1
|
White BM, Jacobs MM, Ellis C. Food Insufficiency and Coping Resources among Women: Postpandemic Racial, Ethnic, and Household Disparities. J Womens Health (Larchmt) 2024. [PMID: 38990202 DOI: 10.1089/jwh.2023.0788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/12/2024] Open
Abstract
Background: Empirical evidence shows women are more likely to report food hardship (e.g., food insufficiency and food insecurity) compared with men. Coronavirus disease-19 exacerbated these gender disparities; however, the impact of postpandemic social/economic/regulatory changes on women's food sufficiency and coping strategies has not been examined. This study evaluates factors associated with food insufficiency among women postpandemic. Methods: This study used a cross-sectional study design and analyzed data from the U.S. Census Bureau's Household Pulse Survey. Variations in the likelihood of food insufficiency by age, income, household composition, race/ethnicity, region, metropolitan status, and employment status among women were evaluated using logistic regression with state-level response clustering. Among women reporting food insufficiency, associations between these characteristics and likelihood of utilizing food assistance programs and/or donated foods were assessed. Interaction terms accounted for the intersectional nature of these characteristics. Results: Compared with White women, Black (odds ratio [OR] = 1.66, confidence interval [CI] = 1.47, 1.88) and Hispanic (OR = 1.77, CI = 1.52, 2.07) women were more likely to report food insufficiency. These likelihoods were higher in households earning <$100,000 (Black OR = 13.17, CI = 10.82, 16.02; Hispanic OR = 9.32, CI = 7.72, 11.25) and <$35,000 (Black OR = 8.65, CI = 15.31, 22.71; Hispanic OR = 17.86, CI = 3.64, 23.40). Racial/ethnic differences were observed among households with children; no effects appeared in multi-adult households. Food-insufficient Black (OR = 3.74, CI = 2.23, 6.28) and Hispanic (OR = 1.36, CI = 0.79, 2.36) women were more likely to use food assistance programs than Whites. Food-insufficient Hispanic women were more likely to use donated foods (OR = 2.71, CI = 1.84, 3.99). Conclusion: Food insufficiency among low-income Black and Hispanic women, particularly those with children, is likely to have persisted postpandemic, suggesting a high likelihood of dietary deficits in these households. Additional resources should be dedicated to meet the dietary needs of women and children in vulnerable households.
Collapse
Affiliation(s)
- Brandi M White
- College of Health Sciences, University of Kentucky, Lexington, Kentucky, USA
| | - Molly M Jacobs
- College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA
| | - Charles Ellis
- College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA
| |
Collapse
|
2
|
Ro S, Pham NH, Huynh VN, Wafford QE, Vu M. Food insecurity among Asian Americans: A scoping review protocol. PLoS One 2023; 18:e0287895. [PMID: 37399223 DOI: 10.1371/journal.pone.0287895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 06/13/2023] [Indexed: 07/05/2023] Open
Abstract
INTRODUCTION Food insecurity is prevalent in the U.S. and is associated with deleterious health, behavioral, and social consequences. Food insecurity is currently addressed largely through public and private food assistance programs (e.g., the Supplementary Nutrition Assistance Program, and food pantries). A body of research has explored racial and ethnic disparities and differences in food insecurity and coping strategies. However, limited literature has explored these experiences among Asian Americans and Asian origin groups in the United States. OBJECTIVE The aim of this review is to establish what is known about the experience of food insecurity and nutrition program participation in the Asian American population and among Asian origin groups and to suggest further research and policy action to better address food insecurity in this population. METHODS Our review is guided by the methodological framework proposed by Arksey and O'Malley and refined and outlined by Levac and colleagues and the Joanna Briggs Institute. We will search key terms related to food insecurity and Asian Americans in Medline (Ovid), the Cochrane Library (Wiley), CINAHL Plus with Full Text (Ebsco), PsycINFO (Ebsco), and Scopus (Elsevier). An article will be included if it was published in the English language; is a peer reviewed research manuscript and reports primary research findings from analyses; and describes food insecurity or strategies to cope with food insecurity among individuals of Asian origins living in the U.S. An article will be excluded if it is a book, conference proceedings, or grey literature (e.g., thesis or dissertation); is a commentary, editorial, or opinion piece without primary research data; contains only research conducted outside of the U.S.; includes Asians in the sample but does not provide separate data on food insecurity or strategies to cope with food insecurity among Asians; and describes only dietary changes or patterns but not food insecurity. Two or more reviewers will participate in the study screening and selection process. We will record information from the final articles chosen to be included in the review in a data table template and will also prepare a summary narrative with key findings. EXPECTED OUTPUTS Results will be disseminated through peer-reviewed publications and conference presentations. The findings from this review will be of interest to researchers and practitioners and inform further research and policy to better address food insecurity among this population.
