This study aims to evaluate whether having an overweight/obese child, gender disparities and socio-economic factors can be a predictor of food insecurity among Afghan refugee households in Tehran province in Iran. The paper was carried out by cross-sectional data analysis. Household Food Insecurity Assess Scale (HFIAS) questionnaire was circulated among 317 Afghan refugees which have been selected by random sampling. Descriptive analysis and logistic regression model were used to determine the associated factors. Of the total sample, 88.7% of refugee families were food insecure in Tehran province, among them 36% and 40% faced moderate and severe food insecurity respectively. The refugees’ income, housing expenditure, the number of educated household members, personal savings and mother’s age were significantly and inversely associated with food insecurity. The length of staying and living in the host country as an integration proxy indicator and the frequency of travel to Afghanistan was directly associated with food insecurity. The number of female and male children had a different association with households' food insecurity. Also, the BMI score in the overweight/obese level was inversely associated with Afghan refugees' food insecurity. The results rejected the unilateral association between food insecurity and overweight/obesity among refugees. The result indicated the necessity of considering the state-of-the-art techniques to examine the bilateral association between health outcome and food security status. Also, determining associated factors with refugees' food insecurity is necessary because these mediating determinants are key for understanding how to prescribe policies that create win-wins.

这项研究旨在评估是否有超重/肥胖的孩子，性别差异和社会经济因素是否可以预测伊朗德黑兰省阿富汗难民家庭的粮食不安全状况。本文通过横截面数据分析进行。在通过随机抽样选择的317名阿富汗难民中分发了家庭粮食不安全评估量表（HFIAS）调查表。使用描述性分析和逻辑回归模型确定相关因素。在总样本中，德黑兰省88.7％的难民家庭的粮食不安全，其中36％和40％的难民分别面临中度和严重的粮食安全。难民的收入，住房支出，受过教育的家庭成员人数，个人储蓄和母亲的年龄与粮食不安全状况显着成反比。作为综合替代指标的东道国的居住和生活时间以及前往阿富汗的次数与粮食不安全直接相关。男女儿童的数量与家庭的粮食不安全状况有不同的联系。此外，超重/肥胖水平的BMI得分与阿富汗难民的粮食不安全感呈负相关。结果拒绝了粮食不安全与难民中超重/肥胖之间的单方面联系。结果表明，有必要考虑采用最新技术来检查健康结果与粮食安全状况之间的双边联系。此外，确定与难民的相关因素