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Matavel C, Kächele H, Steinke J, Rybak C, Hoffmann H, Salavessa J, Sieber S, Müller K. Effect of passive solar drying on food security in rural Mozambique. Sci Rep 2022; 12:17154. [PMID: 36229492 PMCID: PMC9561633 DOI: 10.1038/s41598-022-22129-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 10/10/2022] [Indexed: 01/04/2023] Open
Abstract
Achieving food security in Mozambique is critical, since 80% of the population cannot afford an adequate diet. While increasing agricultural production is a necessary effort to address this challenge, inadequate post-harvest treatment leads to storage losses and quality degradation, with repercussions for food security. The use of solar drying is promoted as a solution to provide efficient and reliable access to food preservation that improves the food security situation in rural communities. However, there is a lack of clear evidence on how the use or access to solar drying affects food security. This study identifies the determinants of farmers' choice to use solar drying and evaluates the effect of a passive solar dryer on food security using survey data from 634 households. We allocated solar dryers to selected communities and all interested individuals belonging to these communities were eligible to use it. Propensity score matching and endogenous switching poisson regression are used to estimate the average effect. The use of solar drying with associated training significantly increases the food security status of participants by increasing household food availability, women's dietary diversity, and months of adequate household food provision and by decreasing the household food insecurity access scale.
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Affiliation(s)
- Custodio Matavel
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany ,grid.7468.d0000 0001 2248 7639Department of Agricultural Economics, Faculty of Life Sciences, Humboldt-Universität zu Berlin, Berlin, Germany ,grid.442451.20000 0004 0460 1022Faculty of Agrarian Sciences, Universidade Lúrio (Unilúrio), Campus Universitários de Unango Km 62, Sanga District, Niassa, Mozambique
| | - Harald Kächele
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany ,grid.461663.00000 0001 0536 4434Eberswalde University for Sustainable Development, Eberswalde, Germany
| | - Jonathan Steinke
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany ,grid.7468.d0000 0001 2248 7639Department of Agricultural Economics, Faculty of Life Sciences, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Constance Rybak
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany
| | - Harry Hoffmann
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany
| | - João Salavessa
- grid.442451.20000 0004 0460 1022Faculty of Health Sciences, Universidade Lúrio (Unilúrio), Nampula, Mozambique
| | - Stefan Sieber
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany ,grid.7468.d0000 0001 2248 7639Department of Agricultural Economics, Faculty of Life Sciences, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Klaus Müller
- grid.433014.1Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany ,grid.7468.d0000 0001 2248 7639Department of Agricultural Economics, Faculty of Life Sciences, Humboldt-Universität zu Berlin, Berlin, Germany
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Janda KM, Salvo D, Ranjit N, Hoelscher DM, Nielsen A, Lemoine P, Casnovsky J, van den Berg A. Who shops at their nearest grocery store? A cross-sectional exploration of disparities in geographic food access among a low-income, racially/ethnically diverse cohort in Central Texas. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022; 19:355-375. [PMID: 38800668 PMCID: PMC11114093 DOI: 10.1080/19320248.2022.2128962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
Abstract
We examined whether Central Texans shop at their nearest supermarket, how far they travel for groceries, and explored differences by race/ethnicity, urbanicity, motivations for store selection and other demographic characteristics. Using cross-sectional data and GIS, continuous network distances from participants' homes to nearest and usual supermarkets were calculated and multivariate linear regression assessed differences. <19% shopped at their nearest supermarket. Regression models found that urbanicity played a large role in distance traveled to preferred supermarket, but other factors varied by race/ethnicity. Our findings demonstrate racial/ethnic and urbanicity disparities in food access and multiple domains of food access need greater consideration.
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Affiliation(s)
- Kathryn M. Janda
- UTHealth School of Public Health in Austin, 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Michael and Susan Dell Center for Healthy Living 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Baylor University, Department of Public Health, Robbins College of Health and Human Sciences, One Bear Place #97343, Waco, TX, 76798, USA
| | - Deborah Salvo
- Department of Kinesiology and Health Education, College of Education, The University of Texas at Austin, 1212 Speedway Stop D5000, Austin, Texas 78712
| | - Nalini Ranjit
- UTHealth School of Public Health in Austin, 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Michael and Susan Dell Center for Healthy Living 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
| | - Deanna M. Hoelscher
- UTHealth School of Public Health in Austin, 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Michael and Susan Dell Center for Healthy Living 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
| | - Aida Nielsen
- UTHealth School of Public Health in Austin, 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Michael and Susan Dell Center for Healthy Living 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
| | - Pablo Lemoine
- Centro Nacional de Consultoría, Calle 82 651 Bogotá, D.C., 801, Colombia
| | - Joy Casnovsky
- Sustainable Food Center, 2921 E. 17 Street, Building C, Austin, Texas, 78702, USA
| | - Alexandra van den Berg
- UTHealth School of Public Health in Austin, 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
- Michael and Susan Dell Center for Healthy Living 1616 Guadalupe Street, Suite 6.300, Austin, Texas, 78701, USA
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Randell H, Gray C, Shayo EH. Climatic conditions and household food security: Evidence from Tanzania. FOOD POLICY 2022; 112:102362. [PMID: 37064798 PMCID: PMC10099342 DOI: 10.1016/j.foodpol.2022.102362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Food security and adequate nutrition are critical for achieving progress toward sustainable development. Two billion people worldwide experience moderate to severe food insecurity, and rates of hunger have increased over the past several years after declining steadily for decades. The FAO attributes this increase in large part to climate change, though empirical evidence on the relationship between climatic conditions and food security remains limited. We examine this question by linking nationally representative longitudinal data from four rounds of the Tanzania National Panel Survey to high-resolution gridded climate data. We then estimate a set of fixed effects regression models to understand the linkages between recent rainy season precipitation and temperature and two indicators of household food security: Food Consumption Score (FCS) and reduced Coping Strategies Index (rCSI). We find that low rainfall-particularly dry and cool conditions-is negatively associated with food security. Moving from a typical rainfall year to a particularly dry one increases the risk of being food insecure on both measures simultaneously by 13-percentage points. This suggests that a lack of rainfall impedes households' ability to access food, likely through reduced agricultural production and increased food prices, leading to lower dietary diversity and food shortages. Vulnerability is higher among households with fewer working age members, suggesting that households with a greater supply of labor can better withstand droughts. As climate change alters precipitation and temperature patterns over the coming decades, policies to increase resilience will be critical for improving food security, particularly among populations heavily reliant on agriculture.
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Affiliation(s)
- Heather Randell
- Department of Agricultural Economics, Sociology, and Education, 110-A Armsby Building, Penn State, University Park, PA, USA 16802
| | - Clark Gray
- Department of Geography, University of North Carolina, Chapel Hill
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Bi W, Song Y, Liu Y, Li Z, Zhang Y. Food Consumption Structure and Food Security-Through Mediating Effect Analysis of Agricultural R&D and Agricultural Investment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12524. [PMID: 36231821 PMCID: PMC9566498 DOI: 10.3390/ijerph191912524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 09/19/2022] [Accepted: 09/21/2022] [Indexed: 06/16/2023]
Abstract
Food security is the cornerstone that ensures the stable development of a country. Based on panel data of 31 provinces (including autonomous regions and municipalities) in China from 2015 to 2019, we use the mediating effect model to explore the mechanism by which food consumption structure affects food security. The results indicate that grain consumption has a significant promoting effect on food security, while plant and animal food consumption have significant inhibiting effects on food security. Furthermore, agricultural R&D and investment play mediating roles in the impact of food consumption structure on food security. Obvious differences exist in the relationship between food consumption structure and food security between urban and rural areas, as well as between Eastern, Central, and Western regions. Animal food consumption had a negative and significant impact on food security, with a stronger effect on rural residents than on urban residents. Compared with the central and western regions, grain consumption and animal food consumption in the eastern region had a stronger marginal impact on food security. This paper enriches and expands the research on influencing factors of food security from the perspective of consumer demand, which has important theoretical value and practical significance for ensuring food security.
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Affiliation(s)
- Wentai Bi
- College of Economics and Management, Henan Agricultural University, Zhengzhou 450046, China
| | - Yu Song
- College of Economics and Management, Henan Agricultural University, Zhengzhou 450046, China
| | - Yang Liu
- Faculty of Education, University of Malaya, Jalan Universiti, Lembah Pantai, Kuala Lumpur 50603, Malaysia
| | - Zongze Li
- College of Economics and Management, Henan Agricultural University, Zhengzhou 450046, China
| | - Ying Zhang
- College of Economics and Management, Henan Agricultural University, Zhengzhou 450046, China
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Harper A, Goudge J, Chirwa E, Rothberg A, Sambu W, Mall S. Dietary diversity, food insecurity and the double burden of malnutrition among children, adolescents and adults in South Africa: Findings from a national survey. Front Public Health 2022; 10:948090. [PMID: 36211708 PMCID: PMC9540989 DOI: 10.3389/fpubh.2022.948090] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 08/10/2022] [Indexed: 01/21/2023] Open
Abstract
Childhood stunting remains a global public health problem. Many stunted children live in the same household as overweight or obese adults (the so-called double burden of malnutrition), evidence that quality as well as quantity of food is important. In recent years, food security measurement has shifted away from anthropometry (e.g., stunting) to experiential measures (e.g., self-reported hunger). However, given the continued problem of stunting, it is important that national surveys identify malnutrition. Objectives To examine the associations between a variety of food security indicators, including dietary diversity, with adult, child (0-4 years) (5-9 years) and adolescent (10-17 years) anthropometry. To estimate the prevalence of double burden households. Methods The study utilized cross-sectional data from the South African National Income Dynamics Survey NIDS (2008). We examined the associations between five food security indicators and anthropometry outcomes. The indicators were adult and child hunger in the household, self-reported household food sufficiency, food expenditure>60% of monthly expenditure and household dietary diversity. Multinomial and logistic regression models were employed to examine the associations with adult BMI categories and children's stunting and BMI. Results The prevalence of stunting was 18.4% and the prevalence of wasting and overweight was 6.8 and 10.4%, respectively. Children <5 and adolescents with medium dietary diversity were significantly more likely to be stunted than children with high dietary diversity. Among children <5, child hunger and medium dietary diversity were significantly associated with wasting. None of the food security indicators were associated with stunting in children aged 5-9. Among stunted children, 70.2% lived with an overweight or obese adult. Among adults, increased dietary diversity increased the risk of overweight and obesity. Conclusion Dietary diversity can be used as a proxy for poor nutritional status among children <5 years and adolescents but the relationship between dietary diversity and adult obesity is more complex. Given the double burden of malnutrition in many low- and middle-income countries, indicators of dietary quality remain important. These tools can be further refined to include an extra category for processed foods. Given the relative simplicity to collect this data, national surveys would be improved by its inclusion.