Collapse
Affiliation(s)
- Suji Ro
- Weinberg College of Arts and Sciences, Northwestern University, Evanston, Illinois, United States of America
| | - Nhat-Ha Pham
- College of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | - Victoria N Huynh
- Emory College of Arts & Sciences, Emory University, Atlanta, Georgia, United States of America
| | - Q Eileen Wafford
- Galter Health Sciences Library & Learning Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America
| | - Milkie Vu
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States of America
| |
Collapse
|
3
|
Allard SW, Wathen MV, Danziger SK. The Spatial Context of Food Assistance: Examining Local Food Assistance Environment in the Context of SNAP. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022. [DOI: 10.1080/19320248.2021.1934214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Scott W. Allard
- Evans School of Public Policy and Governance, University of Washington, Seattle, WA United States
| | - Maria V. Wathen
- School of Social Work, Loyola University Chicago, Chicago, IL United States
| | - Sandra K. Danziger
- School of Social Work, University of Michigan, Ann Arbor, MI United States
| |
Collapse
|
4
|
Blumberg R, Fowler E, Bai Y, Lal P, Smolen A, Dubrovsky I. An Investigation of Social Ecological Barriers to and Facilitators of WIC Farmers Market Nutrition Program Voucher Redemption. Nutrients 2022; 14:1871. [PMID: 35565837 PMCID: PMC9099787 DOI: 10.3390/nu14091871] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 03/21/2022] [Accepted: 03/24/2022] [Indexed: 02/04/2023] Open
Abstract
In the United States, many communities lack sufficient access to fresh produce. To improve access to fresh fruits and vegetables, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides eligible participants vouchers through the Farmers Market Nutrition Program (FMNP) that can be redeemed directly from farmers at markets or farm stands. However, FMNP voucher redemption rates in New Jersey remain lower than those in neighboring states. This article used the social ecological model to examine differences between FMNP participants who redeem vouchers (Redeemers) and those who do not (non-Redeemers) in the areas of: produce procurement practices and consumption frequency, and barriers to and facilitators of FMNP voucher redemption. This cross-sectional study included WIC FMNP participants (N = 329) in northern New Jersey, USA. Analyses were conducted using descriptive statistics, independent sample t-tests, and one-way ANOVA. Compared to Redeemers, non-Redeemers consumed fewer average daily vegetable servings, were more likely to shop at small grocery/corner stores, and encountered significant barriers to FMNP redemption, e.g., difficulty finding time to redeem vouchers.
Collapse
Affiliation(s)
- Renata Blumberg
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA; (E.F.); (Y.B.); (A.S.); (I.D.)
| | - Emily Fowler
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA; (E.F.); (Y.B.); (A.S.); (I.D.)
| | - Yeon Bai
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA; (E.F.); (Y.B.); (A.S.); (I.D.)
| | - Pankaj Lal
- Department of Earth and Environmental Studies, Clean Energy and Sustainability Analytics Center, Montclair State University, Montclair, NJ 07043, USA;
| | - Alyssa Smolen
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA; (E.F.); (Y.B.); (A.S.); (I.D.)
| | - Ilana Dubrovsky
- Department of Nutrition and Food Studies, Montclair State University, Montclair, NJ 07043, USA; (E.F.); (Y.B.); (A.S.); (I.D.)
