brazil, and hunger is even more present in the lives of Brazilians in 2022. According to data from the new National Survey on Food Insecurity in the Context of the COVID-19 Pandemic in Brazil, only 4 out of 10 families have full access to food in the country, and hunger already affects 33.1 million people. Objective: It was to highlight the major considerations of food insecurity in the family and community medicine scenario during the COVID-19 pandemic through a systematic literature review. Methods: The present study followed a concise systematic review model, following the systematic review rules (PRISMA). The literary search process was carried out from May to June 2024 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The low quality of evidence was attributed to case reports, editorials, and brief communications, according to the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: It was founded 119 studies that were submitted to the eligibility analysis, then, 12 of the 27 total studies were selected for this systematic review. It was concluded that the implementation of actions for income generation and the promotion of adequate and healthy food are imperative, as well as the return of regulatory actions in the face of food inflation, with emphasis on the constitution of food stocks and the stimulus to production from diversified family-based agriculture. Public health-based policies and strategies are needed to identify the most vulnerable subgroups, strengthen and improve access to food assistance programs, and promote awareness of and access to healthy foods and beverages to improve food security, nutrition, and cardiovascular health. Still, food insecurity is associated with depression, diabetes, poor adherence to medication, and worse glycemic control.