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Affiliation(s)
- Abigail Harper
- Division of Epidemiology and Biostatistics, University of the Witwatersrand, Johannesburg, South Africa,*Correspondence: Abigail Harper
| | - Jane Goudge
- Centre for Health Policy, University of the Witwatersrand, Johannesburg, South Africa
| | - Esnat Chirwa
- Gender and Health Research Division, The South African Medical Research Council, Johannesburg, South Africa
| | - Alan Rothberg
- School of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Winnie Sambu
- School of Economics, The University of Cape Town, Cape Town, South Africa
| | - Sumaya Mall
- Division of Epidemiology and Biostatistics, University of the Witwatersrand, Johannesburg, South Africa
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Adeoye PA, Afolaranmi TO, Ofili AN, Chirdan OO, Agbo HA, Adeoye LT, Su TT. Socio-demographic predictors of food security among rural households in Langai district in Plateau-Nigeria: a cross-sectional study. Pan Afr Med J 2022; 43:36. [PMID: 36505019 PMCID: PMC9716969 DOI: 10.11604/pamj.2022.43.36.32704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 09/11/2022] [Indexed: 12/15/2022] Open
Abstract
Introduction household food insecurity is a critical social determinant of health globally. There is a rising global prevalence of food insecurity which affects households' access to food of adequate quantity and quality. This study assessed the level of food security and its socio-demographic determinants among rural households. Methods this is a cross-sectional community survey among 201 rural households in Langai district representing a total population of 1,284. Reported food security was assessed using Food Consumption Scores and Coping Strategy Index. Data were analysed with SPSS 21. Analysis was done to assess the level of food-security associated factors. Multivariable analysis was done to assess determinants of food security. P-value <0.05 is considered significant. Results forty-three percent of all households have a total income greater than the national minimum wage. Overall, 21.4% are quality-food insecure (FCS), 6.5% have severe coping behaviour (CSI-food insecure) and 34.8% are highly economically vulnerable to food insecurity. Significant predictors of household food security include women earning than the basic monthly wage (AOR: 4.29 [95%CI: 1.34-13.71]; p=0.014); those without marital partners (AOR: 4.91 [95%CI: 1.01-23.90]; p=0.049); smaller household size (≤ 5) (AOR: 2.69 [95%CI: 1.16-6.24]; p=0.021); and those not receiving financial support (AOR: 2.68 [95%CI: 1.17-6.13]; p=0.020). Conclusion almost a quarter of all households' experience food insecurity with more than one-third being highly vulnerable to food insecurity. Efforts should be made to cushion the effect of global food insecurity among vulnerable populations and improve livelihood through improved agricultural practices to have sustainable and equitable food security.
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Affiliation(s)
- Philip Adewale Adeoye
- Department of Community Medicine, Jos University Teaching Hospital, Jos, Plateau State, Nigeria,,Corresponding author: Philip Adewale Adeoye, Department of Community Medicine, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
| | | | - Antoinette Ngozi Ofili
- Department of Community Health, College of Medical Sciences, University of Benin, Benin, Edo State, Nigeria
| | | | - Hadizah Abigail Agbo
- Department of Community Medicine, University of Jos, Jos, Plateau State, Nigeria
| | - Lydia Toluwanimi Adeoye
- Knowledge Management Department, Nigeria Institute of Social and Economic Research, Ibadan, Oyo State, Nigeria
| | - Tin Tin Su
- South-East Asia Community Observatory and Global Health, Jeffery Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia
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Green BW, Labagnara K, Macdonald E, Feiertag N, Zhu M, Gupta K, Mohan C, Watts KL, Rai A, Small AC. Evaluating the association between food insecurity and risk of nephrolithiasis: an analysis of the National Health and Nutrition Examination Survey. World J Urol 2022; 40:2641-2647. [PMID: 36125503 DOI: 10.1007/s00345-022-04150-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 09/02/2022] [Indexed: 10/14/2022] Open
Abstract
PURPOSE This study aimed to investigate the relationship between self-reported food security and kidney stone formation. METHODS Data were collected from the National Health and Nutrition Examination Survey (NHANES), a database representative of the United States population. Food security status was assessed using the US Household Food Security Survey Module: Six-Item Short Form. Characteristics of patients were compared using the Chi-square test and the student t-test. Multivariate logistic regression was performed using a multi-model approach. RESULTS We analyzed 6,800 NHANES survey respondents. 37.2% of respondents were categorized as having "low food security" (scores 2-4) and 24.0% having "very low food security" (scores 5-6). 8.4% of respondents had a history of kidney stones. We found that people with very low food security had a 42% increased likelihood of developing kidney stones compared to those with high or marginal food security, after controlling for race, age, and comorbidities (OR 1.42; 95% CI 1.01-1.99). Between the different food security groups, no significant differences were observed in age, race/ethnicity, body mass index, gout history, osteoporosis history, or coronary artery disease history. Lower food security was associated with slightly younger age (< 1 year difference, p = 0.001), higher poverty-income ratio (p = 0.001), and many comorbidities, including kidney stones (p = 0.007). CONCLUSION Our study provides evidence for an association between food access and the risk of kidney stone disease. Given these findings, food insecurity should be investigated as a modifiable risk factor for the development of kidney stone disease.
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Affiliation(s)
- Benjamin W Green
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Kevin Labagnara
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Eric Macdonald
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Nathan Feiertag
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Michael Zhu
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Kavita Gupta
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Charan Mohan
- Smith Institute for Urology, Northwell Health System, New Hyde Park, NY, USA
| | - Kara L Watts
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA
| | - Arun Rai
- Smith Institute for Urology, Northwell Health System, New Hyde Park, NY, USA
| | - Alexander C Small
- Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Pl, Tower 1 Penthouse, Bronx, NY, 10461, USA.
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Bridge G. Risk of Food Insecurity and Cardiometabolic Health-What Can Be Done? J Nutr 2022; 152:1805-1807. [PMID: 35732470 DOI: 10.1093/jn/nxac109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/26/2022] [Accepted: 05/10/2022] [Indexed: 11/14/2022] Open
Affiliation(s)
- Gemma Bridge
- School of Earth and Environment, University of Leeds, Leeds, LS2 9JT, UK
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Calloway EE, Carpenter LR, Gargano T, Sharp JL, Yaroch AL. Development of new measures to assess household nutrition security, and choice in dietary characteristics. Appetite 2022; 179:106288. [DOI: 10.1016/j.appet.2022.106288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 07/15/2022] [Accepted: 08/24/2022] [Indexed: 11/02/2022]
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MacNeil AH, Farrell-Reeves A, Elgar FJ, Dirks MA. Food and Mood: Daily Associations Between Missed Meals and Affect Among Early Adolescents. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2022:1-8. [PMID: 35882067 DOI: 10.1080/15374416.2022.2096045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Youth frequently miss meals and experience hunger, yet no studies have assessed how these experiences relate to changes in daily emotional states. This daily diary study examined associations of missing breakfast, missing lunch, and hunger with daily positive and negative affect among young adolescents. METHODS A community sample of 133 grade 5 and 6 students (50.4% boys, Mage = 10.77, 19.5% BIPOC) from two public schools completed baseline socio-demographic measures at the beginning of the study and daily measures at the end of the school day over 5 consecutive days. Measures included positive and negative affect, breakfast, lunch, and hunger. Multilevel regression models were constructed to test the associations. RESULTS Among participating youth, 27.8% missed breakfast at least once, 15.0% missed lunch at least once, and 26.3% felt hungry at least once. Missing breakfast was associated with increased negative affect (B = 0.36, p = .030) and missing lunch was related to both increased negative affect (B = 0.52, p = .019) and decreased positive affect (B = -0.80, p = .002). Hunger was not related to daily affect. CONCLUSION This study provides a unique view of youths' experiences of missing meals, hunger, and daily emotional states. The findings underscore the importance of youth being adequately nourished through school meal programs. Clinicians should screen for and address missing meals among their young patients.
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Affiliation(s)
| | | | - Frank J Elgar
- Department of Psychiatry, McGill University
- Institute for Health and Social Policy, McGill University
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61
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Pakravan-Charvadeh MR, Flora C, Khan HA. Simulating Potential Associated Socio-Economic Determinants With Sustainable Food Security (A Macro-Micro Spatial Quantitative Model). Front Public Health 2022; 10:923705. [PMID: 35910863 PMCID: PMC9333187 DOI: 10.3389/fpubh.2022.923705] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 06/01/2022] [Indexed: 12/02/2022] Open
Abstract
Improving sustainable food security status, nowadays, is an important challenge globally, especially in developing countries. The policy goal should be equity—everyone has the same opportunity to be food secure—rather than equality—everyone gets the same subsidy. Since the culture and socioeconomic status within a country vary from region to region, collapsing all areas into a unique region may introduce errors and inaccurate results, as most studies carried out. This study assesses the geographical pattern of association between food security and socioeconomic factors in urban areas in Iran using a nationally and regionally representative household consumption-expenditure survey from 2010 to 2018. The logistic regression model and big data are used to achieve this goal. The results show that a substantial number of households face food insecurity in urban areas in Iran. Also, different geographic regions have various salient factors that affect food insecurity. Aggregation tests confirmed that researchers should estimate separate models for different provinces, states, and districts to assess and monitor the food security status of a country instead of estimating a unique model for the whole of the country. Geographical disparities should be considered as an important issue before suggesting any catch-all policies for a country. The geo-locational factor of households is a key determinant of the association between socioeconomic factors and food security in urban areas in Iran. In sum, the practical suggestions for improving Iranian households' food security in urban areas are as follows: (1) Developing job opportunities for the head of household. (2) Enhancing the potential for self-employment. (3) Facilitating the study of children within households including providing inexpensive uniforms, books, and materials, especially for poor households. (4) Supporting young couples in terms of accessing to financial resources and providing inexpensive essential equipment of home for them; and (5) Introduction of the importance of dietary diversity and different foods which can be cooked by using these food ingredients within a household. Comparative case studies using similar methodologies can test if our results are generalizable.
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Affiliation(s)
- Mohammad Reza Pakravan-Charvadeh
- Department of Agricultural Economics and Rural Development, Lorestan University, Khorramabad, Iran
- *Correspondence: Mohammad Reza Pakravan-Charvadeh
| | - Cornelia Flora
- Department of Sociology, Iowa State University, Ames, IA, United States
| | - Haider A. Khan
- Department of Economics, Josef Korbel School of International Studies, University of Denver, Denver, CO, United States
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Low A, Gummerson E, Schwitters A, Bonifacio R, Teferi M, Mutenda N, Ayton S, Juma J, Ahpoe C, Ginindza C, Patel H, Biraro S, Sachathep K, Hakim AJ, Barradas D, Hassani AS, Kirungi W, Jackson K, Goeke L, Philips N, Mulenga L, Ward J, Hong S, Rutherford G, Findley S. Food insecurity and the risk of HIV acquisition: findings from population-based surveys in six sub-Saharan African countries (2016-2017). BMJ Open 2022; 12:e058704. [PMID: 35820770 PMCID: PMC9277378 DOI: 10.1136/bmjopen-2021-058704] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE To assess the potential bidirectional relationship between food insecurity and HIV infection in sub-Saharan Africa. DESIGN Nationally representative HIV impact assessment household-based surveys. SETTING Zambia, Eswatini, Lesotho, Uganda and Tanzania and Namibia. PARTICIPANTS 112 955 survey participants aged 15-59 years with HIV and recency test results. MEASURES Recent HIV infection (within 6 months) classified using the HIV-1 limited antigen avidity assay, in participants with an unsuppressed viral load (>1000 copies/mL) and no detectable antiretrovirals; severe food insecurity (SFI) defined as having no food in the house ≥three times in the past month. RESULTS Overall, 10.3% of participants lived in households reporting SFI. SFI was most common in urban, woman-headed households, and in people with chronic HIV infection. Among women, SFI was associated with a twofold increase in risk of recent HIV infection (adjusted relative risk (aRR) 2.08, 95% CI 1.09 to 3.97). SFI was also associated with transactional sex (aRR 1.28, 95% CI 1.17 to 1.41), a history of forced sex (aRR 1.36, 95% CI 1.11 to 1.66) and condom-less sex with a partner of unknown or positive HIV status (aRR 1.08, 95% CI 1.02 to 1.14) in all women, and intergenerational sex (partner ≥10 years older) in women aged 15-24 years (aRR 1.23, 95% CI 1.03 to 1.46). Recent receipt of food support was protective against HIV acquisition (aRR 0.36, 95% CI 0.14 to 0.88). CONCLUSION SFI increased risk for HIV acquisition in women by twofold. Heightened food insecurity during climactic extremes could imperil HIV epidemic control, and food support to women with SFI during these events could reduce HIV transmission.