| |
Collapse
|
5
|
Bleich SN, Moran AJ, Vercammen KA, Frelier JM, Dunn CG, Zhong A, Fleischhacker SE. Strengthening the Public Health Impacts of the Supplemental Nutrition Assistance Program Through Policy. Annu Rev Public Health 2021; 41:453-480. [PMID: 32237988 DOI: 10.1146/annurev-publhealth-040119-094143] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The US Department of Agriculture (USDA) Supplemental Nutrition Assistance Program (SNAP) is the cornerstone of the US nutrition safety net. Each month, SNAP provides assistance to 40 million low-income Americans-nearly half of them children. A number of changes could strengthen the public health impacts of SNAP. This review first presents a framework describing the mechanisms through which SNAP policy can influence public health, particularly by affecting the food security, the diet quality, and, subsequently, the health of SNAP participants. We then discusspolicy opportunities with the greatest potential to strengthen the public health impacts of SNAP, organized into three areas: (a) food production and distribution, (b) benefit allocation, and (c) eligibility and enrollment. For each section, we describe current policy and limitations of the status quo, suggest evidence-based opportunities for policy change to improve public health, and identify important areas for future research.
Collapse
Affiliation(s)
- Sara N Bleich
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts 02115, USA; , ,
| | - Alyssa J Moran
- Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA;
| | - Kelsey A Vercammen
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts 02115, USA;
| | - Johannah M Frelier
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts 02115, USA; , ,
| | - Caroline G Dunn
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts 02115, USA; , ,
| | - Anthony Zhong
- Harvard College, Harvard University, Cambridge, Massachusetts 02138, USA;
| | | |
Collapse
|
6
|
Hosler AS, Cong X, Alharthy A. Food Pantry Use and Its Association with Food Environment and Food Acquisition Behavior among Urban Adults. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2020. [DOI: 10.1080/19320248.2020.1848687] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Akiko S. Hosler
- Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Renssselaer, New York, USA
| | - Xiao Cong
- Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Renssselaer, New York, USA
- Parexel China Co. Ltd. Beijing Branch, Beijing, People’s Republic of China
| | - Amani Alharthy
- Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Renssselaer, New York, USA
- Department of Epidemiology, Princess Nourah Bint Abdulrahman University College of Health and Rehabilitation Sciences, Riyadh, Saudi Arabia
| |
Collapse
|
7
|
Morrissey TW, Miller DP. Supplemental Nutrition Assistance Program Participation Improves Children's Health Care Use: An Analysis of the American Recovery and Reinvestment Act's Natural Experiment. Acad Pediatr 2020; 20:863-870. [PMID: 31785378 DOI: 10.1016/j.acap.2019.11.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 11/13/2019] [Accepted: 11/22/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To examine the impact of increased Supplemental Nutrition Assistance Program (SNAP) benefit levels as provided by the American Recovery and Reinvestment Act (ARRA) beginning in April 2009 on the health care use and health care needs of participating children. METHODS Difference-in-differences analysis compared changes in health care use and needs between children in SNAP-eligible households and those in low-income but SNAP-ineligible households before and after ARRA's implementation, using data from the nationally representative National Health Interview Survey (NHIS). Survey respondents reported on children's health care use and outstanding health care needs. Our sample included approximately 38,500 children in low-income households who completed the core NHIS, and a subsample of 15,000 sample children who reported additional information. RESULTS Approximately 6% of low-income children had delayed care due to cost. Three percent and 4% of children in low-income households and low-income single-parent households, respectively, reported needing health care but not being able to afford it. The increase in SNAP benefits was associated with a 65% reduction in outstanding medication needs due to affordability among SNAP-eligible children, relative to low-income, ineligible children. There was also a reduction in the likelihood that children had seen a general doctor in the last year. Among children in single-parent households, SNAP benefit expansion was associated with a 3.2 percentage point decrease in needing but not being able to afford health care. CONCLUSIONS Findings suggest that even a small increase in household resources leads to reductions in outstanding health care needs due to affordability, particularly among children.
