Food security is the primary condition for the development of human society. The Great River Basin is very important to ensure the accessibility and availability of agricultural irrigation, which is vital for food security. The Yellow River Basin plays a significant role in China’s food security, with counties serving as key administrative units for guaranteeing this security. This study uses the Yellow River Basin in China as a case study to construct an evaluation index system for county-level food security. It assesses the food security of 22 counties (districts) in Ningxia from 2013 to 2022, applying spatial correlation theories and driving factor analysis methods to explore the factors influencing county-level food security. The results reveal the following: (1) Overall, the food security index in Ningxia has been on the rise, but there is significant internal variation among counties. (2) Spatially, the food security index is relatively low in administrative centers, while the irrigation areas along the Yellow River play a crucial role in maintaining food security, and the overall food security index in the central arid areas is improving. (3) Food security is driven by multiple factors including economic, social, and climatic influences. To enhance food security in the Yellow River Basin, it is necessary to manage land resources systematically, improve grain production technology, and balance ecological protection with food security.
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