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Affiliation(s)
- Andrea Low
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
- Department of Epidemiology, Mailman School of Public Health, New York, New York, USA
| | - Elizabeth Gummerson
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
- Bill and Melinda Gates Institute for Population and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Amee Schwitters
- Strategic Information, Division of Global HIV and Tuberculosis, Ctr Dis Control, Maseru, Lesotho
| | | | - Mekleet Teferi
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
- Department of Epidemiology, Mailman School of Public Health, New York, New York, USA
| | - Nicholus Mutenda
- Directorate for Special Programs, Namibia Ministry of Health and Social Services, Windhoek, Namibia
| | - Sarah Ayton
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
| | - James Juma
- The Ministry of Health, Community Development, Gender, Elderly and Children, National AIDS Control Program, Dar es Salaam, United Republic of Tanzania
| | - Claudia Ahpoe
- Needs Assessment and Analysis, World Food Programme, Rome, Italy
| | | | - Hetal Patel
- Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Samuel Biraro
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Karam Sachathep
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Avi J Hakim
- Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Danielle Barradas
- Center for Global Health, Centers for Disease Control and Prevention, Lusaka, Zambia
| | - Ahmed Saadani Hassani
- Center for Global Health, Centers for Disease Control and Prevention, Lusaka, Zambia
| | | | - Keisha Jackson
- Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Leah Goeke
- Centers for Disease Control and Prevention, Dar es Salaam, United Republic of Tanzania
| | - Neena Philips
- ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Lloyd Mulenga
- Zambia Ministry of Health, Lusaka, Zambia
- School of Medicine, University of Zambia, Lusaka, Zambia
| | - Jennifer Ward
- Centers for Disease Control and Prevention, Kampala, Uganda
| | - Steven Hong
- Centers for Disease Control and Prevention, Windhoek, Namibia
| | - George Rutherford
- Institute for Global Health Sciences, University of California San Francisco, San Francisco, California, USA
| | - Sally Findley
- Population and Family Health, Mailman School of Public Health, New York, NY, USA
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Abd Razak ZNR, Md Isa KA, Masuri MG, Mohd Fahmi Teng NI, Mohd Shariff Z, Mohd Fozi NAA. Development and Validation of a Direct Food Insecurity Measurement Instrument: A Study Protocol (Preprint).. [DOI: 10.2196/preprints.40945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
BACKGROUND
The Sustainable Development Goals (SDGs) aim to achieve sustainable food security with a focus on eradicating hunger and poverty. Although some progress has been made, conflicts and food insecurity issues are still inevitable worldwide. In Malaysia, food insecurity is still evident in 2021 as food-insecure groups were present in the surveyed population. The problem leads to negative impacts on the health and development of individuals. To tackle this problem, an appropriate measurement tool is needed to assess the experience of food insecurity among Malaysians. A valid, reliable and culturally specific food insecurity measurement tool is needed for further planning and implementation.
OBJECTIVE
Our objective is to develop a direct food insecurity measurement instrument that will assist practitioners in assessing food security status in communities.
METHODS
This paper describes a mixed-methods sequential study to develop and validate a direct food insecurity measurement tool that is culturally specific for use in Malaysia. It begins with a qualitative study to understand the experience of food insecurity among food bank beneficiaries through interpretive phenomenological analysis (IPA). Validation procedures will then be conducted to validate the instrument under study, assessing content validity, construct validity and reliability. Finally, a pilot study will be conducted to evaluate the instrument in order to increase the credibility of this measurement tool in directly assessing the experience of food insecurity.
RESULTS
In-depth interviews for qualitative data will be carried out after ethics approval and expected to be completed by 2022 November 30. For validation procedures, it is estimated to be completed by 2023 June 31.
CONCLUSIONS
This study will enable the development and validation of a direct food insecurity measurement tool to be used nationwide in Malaysia, and will go part of the way in assessing the relationship between the determinants and consequences of food insecurity status.
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64
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Pienkowski T, Keane A, Kinyanda E, Asiimwe C, Milner-Gulland EJ. Predicting the impacts of land management for sustainable development on depression risk in a Ugandan case study. Sci Rep 2022; 12:11607. [PMID: 35804170 PMCID: PMC9270416 DOI: 10.1038/s41598-022-14976-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 06/15/2022] [Indexed: 11/16/2022] Open
Abstract
Agricultural intensification and expanding protected areas are proposed sustainable development approaches. But, their consequences for mental health are poorly understood. This study aims to predict how forest conservation and contract farming may alter resource access and depression risk in rural Uganda. Residents (N = 695) in 11 communities in Masindi District were asked about their expectations under land management scenarios using scenario-based interviews, household characteristics and depression symptoms. Over 80% of respondents presented with a ‘business-as-usual forest access’ scenario expected reduced access to forest income and food over the next decade; this number climbed above 90% among ‘restricted forest access’ scenario respondents. Over 99% of those presented with two land access scenarios (‘business-as-usual land access’ and ‘sugarcane expansion land access’) expected wealthy households to gain land but poorer families to lose it, threatening to increase poverty and food insecurity among small-scale farmers. Bayesian structural equation modelling suggested that depression severity was positively associated with food insecurity (0.20, 95% CI = 0.12–0.28) and economic poverty (0.11, 95% CI 0.02–0.19). Decision-makers should evaluate the mental health impacts of conservation and agricultural approaches that restrict access to livelihood resources. Future research could explore opportunities to support mental health through sustainable use of nature.
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Affiliation(s)
| | - Aidan Keane
- School of GeoSciences, University of Edinburgh, Edinburgh, EH9 3FF, UK
| | - Eugene Kinyanda
- Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, 51-59 Nakiwogo Street, Entebbe, Uganda
| | - Caroline Asiimwe
- Budongo Conservation Field Station, Masindi, Uganda.,Jane Goodall Institute, Plot 26 Lugard Avenue, P.O. Box 462, Entebbe, Uganda
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65
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Otekunrin OA. Investigating food insecurity, health and environment-related factors, and agricultural commercialization in Southwestern Nigeria: evidence from smallholder farming households. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:51469-51488. [PMID: 35246791 PMCID: PMC8896673 DOI: 10.1007/s11356-022-19544-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 02/25/2022] [Indexed: 04/16/2023]
Abstract
Hunger and food insecurity remained some of the serious challenges facing our world in present time with great concerns from Sub-Saharan Africa especially countries like Nigeria. This study investigates food insecurity (FI), health and environment-related factors, and agricultural commercialization among smallholder farm households. This study was conducted in Southwestern Nigeria utilizing cross-sectional survey data from 352 farm households and employed multi-stage sampling procedure. The household FI levels was determined using food insecurity access scale (HFIAS), crop commercialization index (CCI) was used to compute each household's CCI (four levels), while ordered logit model was used to analyse factors influencing FI. Health and environment-related factors' access were assessed across each FI category. The results indicated that about 13% of cassava farm households are non-participant in the marketing of their produce. The findings revealed that less than 20%, 30%. and 40% of households in all four FI categories had access to piped water, improved toilet facilities, and electricity respectively. The ordered logit regression analysis indicated that age, gender, education level, farm experience, nonfarm income, and ownership of motorcycle significantly influencing FI in the study areas. Therefore, this study stressed the implementation of policy actions capable of promoting rural infrastructure development that will lead to increased agricultural production, marketing, and improved quality of life of rural dwellers.
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Affiliation(s)
- Olutosin Ademola Otekunrin
- Department of Agricultural Economics and Farm Management, Federal University of Agriculture, Abeokuta (FUNAAB), Abeokuta, Nigeria.
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66
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Ammar KA, Kheir AM, Manikas I. Agricultural big data and methods and models for food security analysis-a mini-review. PeerJ 2022; 10:e13674. [PMID: 35789661 PMCID: PMC9250308 DOI: 10.7717/peerj.13674] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 06/13/2022] [Indexed: 01/17/2023] Open
Abstract
Background Big data and data analysis methods and models are important tools in food security (FS) studies for gap analysis and preparation of appropriate analytical frameworks. These innovations necessitate the development of novel methods for collecting, storing, processing, and extracting data. Methodology The primary goal of this study was to conduct a critical review of agricultural big data and methods and models used for FS studies published in peer-reviewed journals since 2010. Approximately 130 articles were selected for full content review after the pre-screening process. Results There are different sources of data collection, including but not limited to online databases, the internet, omics, Internet of Things, social media, survey rounds, remote sensing, and the Food and Agriculture Organization Corporate Statistical Database. The collected data require analysis (i.e., mining, neural networks, Bayesian networks, and other ML algorithms) before data visualization using Python, R, Circos, Gephi, Tableau, or Cytoscape. Approximately 122 models, all of which were used in FS studies worldwide, were selected from 130 articles. However, most of these models addressed only one or two dimensions of FS (i.e., availability and access) and ignored the other dimensions (i.e., stability and utilization), creating a gap in the global context. Conclusions There are certain FS gaps both worldwide and in the United Arab Emirates that need to be addressed by scientists and policymakers. Following the identification of the drivers, policies, and indicators, the findings of this review could be used to develop an appropriate analytical framework for FS and nutrition.
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Affiliation(s)
- Khalil A. Ammar
- International Center for Biosaline Agriculture, ICBA, Dubai, United Arab Emirates
| | - Ahmed M.S. Kheir
- International Center for Biosaline Agriculture, ICBA, Dubai, United Arab Emirates,Soils, Water and Environment Research Institute, Agricultural Research Center, Giza, Egypt
| | - Ioannis Manikas
- Faculty of Business, University of Wollongong in Dubai, Dubai, UAE, United Arab Emirates
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67
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Nutritional implications of international fishing and trade. Proc Natl Acad Sci U S A 2022; 119:e2206587119. [PMID: 35733259 PMCID: PMC9245681 DOI: 10.1073/pnas.2206587119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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68
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Boon or Bane? Urban Food Security and Online Food Purchasing during the COVID-19 Epidemic in Nanjing, China. LAND 2022. [DOI: 10.3390/land11060945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper examines the relationship between the rapid growth of online food purchasing and household food security during the first wave of the COVID-19 pandemic in China using the city of Nanjing as a case study. The paper presents the results of an online survey of 968 households in Nanjing in March 2020 focused on their food purchasing behavior and levels of food security during the early weeks of the pandemic. While online food purchasing has increased rapidly in many countries during the COVID-19 pandemic, little research attention has been paid to the relationship between online food purchasing and household food security. This paper provides detailed insights into this relationship in China. The medium- and longer-term food security and other consequences of the pandemic pivot to online food purchasing are a fertile area for future research in China and elsewhere.