Collapse
Affiliation(s)
- Taryn W Morrissey
- School of Public Affairs, American University (TW Morrissey), Washington, DC.
| | - Daniel P Miller
- School of Social Work, Boston University (DP Miller), Boston, Mass
| |
Collapse
|
8
|
Addressing Food Insecurity: An Evaluation of Factors Associated with Reach of a School-Based Summer Meals Program. J Acad Nutr Diet 2020; 120:1715-1721. [PMID: 32631670 DOI: 10.1016/j.jand.2020.04.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Accepted: 04/01/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND One in six US households with children experiences food insecurity, with higher rates in the summer. Approximately 3 million children receive free meals each summer weekday through the US Department of Agriculture's Summer Nutrition Programs. However, participation in these programs has been declining in recent years and is lower than participation in programs that serve free or reduced-price meals during the school year. OBJECTIVE To identify school and site characteristics associated with greater reach by school-based free summer meals program sites. DESIGN This observational study combined program data, public school data, and Google Maps data to determine factors associated with site reach. PARTICIPANTS/SETTING LunchStop Summer Meals Program sites (N=100) and schools at which they were based during summer 2018 in Chicago, IL. MAIN OUTCOME MEASURES Reach of sites was measured by the mean daily meals served at each site throughout summer 2018. STATISTICAL ANALYSES PERFORMED Associations between site reach and each independent variable were evaluated using Mann-Whitney tests and simple linear regressions. Variables significantly associated with site reach in bivariate analyses (P<0.05) were included in a multivariate linear regression. RESULTS In bivariate analyses, sites with greater reach were significantly more likely to be based at schools with higher attendance percentages, higher percentages of Hispanic/Latino students, larger student populations, and locations in a network of southwest Chicago schools. Those with greater reach were also significantly more likely to have continuity in program staff and more years of site operation (all P values ≤0.01). The last four factors remained significant in multivariate analysis. CONCLUSIONS School-based summer meals programs may be able to reach more vulnerable children by taking into account continuity among sites and staff. Further research is needed to clarify whether the relationships between these variables and increased reach is causal.
Collapse
|
9
|
Patient experiences and provider perspectives on a hospital-based food pantry: a mixed methods evaluation study. Public Health Nutr 2019; 22:3261-3269. [DOI: 10.1017/s1368980019002040] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
AbstractObjective:The purpose of this evaluation study was to identify strengths and opportunities for improvement in programme functioning and common aspects of patients’ experiences at a hospital-based food pantry.Design:Semi-structured, in-depth interviews with patients and a cross-sectional survey for providers were used. Interview transcripts were coded using both inductive and deductive approaches and assessed for inter-rater reliability. Descriptive statistics were produced from quantitative data.Setting:An academic urban safety-net hospital in the Northeastern US offering inpatient and outpatient services.Participants:Thirty patients and 89 providers.Results:Patients expressed feeling comfortable, trusting the food, high satisfaction with food quality, convenience, and lack of stigma at the hospital-based pantry. Patients mentioned the pantry helped them eat more fruits and vegetables, but expressed concerns about the healthfulness of other foods distributed. Providers believed they should discuss food insecurity (FI) with patients (99 %) and that the pantry improves the health of patients (97 %), but faced barriers to consistently screening for FI and referring patients to the pantry, such as insufficient training on FI (53 %) and time constraints (35 %).Conclusions:Findings suggest hospital-based food pantries may have several advantages. Hospitals with onsite food pantries must work to eliminate barriers to FI screening and pantry referral. To optimize their impact, such pantries should develop nutritional guidelines for food donations and connect patients with nutrition education resources. Future research should examine health outcomes for patients using hospital-based food pantries.
Collapse
|
10
|
Vaterlaus JM, Cottle NM, Patten EV, Gibbons R. Understanding Customers: The Jobs to Be Done Theory Applied in the Context of a Rural Food Pantry. J Acad Nutr Diet 2018; 118:1895-1902. [DOI: 10.1016/j.jand.2018.02.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 02/14/2018] [Indexed: 10/17/2022]
|
11
|
Heflin C, Price A. Food pantry assistance and the great recession. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2018. [DOI: 10.1080/19320248.2018.1434099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
12
|
Greenwald HP, Zajfen V. Food Insecurity and Food Resource Utilization in an Urban Immigrant Community. J Immigr Minor Health 2017; 19:179-186. [PMID: 26691739 DOI: 10.1007/s10903-015-0331-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Risk and prevalence of food insecurity and use of food security resources are important but incompletely understood factors in immigrant health. Key informant interviews and a survey (N = 809) of housing units were conducted in a San Diego, California neighborhood with a high proportion of immigrant and low income families. The difference in food insecurity between immigrant and non-immigrant households was non-significant (20.1 vs. 15.7 %, p = n.s.), though immigrant families were more likely to use food security resources such as SNAP (32.7 vs. 22.9 %, p < .01) and food pantries (28.2 vs. 19.7 %, p < .001). Among immigrants, neither national origin nor years in the United States predicted food insecurity or use of most food security resources. In immigrant families, food insecurity often remains a challenge long after immigration, suggesting a potentially increasing need for food security resources as immigration into the United States continues.
Collapse
Affiliation(s)
- Howard P Greenwald
- Sol Price School of Public Policy, University of Southern California, 650 Childs Way, Los Angeles, CA, 90089, USA.
| | | |
Collapse
|
13
|
Simmet A, Depa J, Tinnemann P, Stroebele-Benschop N. The Dietary Quality of Food Pantry Users: A Systematic Review of Existing Literature. J Acad Nutr Diet 2017; 117:563-576. [DOI: 10.1016/j.jand.2016.08.014] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Accepted: 08/18/2016] [Indexed: 10/20/2022]
|
14
|
Simmet A, Depa J, Tinnemann P, Stroebele-Benschop N. The Nutritional Quality of Food Provided from Food Pantries: A Systematic Review of Existing Literature. J Acad Nutr Diet 2016; 117:577-588. [PMID: 27727101 DOI: 10.1016/j.jand.2016.08.015] [Citation(s) in RCA: 110] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 08/18/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND In many affluent countries, food-insecure households use food pantries to keep their family fed. The long-term dependence of many users on these programs calls for a systematic review of studies on the nutritional quality of food provided by food pantries. OBJECTIVE The purpose of this systematic review was to summarize the current scientific evidence about the nutritional quality of food bags distributed by food pantries. METHODS A systematic literature search was conducted in the electronic databases PubMed, PsycINFO, PsycARTICLES, and Psychology Behavioral Sciences Collection to identify cross-sectional, cohort, and intervention studies reporting baseline data conducted in high-income countries and published between 1980 and 2015, which reported the nutritional quality of food bags distributed by food pantries. Identified citations were screened in two stages and data were independently extracted by two authors using a predefined data sheet. The quality of included studies was evaluated using criteria of an adapted Ottawa Scale. The systematic review was reported in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. RESULTS Applying the two-stage screening, 9 of 1,546 articles were identified for inclusion. Nutritional quality of food bags varied widely between and within studies. Milk products, vitamins A and C, and calcium were provided in particularly low amounts. None of the studies were nationally representative and only a few studies controlled for the household composition of the recipients of food bags. CONCLUSION Food pantries likely have a strong influence on users' diets, but the food pantries examined in the selected studies were largely unable to support healthy diets. The distribution of more perishable foods would increase users' diet quality and may have an immense potential to address malnutrition in vulnerable population groups.