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69
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Abstract
Introduction. Currently, Ethiopia, in particular, the rural areas of Ethiopia, faces high levels of food insecurity. In spite of the fact that there have been many studies on food security, most of them have been conducted in specific national settings. Hence, the determinants of food insecurity should be assessed at the national level. Therefore, this study was primarily aimed to identify the determinant factors of household food insecurity in rural Ethiopia. Method. A cross-sectional Ethiopian socioeconomic survey (ESS) data collected from September 2018 to August 2019 was utilized. A sample of 3115 households was selected from 316 clusters across rural Ethiopia using a two-stage probability sampling technique. To identify the determinants of food insecurity, logistic regression was applied. Results. Among 3,115 households, 50.05% of them were food insecure. Factors such as the household head being aged from 30 to 64 (AOR = 0.786, 95% CI: [0.635, 0.973]), widowed, divorced, or separated (AOR = 1.588, 95%CI: [1.001, 2.518]), literate (AOR = 0.702, 95%CI: [0.590, 0.834]), household aid (AOR = 1.339, 95%CI: [1.089, 1.648]), drought-affected (AOR = 0.640, 95%CI: [0.507, 0.808]), nonagricultural business (AOR = 0.655, 95%CI: [0.472, 0.908]), dependency ratio from 50 to 75% (AOR = 0.680, 95%CI: [0.534, 0.867]), having 6 to 10 livestock (AOR = 0.644, 95%CI: [0.496, 0.836]), and more than 10 livestock (AOR = 0.362, 95% CI: [0.284, 0.461]) were found to be significantly associated with the household’s food insecurity at 5% level of significance. Conclusion. The household head’s age from 30 to 64, being literate, drought-affected, having nonagricultural business, dependency ratio from 50 to 75%, and owning more than 10 livestock have been negatively affecting food insecurity. While supporting households, a “widowed, divorced, or separated” household head has had a positive effect on food insecurity in rural Ethiopia positively influencing food insecurity in rural Ethiopia. Policymakers need to pay special attention to very young and old-aged household heads, adult education, household self-help, livestock improvement, and entrepreneurship while implementing poverty reduction programs.
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70
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Kumar A, Mishra AK, Saroj S, Rashid S. Government transfers, COVID-19 shock, and food insecurity: Evidence from rural households in India. AGRIBUSINESS (NEW YORK, N.Y.) 2022; 38:636-659. [PMID: 35937589 PMCID: PMC9347629 DOI: 10.1002/agr.21746] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 01/31/2022] [Accepted: 04/21/2022] [Indexed: 06/08/2023]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has decimated the lives and livelihoods of people worldwide. The impact of COVID-19 has been especially devastating for low-income families in rural areas of India. Soon after the nationwide lockdown was announced, food insecurity became pervasive in rural areas, as many families relied on daily wage work to fund necessities. By providing cash transfers and additional foodgrains, Indian policymakers acted swiftly to reduce the financial impact on family income and consumption. This paper investigates the factors affecting rural families' participation in the cash transfer program and the effect of government cash transfers on food insecurity. Results indicate that India's government cash transfer program decreased moderate food insecurity by 2.4% and severe food insecurity by about 0.92% [EconLit Citations: O12, I31, I32, I38].
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Affiliation(s)
- Anjani Kumar
- International Food Policy Research Institute, South Asia OfficeNew DelhiIndia
| | - Ashok K. Mishra
- Kemper and Ethel Marley Foundation Chair, Morrison School of Agribusiness, W.P. Carey School of BusinessArizona State UniversityMesaArizonaUSA
| | - Sunil Saroj
- International Food Policy Research Institute, South Asia OfficeNew DelhiIndia
| | - Shahidur Rashid
- International Food Policy Research Institute, South Asia OfficeNew DelhiIndia
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71
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Young SL, Miller JD. Water Insecurity in the United States: Quantifying an Invisible Crisis. J Nutr 2022; 152:1183-1184. [PMID: 35355066 PMCID: PMC9071308 DOI: 10.1093/jn/nxac048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Sera L Young
- Department of Anthropology & Institute for Policy Research, Northwestern University, Evanston, IL, USA
| | - Joshua D Miller
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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72
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The Household Food Security Implications of Disrupted Access to Basic Services in Five Cities in the Global South. LAND 2022. [DOI: 10.3390/land11050654] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
COVID-19 has caused significant disruptions regarding the extent to which households can access basic services and resources in cities around the world. Previous studies have indicated a predictive relationship between the consistency of resource access and food access among urban households. These investigations, however, have predominantly been isolated to Southern Africa and have not accounted for other dimensions of food security. To test whether these results are observable outside Southern Africa, and with a more multidimensional measure of food security, this investigation proposes a method for building an index of urban household food access, utilization and stability. The scores for the constructed index are then compared across household survey samples collected from five cities in the Global South. The investigation then assesses the predictive relationship between the consistency of household resource access and this more multidimensional index of food insecurity. While the general trend of inconsistent resource access predicting food insecurity is confirmed, there are geographic differences in the strength and quality of this relationship. These findings suggest that the resource access disruptions inflicted by COVID-19 will likely have a heterogeneous impact on urban food security dependent upon the affected resource and the city in which a given household resides.
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73
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Rentería I, García-Suárez PC, Moncada-Jiménez J, Machado-Parra JP, Antunes BM, Lira FS, Jiménez-Maldonado A. Unhealthy Dieting During the COVID-19 Pandemic: An Opinion Regarding the Harmful Effects on Brain Health. Front Nutr 2022; 9:876112. [PMID: 35571935 PMCID: PMC9097874 DOI: 10.3389/fnut.2022.876112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 03/29/2022] [Indexed: 11/13/2022] Open
Abstract
Since 2020, the world has been suffering from a pandemic that has affected thousands of people regardless of socio-economic conditions, forcing the population to adopt different strategies to prevent and control the advance of the disease, one of which is social distancing. Even though social distancing is a safe strategy to reduce the spread of COVID-19, it is also the cause of a rising sedentary behavior. This behavior develops an excess of fat tissue that leads to metabolic and inflammatory disruption related to chronic diseases and mental health disorders, such as anxiety, depression, and sleep issues. Furthermore, the adoption of dietary patterns involving the consumption of ultra-processed foods, higher in fats and sugars, and the reduction of fresh and healthy foods may play a role in the progress of the disease. In this perspective, we will discuss how an unhealthy diet can affect brain function and, consequently, be a risk factor for mental health diseases.
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Affiliation(s)
- Iván Rentería
- Facultad de Deportes, Universidad Autónoma de Baja California, Ensenada, Mexico
| | - Patricia Concepción García-Suárez
- Facultad de Deportes, Universidad Autónoma de Baja California, Ensenada, Mexico
- Department of Health, Sports and Exercise Sciences, University of Kansas, Lawrence, KS, United States
| | - José Moncada-Jiménez
- Human Movement Sciences Research Center (CIMOHU), University of Costa Rica, San José, Costa Rica
| | | | | | - Fabio Santos Lira
- Exercise and Immunometabolism Research Group, Department of Physical Education, Paulista State University, UNESP, Presidente Prudente, São Paulo, Brazil
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Janda KM, Ranjit N, Salvo D, Hoelscher DM, Nielsen A, Casnovsky J, van den Berg A. Examining Geographic Food Access, Food Insecurity, and Urbanicity among Diverse, Low-Income Participants in Austin, Texas. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095108. [PMID: 35564504 PMCID: PMC9104388 DOI: 10.3390/ijerph19095108] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/19/2022] [Accepted: 04/20/2022] [Indexed: 12/10/2022]
Abstract
The purpose of this study was to explore the association between geographic food access and food insecurity and the potential role of race/ethnicity, income, and urbanicity among a low-income, diverse sample in Central Texas. Utilizing a cross-sectional study design, secondary data analysis of an existing cohort was used to examine the association between food insecurity; geographic food access; and sociodemographic factors of race/ethnicity, income, urbanicity, and additional covariates using binomial logistic regression models. The existing cohort was recruited from lower-income communities in Travis County, Texas. The sample (N = 393) was predominantly Hispanic, lived in urban areas, and nearly 40% were food insecure. Geographic food access was not found to be significantly associated with food insecurity. However, rural residents had greater odds of being food insecure than urban residents. Also, participants who earned USD 45,000-64,999 and over USD 65,000 had lower odds of being food insecure than participants who earned under USD 25,000. These findings add to the inconsistent literature about the association between geographic food access and food insecurity and contribute to urbanicity and income disparities in food-insecurity literature. Future work should consider urbanicity, income, and utilize community-specific data to gain greater understanding of the association between geographic food access and food insecurity.
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Affiliation(s)
- Kathryn M. Janda
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (D.M.H.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
- Correspondence:
| | - Nalini Ranjit
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (D.M.H.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Deborah Salvo
- Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA;
| | - Deanna M. Hoelscher
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (D.M.H.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Aida Nielsen
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (D.M.H.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | | | - Alexandra van den Berg
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (D.M.H.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
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75
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The Evolution of Food Security: Where Are We Now, Where Should We Go Next? SUSTAINABILITY 2022. [DOI: 10.3390/su14063634] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Food security is one of the most challenging topics globally; however, the concept of food security has taken on additional dimensions that are general and are less detailed. This study aims to identify the intellectual structure of food security research and the changes in this structure. This paper analyzed 3169 documents from the Web of Science database through a bibliometric review. A review of the published documents shows an increasing trend over the past 46 years. In accordance with co-occurrence analysis, 125 keywords were grouped into five clusters: food security and sustainable development; food security and socioeconomic factors; food security policy and governance; coping strategies for poverty, inequality, and hunger; and modern food security management. This study identifies four streams within food security research: sustainability and environmental, socioeconomic, cultural, and political factors. The paper concludes that even though food security might investigate many significant areas, other new dimensions should still be considered. Further gaps in the literature emerge that present avenues for future research directions. Reviewing indicators and techniques of food security assessment and identifying high-risk groups should be a priority.
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76
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Terfa ZG, Nantanda R, Lesosky M, Devereux G, Obasi A, Mortimer K, Khan J, Rylance J, Niessen LW. Household food insecurity, maternal nutrition, environmental risks and infants' health outcomes: protocol of the IMPALA birth cohort study in Uganda. BMJ Open 2022; 12:e050729. [PMID: 35304392 PMCID: PMC8935180 DOI: 10.1136/bmjopen-2021-050729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION In low- and middle-income countries (LMICs), food insecurity and undernutrition disproportionately affect women of reproductive age, infants and young children. The disease burden from undernutrition in these vulnerable sections of societies remains a major concern in LMICs. Biomass fuel use for cooking is also common in LMICs. Empirical evidence from high-income countries indicates that early life nutritional and environmental exposures and their effect on infant lung function are important; however, data from sub-Saharan Africa are scarce. AIM To estimate the association between infant lung function and household food insecurity, energy poverty and maternal dietary diversity. METHODS AND ANALYSIS Pregnant women will be recruited in an existing Health and Demographic Surveillance Site in South-West Uganda. Household food insecurity, sources and uses of energy, economic measures and maternal dietary diversity will be collected during pregnancy and after birth. Primary health outcomes will be infant lung function determined by tidal breath flow and volume analysis at 6-10 weeks of age. Infant weight and length will also be collected.A household Food Consumption Score and Minimum Dietary Diversity for Women (MDD-W) indicator will be constructed. The involved cost of dietary diversity will be estimated based on MDD-W. The association between household level and mothers' food access indicators and infant lung function will be evaluated using regression models. The Multidimensional Energy Poverty Index (MEPI) will be estimated and used as an indicator of households' environmental exposures. The association between household MEPI and infant lung function will be assessed using econometric models. ETHICS AND DISSEMINATION Ethical approvals have been obtained from Liverpool School of Tropical Medicine (18-059), the Uganda Virus Research Institute Ethics Committee (097/2018) and Uganda National Council for Science and Technology (SS 4846). Study results will be shared with participants, policy-makers, other stakeholders and published in peer-reviewed journals.
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Affiliation(s)
- Zelalem G Terfa
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
- Center for Environment and Development, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia
| | - Rebecca Nantanda
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
- Makerere University Lung Institute, Makerere University College of Health Sciences, Kampala, Uganda
| | - Maia Lesosky
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
- Department of Public Health & Family Medicine, University of Cape Town, Rondebosch, South Africa
| | - Graham Devereux
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Angela Obasi
- Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Kevin Mortimer
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Jahangir Khan
- Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK
- School of Public Health and Community Medicine, University of Gothenburg, Goteborg, Västra Götaland, Sweden
| | - Jamie Rylance
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
- Lung Health Group, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Queen Elizabeth Central Hospital, College of Medicine, Blantyre, Malawi
| | - Louis Wihelmus Niessen
- Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK
- Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Environmental Regulation, Rural Residents' Health Investment, and Agricultural Eco-Efficiency: An Empirical Analysis Based on 31 Chinese Provinces. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053125. [PMID: 35270816 PMCID: PMC8910385 DOI: 10.3390/ijerph19053125] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/03/2022] [Accepted: 03/04/2022] [Indexed: 11/17/2022]
Abstract
This paper explores the effects of environmental regulation (ER) and rural residents’ health investment (RRHI) on agricultural eco-efficiency (AEE) to provide a reference for the Chinese Government and other developing countries for implementing environmental regulation policies and to provide new paths to further improve green development in agriculture. Using the panel data of 31 Chinese provinces from 2009–2018, the Super-SBM model was used to measure AEE. The role of ER on AEE was analyzed based on panel two-way fixed effects with endogeneity treatment and a robustness test, and this mediating effect analysis was conducted to analyze the role of RRHI in ER and AEE, examining the extent of the effect of ER on AEE in three regions of China—eastern, central and western—using a heterogeneity analysis. The results of the study show that: (1) from a national perspective, ER has a significant positive impact on AEE, showing that ER is effective at this stage; (2) when RRHI is used as a mediating variable, the rising ER’s intensity can promote AEE by increasing RRHI; and (3) the results of the heterogeneity analysis show that ER has the greatest impact on AEE in the economically developed eastern region; the western region with a weaker level of economic development is in second place. However, ER has a negative impact on AEE in the central region with a medium level of economic development. Thus, the impact of ER on AEE will show great differences depending on the stage of economic development.
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Aguiar A, Pinto M, Duarte R. The bad, the ugly and the monster behind the mirror - Food insecurity, mental health and socio-economic determinants. J Psychosom Res 2022; 154:110727. [PMID: 35086053 DOI: 10.1016/j.jpsychores.2022.110727] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 01/10/2022] [Accepted: 01/15/2022] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Food insecurity is associated with poor mental health outcomes, including depression and anxiety and COVID-19 could increase these relations. In this sense, we aimed to explore the relationship between food insecurity and mental health features and behaviors in adults from Portugal. METHODOLOGY We conducted a cross-sectional online snowball study from November 2020 until February 2021. A total of 882 Portuguese residents 18 years of age or older with food security data were included. Data on socio-demographics, food security status, and anxiety and depression symptoms were collected. Crude and adjusted logistic regression models were performed. Odds ratio (OR) and respective 95% confidence intervals (CI) were estimated. RESULTS Most participants were women (71.3%), with a mean (SD) age of 36.8 (10.9) years, three-thirds had a university degree (76.7%), and 65.3% lived in the country's northern region. Regarding the characteristics associated with food insecurity, we observed that less-educated participants (OR = 7.84; 95% CI: 3.67-16.73), with depression symptoms (OR = 5.91; 95% CI: 3.12-11.19) and with anxiety symptoms (OR = 6.41; 95% CI: 3.02-13.59), had a higher odds of belonging to a food-insecure household. After adjustments less educated individuals (OR = 8.37; 95% CI: 3.81-18.35), those who faced a reduction in income (OR = 0.27; 95% CI: 0.13-0.53) and, presenting anxiety symptoms (OR = 7.32; 95% CI: 3.53-15.17) had a higher odds of belonging to a food-insecure household. CONCLUSIONS Approaching food insecurity without addressing mental health, and the opposite is making partial and reductive interventions. It is important to have an integrative approach.
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Affiliation(s)
- Ana Aguiar
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal.
| | - Marta Pinto
- Unidade de Investigação Clínica da ARS Norte, Porto, Portugal; Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, Porto, Portugal
| | - Raquel Duarte
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal; Unidade de Investigação Clínica da ARS Norte, Porto, Portugal; ICBAS, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal; Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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79
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Godenau D, Martin-Rodriguez G, Gonzalez-Gomez JI, Caceres-Hernandez JJ. Food consumption in the Canary Islands: nutritional implications of food imports and local production. BMC Public Health 2022; 22:404. [PMID: 35220976 PMCID: PMC8882283 DOI: 10.1186/s12889-022-12805-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 02/17/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The composition of the average diet for the Canary Islands’ population has been the subject of concern for the region’s authorities and nutrition specialists. In this study, the composition of the average diet in the Canary Islands is estimated.
Method
The approach is based on secondary data on local production and external trade. The breakdown of the total volume of apparent food consumption into specific product categories marketed to the consumers is achieved by applying hypotheses about losses in the distribution process. The estimation of food intake is obtained by making assumptions about the rates of food wastage in the final stage of consumption. This consumption is expressed not only in terms of edible weight and the market value associated with different food groups according to their local or imported origin, but also in terms of their energy and nutrient content.
Results
The results obtained suggest a high-calorie diet, close to three thousand kilocalories per person per day, with an average cost of around eight euros per person per day. Imported products, with a lower average cost per unit of energy, provide most of the carbohydrates and fats.
Conclusion
This study provides a complementary approach to survey-based evidence and also offers the possibility of evaluating the contributions of local or imported food to the diet.
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Du Toit MJ, Rendón O, Cologna V, Cilliers SS, Dallimer M. Why Home Gardens Fail in Enhancing Food Security and Dietary Diversity. Front Ecol Evol 2022. [DOI: 10.3389/fevo.2022.804523] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Visions of sustainable cities mostly conjure up well tended home and community gardens, where owners and residents plant fruits and vegetables that supply some of their livelihood needs. Indeed, home gardens can contribute to household food security but often fail to do so. Moreover, gardens can provide several additional ecosystem services and impact entire communities. This paper seeks to answer why these gardens often do not provide adequate services to make a substantial contribution to food security and identifies possible solutions. We undertook a case study in South Africa in a low-income former township area. The area is characterized by poverty, high levels of unemployment and food insecurity. We interviewed 140 respondents with home gardens to determine what role their own garden plays in household food security. Only 10% of households were found to be completely food secure. Of the rest, 39% experienced hunger that affected everyone in the household and 51% were at risk of hunger. Despite the fact that 72% of the respondents planted vegetables or fruits, the gardens did not contribute substantially to food security. The respondents mostly bought their food, with subsequent food shortages when they did not have enough money. The dietary diversity and consumption of vitamin A-rich fruits and vegetables were very low. The most important constraints inhibiting urban agriculture in the study area were cultural practices, such as the presence of large, bare, open spaces, or “lebala,” the focus of home gardeners on ornamental species and lawns; and a reliance on purchasing of foods.
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81
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Matavel C, Hoffmann H, Rybak C, Steinke J, Sieber S, Müller K. Understanding the drivers of food security among agriculture-based households in Gurué District, Central Mozambique. AGRICULTURE & FOOD SECURITY 2022; 11:7. [PMID: 35127061 PMCID: PMC8807014 DOI: 10.1186/s40066-021-00344-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 10/14/2021] [Indexed: 12/05/2022]
Abstract
Background The prevalence of food insecurity in Mozambique is alarming, despite progress made during the 2010s. Several studies apply different proxy indicators of food security (FS) to assess the FS situation. However, these studies overlook the factors affecting FS, using only a single data point that results in an incomplete picture of FS. Food security is expected to fluctuate, being better and worse than what studies suggest. Using a sample of 296 households to assess FS, key drivers conditioning households’ capacity to achieve FS in Gurué District, Central Mozambique, are identified. Data were collected in the pre-harvest period and during the harvest period to capture relevant interseasonal variation of FS. Household FS is assessed using three standard indicators: Household Dietary Diversity Score (HDDS), Household Food Consumption Score (HFCS), and Months of Adequate Household Food Provisioning (MAHFP). Results Each household was classified into a specific FS status depending on the indicator applied. Generally, most households were classified as being severely or moderately food insecure during the pre-harvest season, while during the harvest season, medium and high levels of FS predominated. Nevertheless, varying outcomes were found depending on the indicator used to assess FS. MAHFP and HDDS are more related to the consumption of farm-sourced food, while HFCS responds more strongly to purchased food. Gender and age of the household head, geographic location, size and quality of land, staples production (especially cassava), livestock and crop diversity, as well as cash crops had a statistically significant effect on FS indicators. Conclusions The study concludes that the decision whether farmers should rely on staple foods production for increasing their FS status or specialize on cash crops production to generate income and buy food depends on the indicator used to assess FS, since each indicator captures a specific domain of food security. Thus, one central recommendation derived from our results is that policy makers should promote a balance between market-oriented agriculture and subsistence production to achieve FS. Supplementary Information The online version contains supplementary material available at 10.1186/s40066-021-00344-3.
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Affiliation(s)
- Custodio Matavel
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany.,Department of Agricultural Economics, Faculty of Life Sciences, Humboldt University of Berlin, Berlin, Germany
| | - Harry Hoffmann
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany
| | - Constance Rybak
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany
| | - Jonathan Steinke
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany.,Department of Agricultural Economics, Faculty of Life Sciences, Humboldt University of Berlin, Berlin, Germany
| | - Stefan Sieber
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany.,Department of Agricultural Economics, Faculty of Life Sciences, Humboldt University of Berlin, Berlin, Germany
| | - Klaus Müller
- Leibniz Centre for Agricultural Landscape Research (ZALF), Eberswalder Str. 84, 15374 Müncheberg, Germany.,Department of Agricultural Economics, Faculty of Life Sciences, Humboldt University of Berlin, Berlin, Germany
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82
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Louie S, Shi Y, Allman-Farinelli M. The effects of the COVID-19 pandemic on food security in Australia: A scoping review. Nutr Diet 2022; 79:28-47. [PMID: 35233911 PMCID: PMC9111292 DOI: 10.1111/1747-0080.12720] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 12/03/2021] [Accepted: 01/01/2022] [Indexed: 11/26/2022]
Abstract
Aim The COVID‐19 pandemic has disrupted the Australian food supply with potential ramifications on food security. This scoping review aimed to synthesise current evidence on the prevalence of food insecurity and changes to factors related to food insecurity during the COVID‐19 pandemic in Australia. Methods A comprehensive search strategy was used to search seven databases (MEDLINE, CINAHL, Embase, Global Health, Cochrane Database of Systematic Reviews, PsycINFO, Informit Online) and Google Scholar. Included studies were written in English, published in 2020–2021 and examined food security status in Australia during the COVID‐19 pandemic and/or factors associated with food insecurity in free‐living Australian residents. Articles with participants residing in institutional settings, where meals were supplied, were excluded. Results A total of 700 records were identified from database, grey literature and hand searching, and nine articles were included. All studies indicated that the prevalence of food insecurity had increased due to negative changes to food availability, accessibility, usability and stability. The downturn in employment and economic circumstances following the onset of the COVID‐19 pandemic appeared to create a new group of food‐insecure Australians consisting of newly unemployed, and international students. Conclusion COVID‐19 has exacerbated vulnerabilities in the Australian food supply and food security. Suggested actions include ongoing data collection on the long‐term impact of COVID‐19 on food supply and security in addition to coordinated national and community responses that improve the stability of the local food supply and address underlying determinants of food insecurity.