Collapse
|
15
|
Pinard CA, Bertmann FMW, Byker Shanks C, Schober DJ, Smith TM, Carpenter LC, Yaroch AL. What Factors Influence SNAP Participation? Literature Reflecting Enrollment in Food Assistance Programs From a Social and Behavioral Science Perspective. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016. [DOI: 10.1080/19320248.2016.1146194] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- C. A. Pinard
- Gretchen Swanson Center for Nutrition, Omaha, Nebraska, USA
| | - F. M. W. Bertmann
- Department of Nutrition and Food Sciences, University of Vermont, Burlington, Vermont, USA
| | - C. Byker Shanks
- Department of Health and Human Development, Montana State University, Bozeman, Montana, USA
| | - D. J. Schober
- DePaul University, Chicago, Illinois, USA
- University of Nebraska Medical Center, College of Public Health, Omaha, Nebraska, USA
| | - T. M. Smith
- Gretchen Swanson Center for Nutrition, Omaha, Nebraska, USA
| | | | - A. L. Yaroch
- Gretchen Swanson Center for Nutrition, Omaha, Nebraska, USA
| |
Collapse
|
16
|
Smith TM, Bertmann FMW, Pinard CA, Schober DJ, Shuval K, Nguyen BT, Fricke HE, Yaroch AL. Factors Associated With Supplemental Nutrition Assistance Program Participation Among the Working Poor: Findings From 2012 American Community Survey. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016. [DOI: 10.1080/19320248.2016.1146196] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | | | | | | | - Kerem Shuval
- American Cancer Society, Inc., Atlanta, Georgia, USA
| | | | | | - Amy L. Yaroch
- Gretchen Swanson Center for Nutrition, Omaha, Nebraska, USA
| |
Collapse
|
17
|
Heflin C, Olson K. Unpacking an Anomaly: Analyzing the 2005–2012 Current Population Survey to Understand Why Many Emergency Food Assistance Users Report Being Food Secure. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016. [DOI: 10.1080/19320248.2016.1157548] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Colleen Heflin
- Truman School of Public Affairs, University of Missouri, Columbia, Missouri, USA
| | - Kate Olson
- Truman School of Public Affairs, University of Missouri, Columbia, Missouri, USA
| |
Collapse
|
18
|
Oemichen M, Smith C. Investigation of the Food Choice, Promoters and Barriers to Food Access Issues, and Food Insecurity Among Low-Income, Free-Living Minnesotan Seniors. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2016; 48:397-404.e1. [PMID: 27062230 DOI: 10.1016/j.jneb.2016.02.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 02/24/2016] [Accepted: 02/25/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Investigate food choice, food access, and food insecurity among seniors. METHODS Eight focus groups were conducted in 2 counties with high and low Supplemental Nutrition Assistance Program (SNAP) participation rates. A total of 62 seniors (aged ≥ 60 years) were recruited and each attended 1 focus group at a community center. The sample was 79% female and most were Caucasian (91%), similar to state demographics. The focus group themes of how seniors make food choices and access food, and food insecurity perceptions among this population were identified based on discussion commonalities. For quantitative data, P < .05 was significant. RESULTS Five themes emerged: (1) former experiences affecting eating behaviors; (2) financial and food security driving use of food assistance programs; (3) food access strategies: restaurants, retail markets, and alternative sources; (4) physical changes associated with aging influencing food access and intake; and (5) social influences that play a role in decision making. CONCLUSIONS AND IMPLICATIONS Both SNAP and congregate dining offer food assistance to seniors, but SNAP use was considered unacceptable by some seniors living in county 1 because of the negative stigma attached to the program or because they lacked program knowledge about income criteria. More effort needs to be made to educate seniors about SNAP. It is important to gain insight into how food insecurity affects their food choices.
Collapse
Affiliation(s)
- Megan Oemichen
- Department of Food Science and Nutrition, University of Minnesota, St Paul, MN
| | - Chery Smith
- Department of Food Science and Nutrition, University of Minnesota, St Paul, MN.
| |
Collapse
|
19
|
Abstract
OBJECTIVE The present study examined the association between unemployment and household food insecurity during the 2007-2009 economic recession in the USA. DESIGN Longitudinal survey of the Survey of Income and Program Participation (SIPP; 2008-2011). Food insecurity was measured by five questions excerpted from an eighteen-item Food Security Scale. Unemployment was measured by a dichotomous indicator, the number of job losses and the total duration of all episodes in the observation period. SETTING As nationally representative data, the SIPP interviewed respondents in multiple waves with a time interval of four months. SUBJECTS The study created two analytic samples including working-age household heads employed at the beginning of the observation period. The size of the two samples was 14,417 and 13,080. RESULTS Unemployment was positively associated with food insecurity (OR=1.55; 95% CI 1.32, 1.83; P<0.001). Similar results were obtained when the analysis controlled for food insecurity status measured before unemployment (OR=1.54; 95% CI 1.27, 1.88; P<0.001). For households with the same duration of unemployment, one more episode of unemployment increased the odds of food insecurity by 8% (OR=1.08; 95% CI 1.00, 1.18; P<0.001). CONCLUSIONS More in-depth understanding of the relationship between unemployment and food insecurity is useful to better identify and serve the at-risk population. Connecting unemployment assistance closely to nutrition assistance could lower the prevalence of food insecurity among unemployed households. Public policy should better account for both episodes and duration of unemployment to reduce food insecurity.