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Affiliation(s)
- Serena Louie
- Charles Perkins Centre, The University of Sydney, Camperdown, New South Wales, Australia
| | - Yumeng Shi
- Charles Perkins Centre, The University of Sydney, Camperdown, New South Wales, Australia
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83
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Lu Y, Zhang Y, Hong Y, He L, Chen Y. Experiences and Lessons from Agri-Food System Transformation for Sustainable Food Security: A Review of China's Practices. Foods 2022; 11:137. [PMID: 35053869 PMCID: PMC8774459 DOI: 10.3390/foods11020137] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 12/31/2021] [Accepted: 01/02/2022] [Indexed: 12/04/2022] Open
Abstract
Food system transformation has been a widely discussed topic in international society over time. For the last few decades, China has made remarkable achievements in food production and has contributed greatly to the reduction in global hunger and poverty. Examining experiences and lessons from China's food security practices over the years is helpful to promote a national food system transformation for China, as well as other developing countries. This study systematically reviews the literature on Chinese food security studies, with the aim of assessing China's food security achievements and examining the remaining and emerging issues in the pursuit of food system transformation. The results show that China has continuously promoted food system transformation in land consolidation, agri-food production technologies, management and organization modes, food reserves, trade governance, and food consumption. These transformations ensure not only food availability, timeliness, and nutrition, but also in terms of the ecological, social, and economic sustainability, feasibility, and justice of food security. However, China is also confronting new challenges in food security, for example, malnutrition, environmental unsustainability, and reductions in diversified agri-food. In the future, China is expected to be committed to promoting healthy diets, sustainable agricultural production, climate change mitigation, and the reduction of food waste and loss to enhance its agri-food system's resilience.
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Affiliation(s)
- Yujia Lu
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (Y.L.); (Y.Z.); (Y.H.)
| | - Yongxun Zhang
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (Y.L.); (Y.Z.); (Y.H.)
| | - Yu Hong
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (Y.L.); (Y.Z.); (Y.H.)
| | - Lulu He
- College of Humanities and Development, China Agricultural University, No. 2 Yuanmingyuan West Road, Haidian District, Beijing 100094, China;
| | - Yangfen Chen
- Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences, Beijing 100081, China; (Y.L.); (Y.Z.); (Y.H.)
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Shroba J, Das R, Bilaver L, Vincent E, Brown E, Polk B, Ramos A, Russell AF, Bird JA, Ciaccio CE, Lanser BJ, Mudd K, Sood A, Vickery BP, Gupta R. Food Insecurity in the Food Allergic Population: A Work Group Report of the AAAAI Adverse Reactions to Foods Committee. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2022; 10:81-90. [PMID: 34862158 DOI: 10.1016/j.jaip.2021.10.058] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 10/08/2021] [Accepted: 10/13/2021] [Indexed: 12/13/2022]
Abstract
Food allergies affect 32 million Americans. Restricted diets due to food allergies can be difficult to maintain especially when the household is food insecure. Food insecurity is defined as the inability to acquire food for household members due to insufficient money or resources for food. The COVID-19 pandemic has caused many people to face food insecurity for the first time with Latinx, Native American, and Black communities disproportionately affected. Because of the increase in food insecurity, this work group developed a survey regarding food insecurity screening. This survey was sent out to a random sample of American Academy of Allergy Asthma & Immunology members to assess food insecurity knowledge and practices. The majority of survey participants did not routinely screen their patients for food insecurity. The biggest barrier identified to screening was lack of knowledge of how to perform a screen and resources available when a patient screened positive. This work group report provides guidance on how to implement and perform a food insecurity screen, including federal resources and assistance programs.
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Affiliation(s)
- Jodi Shroba
- Division of Allergy and Immunology, Children's Mercy Hospital, Kansas City, Mo.
| | - Rajeshree Das
- Feinberg School of Medicine, Northwestern University, Chicago, Ill
| | - Lucy Bilaver
- Feinberg School of Medicine, Northwestern University, Chicago, Ill
| | - Eileen Vincent
- Feinberg School of Medicine, Northwestern University, Chicago, Ill
| | | | - Brooke Polk
- Division of Allergy, Imunology and Pulmonary Medicine, Washington University, St Louis, Mo
| | - Ashley Ramos
- Division of Allergy and Immunology, Children's National Health System, Washington, DC
| | - Anne F Russell
- Spring Arbor University School of Nursing and Health Sciences Spring Arbor, Mich
| | - J Andrew Bird
- Southwestern Medical Center, University of Texas, Dallas, Texas
| | | | - Bruce J Lanser
- National Jewish Health Division of Pediatric Allergy and Clinical Immunology, Denver, Colo
| | - Kim Mudd
- Division of Pediatric Allergy and Immunology, Johns Hopkins, Baltimore, Md
| | - Amika Sood
- Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Ark
| | - Brian P Vickery
- Emory University and Children's Healthcare of Atlanta, Atlanta, Ga
| | - Ruchi Gupta
- Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Ill
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85
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Adamovic E, Newton P, House V. Food insecurity on a college campus: Prevalence, determinants, and solutions. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:58-64. [PMID: 32149582 DOI: 10.1080/07448481.2020.1725019] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 11/14/2019] [Accepted: 01/26/2020] [Indexed: 06/10/2023]
Abstract
Objective: Students are at risk of food insecurity. We aimed to determine: the prevalence of food insecurity among students; the variables associated with student food insecurity; and appropriate solutions. Participants: We collected data from 339 students at a large state university in the western United States between December 2016 and February 2017. Methods: We used an anonymous online survey that incorporated the USDA US Six-Item Short Food Security Survey. Results: First, 54% of respondents had been food insecure within the last year. Second, students in receipt of financial aid were significantly more likely to be food insecure. Third, respondents proposed solutions to student food insecurity that included on-campus food assistance programs, education initiatives, and off-campus food assistance programs. Conclusions: Our paper contributes to a growing body of knowledge about the extent and causes of, and solutions to, food insecurity among college students.
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Affiliation(s)
- Emilie Adamovic
- Environmental Studies Program, University of Colorado Boulder, Sustainability, Energy and Environment Community, Boulder, Colorado, USA
| | - Peter Newton
- Environmental Studies Program, University of Colorado Boulder, Sustainability, Energy and Environment Community, Boulder, Colorado, USA
| | - Veronica House
- Program for Writing and Rhetoric, University of Colorado Boulder, Boulder, Colorado, USA
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Lam S, Dodd W, Wyngaarden S, Skinner K, Papadopoulos A, Harper SL. How and why are Theory of Change and Realist Evaluation used in food security contexts? A scoping review. EVALUATION AND PROGRAM PLANNING 2021; 89:102008. [PMID: 34600337 DOI: 10.1016/j.evalprogplan.2021.102008] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 09/10/2021] [Accepted: 09/14/2021] [Indexed: 06/13/2023]
Abstract
The complex ways in which food security actions lead to nutrition and other health outcomes make it important to clarify what programs work and how, with theory-driven evaluation emerging as a promising approach to evaluate complex programs. However, it is unclear how and why theory-driven evaluation is applied in food security contexts. Our objective is to examine the development and use of Theory of Change and Realist Evaluation to support food security programs globally. Using a systematic search and screening process, we included studies that described a food security program, used a Theory of Change or Realist Evaluation, and presented original research or evaluations. We found a total of 59 relevant Theory of Change studies and eight Realist Evaluation studies. Based on our analysis, Theories of Change arose in response to three main problems: 1) the need to evaluate under complexity; 2) challenges with evaluation; and, 3) information gaps surrounding a program. In contrast, Realist Evaluation was reported to be developed primarily to understand a program's outcomes. Reflecting on the problem to be addressed in the evaluation would help improve understandings of the evaluation context, which would then inform the choice and design of an evaluation approach.
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Affiliation(s)
- Steven Lam
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada.
| | - Warren Dodd
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
| | - Sara Wyngaarden
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Kelly Skinner
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Andrew Papadopoulos
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada
| | - Sherilee L Harper
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada; School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
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Bandyopadhyay A, Haile B, Azzarri C, Somé J. Analyzing the Drivers of Household Dietary Diversity: Evidence from Burkina Faso. Food Nutr Bull 2021; 42:530-550. [PMID: 34467801 PMCID: PMC8637355 DOI: 10.1177/03795721211029092] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND The diets of millions of poor individuals lack adequate amount of essential nutrients. OBJECTIVE To examine the determinants of household dietary diversity in Burkina Faso and assess whether the choice of a diversity metric matters. METHODS Using survey data from 2014, we construct 3 metrics-Household Dietary Diversity Score (HDDS), Berry Index (BI), and Healthy Food Diversity Index (HFDI). Unlike the oft-used HDDS, the BI captures the quantity distribution of food items while the HFDI captures all 3 aspects of a healthy diet-count, quantity distribution, and health value. We fit linear (for BI and HFDI) and Poisson (for HDDS) models controlling for several socioeconomic and climatic covariates. RESULTS Some parameter estimates are sensitive to the diversity metric with fewer significant covariates observed in the HFDI model. Overall, diets are more diverse for households in urban areas, with female or better educated heads, with higher asset-based wealth and with more diverse on-farm production, while remoteness reduces dietary diversity. Higher precipitation seems to reduce diversity, potentially driven by the spatial heterogeneity in precipitation and on-farm production diversity. CONCLUSIONS The sensitivity of estimates to the metric used underscores potentially more complex interactions that determine the quantity distribution of food items consumed. Policies that enhance on-farm production diversity, market access, and women's empowerment may help improve dietary diversity and subsequent nutritional benefits. Efforts should be made to compile health value data that are relevant to developing countries facing nutrition transition.
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Affiliation(s)
| | - Beliyou Haile
- International Food Policy Research Institute, Washington, DC, USA
| | - Carlo Azzarri
- International Food Policy Research Institute, Washington, DC, USA
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Otekunrin OA, Otekunrin OA, Sawicka B, Pszczółkowski P. Assessing Food Insecurity and Its Drivers among Smallholder Farming Households in Rural Oyo State, Nigeria: The HFIAS Approach. AGRICULTURE 2021; 11:1189. [DOI: 10.3390/agriculture11121189] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
Hunger and food insecurity take center stage in most debates in Africa, and in recent times with serious concerns about Nigeria. This study assessed food insecurity among farming households in rural Oyo State, Nigeria, using cross-sectional datasets from 211 farming households through a multi-stage sampling procedure. The Household Food Insecurity Access Scale (HFIAS) module was employed in assessing food insecurity status of farming households, and the ordered logit model (OLM) was used to analyze factors influencing food insecurity among farming households. The results revealed that 12.8% of the farming households were food secure while 87.2% had varying levels of food insecurity. The OLM results indicated that age, household head’s years of schooling, gender, farm size, farm experience, non-farm income, food expenditure, and access to extension service significantly influenced food insecurity among farming households. Based on the findings, efforts should be geared towards promoting households’ education-related intervention programs in order to improve their nutrition-related knowledge that can enhance their food security status. Additionally, there should be provision of rural infrastructural facilities such as piped water, rural electrification, and healthcare service that promote healthy living and enhance households’ agricultural productivity.
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89
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Gewa CA, Stabile B, Thomas P, Onyango AC, Angano FO. Agricultural Production, Traditional Foods and Household Food Insecurity in Rural Kenya: Practice, Perception and Predictors. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2021. [DOI: 10.1080/19320248.2021.1994083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Constance Awuor Gewa
- Department of Nutrition & Food Studies, College of Health & Human Services, George Mason University, Fairfax, VA, USA
| | - Bonnie Stabile
- School of Policy, Government, and International Affairs, George Mason University, Fairfax, Va, USA
| | - Phil Thomas
- School of Policy, Government, and International Affairs, George Mason University, Fairfax, Va, USA
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90
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Piperata BA, Dufour DL. Food Insecurity, Nutritional Inequality, and Maternal–Child Health: A Role for Biocultural Scholarship in Filling Knowledge Gaps. ANNUAL REVIEW OF ANTHROPOLOGY 2021. [DOI: 10.1146/annurev-anthro-101819-110317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Food insecurity, a significant contributor to nutritional inequality, disproportionately affects women and children in low- and middle-income countries. The magnitude of the problem has inspired research on its impacts on health, especially on nutritional status and, more recently, mental well-being. Current research is dominated by surveillance-type studies that emphasize access, one of food security's four dimensions. Findings are inconclusive regarding the association between food insecurity and women and children's nutritional status, but some evidence indicates that it is a key contributor to mental distress in women. To understand these inconsistent findings, we emphasize the need for research on the strategies that people use to cope with inadequate access to food. We contend that biocultural approaches that recognize the importance of local contexts and the role of broader political-economic factors in shaping them are well suited for addressing current knowledge gaps.
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Affiliation(s)
- Barbara A. Piperata
- Department of Anthropology, The Ohio State University, Columbus, Ohio 43210, USA
| | - Darna L. Dufour
- Department of Anthropology, University of Colorado Boulder, Boulder, Colorado 80309, USA
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91
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Saha S, Behnke A, Oldewage-Theron W, Mubtasim N, Miller M. Prevalence and Factors Associated with Food Insecurity among Older Adults in Sub-Saharan Africa: A Systematic Review. J Nutr Gerontol Geriatr 2021; 40:171-196. [PMID: 34669566 DOI: 10.1080/21551197.2021.1988027] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Food insecurity has been undermining the health and well-being of a growing number of older adults in Sub-Saharan Africa. This review aimed to examine the prevalence of food insecurity and the related contributing factors of food insecurity among older adults in Sub-Saharan Africa. We used PubMed, Scopus, ScienceDirect, and Web of Science Core Collection as our search engines and included 22 articles for data extraction. Prevalence of severe and moderate food insecurity in households with older adults ranged from 6.0 to 87.3% and from 8.3 to 48.5%, respectively. Various socio-economic (e.g., low education level, being widowed, low income, lower wealth position of households, living in a rental house, living in rural areas, lack of social grants or pensions), demographic (e.g., female, Black racial group, larger family size), and health and nutrition status-related (e.g., self-reported poor health status, having a functional and mobility-related disability, psychological disorders) factors influence food insecurity in older adults in Sub-Saharan Africa. The findings of this review can help stakeholders to prioritize the issue of food insecurity, design and implement policies and programs to improve food security among older adults in Sub-Saharan Africa.
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Affiliation(s)
- Sanjoy Saha
- Pennington Biomedical Research Center, Baton Rouge, LA, USA.,School of Family and Consumer Sciences, Texas State University, San Marcos, TX, USA
| | - Andrew Behnke
- School of Family and Consumer Sciences, Texas State University, San Marcos, TX, USA
| | - Wilna Oldewage-Theron
- Department of Nutritional Sciences, Texas Tech University, Lubbock, TX, USA.,Office of the Dean, Faculty of Natural and Agricultural Sciences, University of the Free State, Bloemfontein, South Africa
| | - Noshin Mubtasim
- Department of Biological Sciences, Texas Tech University, Lubbock, TX, USA
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92
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Ickes SB, Craig C, Heidkamp R. Design Factors for Food Supplementation and Nutrition Education Interventions That Limit Conclusions about Effectiveness for Wasting Prevention: A Scoping Review of Peer-Reviewed Literature. Adv Nutr 2021; 13:328-341. [PMID: 34666351 PMCID: PMC8803494 DOI: 10.1093/advances/nmab107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 05/04/2021] [Accepted: 09/07/2021] [Indexed: 11/13/2022] Open
Abstract
We conducted a scoping review to characterize the evidence base for the effectiveness of food supplementation (FS), nutrition education (NE), or FS/NE interventions to prevent wasting among children aged 6 to 59 mo. We aimed to identify gaps in peer-reviewed literature and to develop recommendations for strengthening study designs. We identified 56 unique studies (FS = 21, NE = 19, FS/NE = 16) for which we assessed intervention design factors, implementation context, evaluation methods, and wasting impact. Compared with studies focused on stunting, fewer wasting-focused studies reported weight-for-height z score (WHZ). Midupper arm circumference (MUAC) was more commonly reported in wasting-focused studies (71.4%) than those focused on stunting (36.8%) or wasting and stunting (30.4%). FS studies measured anthropometry (mean, 95% CI) more frequently at every 11.3 (7.8, 14.8) wk than NE interventions at 36.3 (8.8, 62.1) wk (P = 0.036), but not FS/NE interventions at 25.8 (5.6, 49.1) wk (P = 0.138). NE interventions tended to be of longer duration than FS or FS/NE interventions. Only 6 studies followed and measured children after the intervention period ended. Across all studies, 45% reported a significant effect on wasting; these included FS, NE, and FS/NE interventions. The lack of comparability across studies limits conclusions about the effectiveness of specific types of interventions. To build a more unified evidence base for wasting prevention we recommend that future studies 1) report on a consistent set of metrics, including MUAC; 2) attempt to measure change in wasting incidence using more frequent measures; 3) measure wasting prevalence among the general population; 4) follow children postintervention to assess relapse; 5) measure food insecurity and diet quality; and 6) use harmonized protocols across multiple settings. Such efforts to improve study comparability will strengthen the evidence base, may help unite divergent professional communities, and ultimately accelerate progress toward eliminating child undernutrition.
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Affiliation(s)
| | | | - Rebecca Heidkamp
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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93
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Akparibo R, Aryeetey RNO, Asamane EA, Osei-Kwasi HA, Ioannou E, Infield Solar G, Cormie V, Pereko KK, Amagloh FK, Caton SJ, Cecil JE. Food Security in Ghanaian Urban Cities: A Scoping Review of the Literature. Nutrients 2021; 13:nu13103615. [PMID: 34684616 PMCID: PMC8540338 DOI: 10.3390/nu13103615] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 09/27/2021] [Accepted: 10/04/2021] [Indexed: 11/23/2022] Open
Abstract
Urbanisation in Ghana could be negatively impacting the state of food security, especially in economically vulnerable groups. Food supply, safety, and quality are all aspects of food security which could be impacted. We conducted a scoping literature review to understand the nature and magnitude of evidence available on the urban food security situation in Ghana. A literature search was conducted in Medline, CINAHL, Embase, Global Health, Scopus, Web of Science, Africa Wide Information and Google Scholar to identify relevant peer-reviewed and grey literature. 45 studies, mainly cross-sectional surveys/food samples analysis, met the inclusion criteria. The majority of studies were concentrated in the Greater Accra Region (n = 24). Most studies focused on food safety and quality (n = 31). Studies on supply and stability were, however, scarce. Qualitative research methods were uncommon in the included studies. The existing literature on food security are concentrated in two regions: The Greater Accra and Ashanti regions. Future studies exploring food security in urban Ghana should focus on exploring the lived experiences and perceptions of food insecurity and food stability by urban-dwellers using qualitative methods. The evidence suggesting that the safety/quality of foods sold in Ghanaian markets is poor should be a concern to consumers and policy makers.
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Affiliation(s)
- Robert Akparibo
- School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK; (E.I.); (S.J.C.)
- Correspondence: (R.A.); (J.E.C.)
| | | | - Evans Atiah Asamane
- Institute of Applied Health, University of Birmingham, Birmingham B15 2TT, UK;
| | | | - Elysa Ioannou
- School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK; (E.I.); (S.J.C.)
- Sports and Physical Activity Research Centre, Sheffield Hallam University, Sheffield S1 1WB, UK
| | | | - Vicki Cormie
- University Library, University of St Andrews, St Andrews KY16 9AJ, UK;
| | | | - Francis Kweku Amagloh
- Food Science and Technology Department, University for Development Studies, Tamale, Ghana;
| | - Samantha J. Caton
- School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK; (E.I.); (S.J.C.)
| | - Joanne E. Cecil
- School of Medicine, University of St Andrews, St Andrews KY16 9AJ, UK
- Correspondence: (R.A.); (J.E.C.)
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94
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Janda KM, Ranjit N, Salvo D, Nielsen A, Akhavan N, Diaz M, Lemoine P, Casnovsky J, van den Berg A. A Multi-Pronged Evaluation of a Healthy Food Access Initiative in Central Texas: Study Design, Methods, and Baseline Findings of the FRESH-Austin Evaluation Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10834. [PMID: 34682578 PMCID: PMC8535966 DOI: 10.3390/ijerph182010834] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/29/2021] [Accepted: 10/13/2021] [Indexed: 11/17/2022]
Abstract
Food insecurity and limited healthy food access are complex public health issues and warrant multi-level evaluations. The purpose of this paper was to present the overall study design and baseline results of the multi-pronged evaluation of a healthy food access (i.e., Fresh for Less (FFL)) initiative in Central Texas. The 2018-2021 FRESH-Austin study was a natural experiment that utilized a cluster random sampling strategy to recruit three groups of participants (total n = 400): (1) customers at FFL assets, (2) residents that lived within 1.5 miles of an FFL asset, and (3) residents from a comparison community. Evaluation measures included annual cohort surveys, accelerometers and GPS devices, store-level audits, and built environment assessments. Data are being used to inform and validate an agent-based model (ABM) to predict food shopping and consumption behaviors. Sociodemographic factors and food shopping and consumption behaviors were similar across the three groups; however, customers recruited at FFL assets were lower income and had a higher prevalence of food insecurity. The baseline findings demonstrate the need for multi-level food access interventions, such as FFL, in low-income communities. In the future, ABM can be used as a cost-effective way to determine potential impacts of future large-scale food environment programs and policies.
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Affiliation(s)
- Kathryn M. Janda
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Nalini Ranjit
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Deborah Salvo
- Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA;
| | - Aida Nielsen
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Nika Akhavan
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Martha Diaz
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Pablo Lemoine
- Centro Nacional de Consultoría, Bogotá 110221, Colombia;
| | | | - Alexandra van den Berg
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (N.A.); (M.D.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
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95
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Westerveld JJL, van den Homberg MJC, Nobre GG, van den Berg DLJ, Teklesadik AD, Stuit SM. Forecasting transitions in the state of food security with machine learning using transferable features. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 786:147366. [PMID: 33971600 DOI: 10.1016/j.scitotenv.2021.147366] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 03/14/2021] [Accepted: 04/22/2021] [Indexed: 06/12/2023]
Abstract
Food insecurity is a growing concern due to man-made conflicts, climate change, and economic downturns. Forecasting the state of food insecurity is essential to be able to trigger early actions, for example, by humanitarian actors. To measure the actual state of food insecurity, expert and consensus-based approaches and surveys are currently used. Both require substantial manpower, time, and budget. This paper introduces an extreme gradient-boosting machine learning model to forecast monthly transitions in the state of food security in Ethiopia, at a spatial granularity of livelihood zones, and for lead times of one to 12 months, using open-source data. The transition in the state of food security, hereafter referred to as predictand, is represented by the Integrated Food Security Phase Classification Data. From 19 categories of datasets, 130 variables were derived and used as predictors of the transition in the state of food security. The predictors represent changes in climate and land, market, conflict, infrastructure, demographics and livelihood zone characteristics. The most relevant predictors are found to be food security history and surface soil moisture. Overall, the model performs best for forecasting Deteriorations and Improvements in the state of food security compared to the baselines. The proposed method performs (F1 macro score) at least twice as well as the best baseline (a dummy classifier) for a Deterioration. The model performs better when forecasting long-term (7 months; F1 macro average = 0.61) compared to short-term (3 months; F1 macro average = 0.51). Combining machine learning, Integrated Phase Classification (IPC) ratings from monitoring systems, and open data can add value to existing consensus-based forecasting approaches as this combination provides longer lead times and more regular updates. Our approach can also be transferred to other countries as most of the data on the predictors are openly available from global data repositories.
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Affiliation(s)
- Joris J L Westerveld
- TNO Defense, Security and Safety, the Netherlands; Department of Experimental Psychology, Utrecht University, the Netherlands; 510, an initiative of the Netherlands Red Cross, the Netherlands.
| | | | - Gabriela Guimarães Nobre
- Institute for Environmental Studies (IVM), Vrije Universiteit Amsterdam, the Netherlands; World Food Programme, Research, Assessment and Monitoring Division, Italy
| | | | - Aklilu D Teklesadik
- 510, an initiative of the Netherlands Red Cross, the Netherlands; Vrije Universiteit Brussel, Belgium
| | - Sjoerd M Stuit
- Department of Experimental Psychology, Utrecht University, the Netherlands
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96
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Zheng S, Ngo AL, Forman MR, Barcellos AL, Liao L, Ferrara A, Zhu Y. Associations of household food insufficiency with childhood depression and anxiety: a nationwide cross-sectional study in the USA. BMJ Open 2021; 11:e054263. [PMID: 34493526 PMCID: PMC8424875 DOI: 10.1136/bmjopen-2021-054263] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Household food insufficiency (HFIS) is a major public health threat to children. Children may be particularly vulnerable to HFIS as a psychological stressor due to their rapid growth and accelerated behavioural and cognitive states, whereas data focusing on HFIS and childhood mental disorders are as-yet sparse. We aimed to examine the associations of HFIS with depression and anxiety in US children. DESIGN Cross-sectional study. SETTING The 2016-2018 National Survey of Children's Health, a nationally-representative study. PARTICIPANTS Primary caregivers of 102 341 children in the USA. PRIMARY AND SECONDARY OUTCOME MEASURES Physician diagnosed depression and anxiety were assessed by questionnaires administered to primary caregivers of 102 341 children. Multivariable logistic regression models estimated adjusted OR (aOR) for current depression or anxiety associated with HFIS measured through a validated single-item instrument. RESULTS Among children aged 3-17 years, 3.2% and 7.4% had parent-reported physician-diagnosed current depression and anxiety, respectively. Compared with children without HFIS, children with HFIS had approximately twofold higher weighted prevalence of anxiety or depression. After adjusting for covariates, children with versus without HFIS had a 1.53-fold (95% CI 1.15 to 2.03) and 1.48-fold (95% CI 1.20 to 1.82) increased odds of current depression and anxiety, respectively. Associations were slightly more pronounced among girls (aOR (95% CI): depression 1.69 (1.16 to 2.48); anxiety 1.78 (1.33 to 2.38)) than boys (1.42 (0.98 to 2.08); 1.32 (1.00 to 1.73); both P-for-interaction <0.01). The associations did not vary by children's age or race/ethnicity. CONCLUSIONS HFIS was independently associated with depression and anxiety among US children. Girls presented slightly greater vulnerability to HFIS in terms of impaired mental health. Children identified as food-insufficient may warrant mental health assessment and possible intervention. Assessment of HFIS among children with impaired mental health is also warranted. Our findings also highlight the importance of promptly addressing HFIS with referral to appropriate resources and inform its potential to alleviate childhood mental health issues.
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Affiliation(s)
- Siwen Zheng
- School of Public Health, University of California Berkeley, Berkeley, California, USA
| | - Amanda L Ngo
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Michele R Forman
- Department of Nutrition Science, Purdue University, West Lafayette, Indiana, USA
| | - Anna L Barcellos
- School of Public Health, University of California Berkeley, Berkeley, California, USA
| | - Lauren Liao
- School of Public Health, University of California Berkeley, Berkeley, California, USA
| | - Assiamira Ferrara
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Yeyi Zhu
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA
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97
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Abstract
BACKGROUND Food insecurity (FI) is an important public health issue for US veterans. For many veterans, civilian life is fraught with service-incurred health issues and socioeconomic challenges, each risk factors for FI. The FI literature on veterans is limited due to insufficient coverage of the topic's complexity and the methods used to study it in this population. No published analysis has evaluated how FI has been examined in US veterans. OBJECTIVES We assessed how FI has been examined in US military veterans by identifying (1) the major content areas, or domains, studied in association with FI and (2) the existing research gaps. METHODS A scoping literature review was conducted to map the main research domains of the FI literature and identify knowledge gaps. Electronic database and hand searches identified potentially relevant studies (n = 61). Data extraction, utilizing a standardized set of design parameters, was completed. Duplicate removal and application of inclusion/exclusion criteria resulted in the studies (n = 21) selected for critical review. RESULTS Eight research domains were determined: FI prevalence, health status, dietary practices, health care utilization, economic instability, homelessness/housing instability, food program participation, and community/emergency preparedness-the most dominant was health status and the least dominant were social determinants (ie, homelessness/housing instability, food program participation). Research on validity and usability of FI assessment methods in veterans was virtually absent. Military service factors, longitudinal effects, FI among women, intervention effectiveness, and other areas lacked sufficient inquiry. CONCLUSION Research is required on lesser examined content areas and methodology to optimize surveillance and policy for veteran FI.
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Affiliation(s)
- Yasmin S Cypel
- Epidemiology Program, Post-Deployment Health Services (12POP5), Office of Patient Care Services, 8267US Department of Veterans Affairs, Veterans Health Administration, Washington, DC, USA
| | - Jodie G Katon
- 49462US Department of Veterans Affairs (VA) Puget Sound Health Care System, Health Services Research and Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, WA, USA.,Department of Health Services, University of Washington School of Public Health, Seattle, WA, USA
| | - Mark B Schure
- Department of Health & Human Development, 1705Montana State University, Bozeman, MT, USA
| | - Shanna Smith
- Epidemiology Program, Post-Deployment Health Services (12POP5), Office of Patient Care Services, 8267US Department of Veterans Affairs, Veterans Health Administration, Washington, DC, USA
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98
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99
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Ali M, Amin MR, Jarl J, Chisholm N, Saha S. Maternal health status and household food security on determining childhood anemia in Bangladesh -a nationwide cross-sectional study. BMC Public Health 2021; 21:1581. [PMID: 34418981 PMCID: PMC8380337 DOI: 10.1186/s12889-021-11581-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 08/02/2021] [Indexed: 11/21/2022] Open
Abstract
Background The aim of this study was to examine the effect of household food security on childhood anemia in Bangladesh while controlling for socioeconomic and demographic factors. Methods We used nationally representative Bangladesh Demographic Health Survey (BDHS) 2011 data for this study, the only existing survey including anemia information and household food security. The sample included 2171 children aged 6–59 months and their mothers. Differences between socioeconomic and demographic variables were analyzed using Chi-square test. Univariate and multivariate logistic regression analyses were performed to estimate the effects of different socioeconomic and demographic factors on childhood anemia. We also performed mediation analysis to examine the direct and indirect effect of household food security on childhood anemia. Results In Bangladesh, 53% male (95% CI: 50–56) and 51% female (95% CI: 47–54) children aged 6–59 months were anemic in 2011. The food insecure households have 1.20 times odds (95% CI: 0.97–1.48) of having anemic children comparing to food secure households in the unadjusted model. On the other hand, anemic mothers have 2 times odds (95% CI: 1.67–2.44) of having anemic children comparing to non-anemic mothers. However, household food security is no longer significantly associated with childhood anemia in the adjusted model while mothers’ anemia remained a significant factor (OR 1.87: 95% CI: 1.53–2.29). Age of children is the highest associated factor, and the odds are 4.89 (95% CI: 3.21–7.45) for 6–12 months old children comparing to 49–59 months in the adjusted model. Stunting and household wealth are also a significant factor for childhood anemia. Although food security has no significant direct effect on childhood anemia, maternal anemia and childhood stunting mediated that relationship. Conclusions Future public health policies need to focus on improving mothers’ health with focusing on household food security to eliminate childhood anemia. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11581-3.
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Affiliation(s)
- Masum Ali
- Department of Food Business and Development, O'Rahilly Building, University College Cork, Cork, Ireland
| | - Md Ruhul Amin
- Institute of Nutrition and Food Science (INFS), University of Dhaka, Dhaka, 1000, Bangladesh
| | - Johan Jarl
- Department of Clinical Science (Malmö), Health Economics Unit, Lund University, Medicon Village, Scheelevagen 2, SE-223 63, Lund, Sweden
| | - Nick Chisholm
- Department of Food Business and Development, O'Rahilly Building, University College Cork, Cork, Ireland.,Center for Global Development and Department of Food Business and Development, O'Rahilly Building, University College Cork, Cork, Ireland
| | - Sanjib Saha
- Department of Clinical Science (Malmö), Health Economics Unit, Lund University, Medicon Village, Scheelevagen 2, SE-223 63, Lund, Sweden.
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100
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Byker Shanks C, Calloway EE, Parks CA, Yaroch AL. Scaling up measurement to confront food insecurity in the USA. Transl Behav Med 2021; 10:1382-1389. [PMID: 33277900 DOI: 10.1093/tbm/ibaa112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
It is necessary to scale up measurement in order to confront the persisting problem of food insecurity in the United States (USA). The causes and consequences around food insecurity are briefly described in order to frame the complexity of the public health issue and demonstrate need for expanded measurement approaches. We assert that measurement of food security in the USA is currently based upon a core set of rigorous metrics and, moving forward, should also constitute a supplemental registry of measures to monitor and address variables that are associated with increased risk for food insecurity. Next, we depict dietary quality as a primary example of the power of measurement to make significant progress in our understanding and management of food insecurity. Finally, we discuss the translational implications in behavioral medicine required to make progress on achieving food security for all in the USA.
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Affiliation(s)
- Carmen Byker Shanks
- Department of Health and Human Development, Montana State University, Bozeman, MT, USA
| | | | | | - Amy L Yaroch
- Gretchen Swanson Center for Nutrition, Omaha, NE, USA
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