Collapse
|
20
|
Winham DM, Armstrong Florian TL. Nativity, Not Acculturation, Predicts SNAP Usage Among Low-income Hispanics With Food Insecurity. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2015. [DOI: 10.1080/19320248.2014.962779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
21
|
Power EM, Little MH, Collins PA. Should Canadian health promoters support a food stamp-style program to address food insecurity? Health Promot Int 2014; 30:184-93. [PMID: 25256001 DOI: 10.1093/heapro/dau080] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Food insecurity is an urgent public health problem in Canada, affecting 4 million Canadians in 2012, including 1.15 million children, and associated with significant health concerns. With little political will to address this significant policy issue, it has been suggested that perhaps it is time for Canada to try a food stamp-style program. Such a program could reduce rates of food insecurity and improve the nutritional health of low-income Canadians. In this article, we explore the history of the US food stamp program; the key impetus of which was to support farmers and agricultural interests, not to look after the needs of people living in poverty. Though the US program has moved away from its roots, its history has had a lasting legacy, cementing an understanding of the problem as one of lack of food, not lack of income. While the contemporary food stamp program, now called Supplemental Nutrition Assistance Program (SNAP), reduces rates of poverty and food insecurity, food insecurity rates in the USA are significantly higher than those in Canada, suggesting a food stamp-style program per se will not eliminate the problem of food insecurity. Moreover, a food stamp-style program is inherently paternalistic and would create harm by reducing the autonomy of participants and generating stigma, which in itself has adverse health effects. Consequently, it is ethically problematic for health promoters to advocate for such a program, even if it could improve diet quality.
Collapse
Affiliation(s)
- Elaine M Power
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario K7M 3N6, Canada
| | - Margaret H Little
- Department of Gender Studies, Queen's University, Kingston, Ontario K7M 3N6, Canada Department of Political Studies, Queen's University, Kingston, Ontario K7M 3N6, Canada
| | - Patricia A Collins
- School of Urban and Regional Planning, Queen's University, Kingston, Ontario K7M 3N6, Canada
| |
Collapse
|
22
|
Hong SA, Kim K. Factors contributing to participation in food assistance programs in the elderly population. Nutr Res Pract 2014; 8:425-31. [PMID: 25110563 PMCID: PMC4122715 DOI: 10.4162/nrp.2014.8.4.425] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 02/12/2014] [Accepted: 03/13/2014] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND/OBJECTIVES The study objectives were to examine the participation rate in food assistance programs and explore the factors that contribute to such participation among the Korean elderly population. SUBJECTS/METHODS The study sample comprised 3,932 respondents aged 65 years or older who were selected from a secondary data set, the fourth Korean Welfare Panel Study (KoWePS). The factors, related to participation in programs were examined based on the predisposing, enabling and need factors of the help-seeking behavior model. Multiple logistic regression analysis was used to select the best contributors among the factors related to program participation. RESULTS The predisposing rate in food assistance programs was 8.5% (7.1% for men and 10.4% for women). When all variables were included in the model, living without spouse, no formal education, low income, having social security benefits and food insecurity in elderly men, and age, low income, having social security benefits and feeling poor in elderly women were significantly related to a higher tendency to program participation. CONCLUSIONS The predisposing and need factors, such as living without spouse, low education level, food insecurity and feeling poor were important for program participation, as well as enabling factors, such as household income and social security benefits. A comprehensive approach considering these factors to identify the target population for food assistance programs is needed to increase the effectiveness and target population penetration of these programs.
Collapse
Affiliation(s)
- Seo Ah Hong
- ASEAN Institute for Health Development, Mahidol University, Salaya, 73170 Nakhonpathom, Thailand
| | - Kirang Kim
- Department of Food Science and Nutrition, College of Natural Science, Dankook University, 119 Dandae-ro, Dangnam-gu, Cheonan-si, Chungnam 330-714, Korea
| |
Collapse
|
23
|
Securing the Safety Net: Concurrent Participation in Income Eligible Assistance Programs. Matern Child Health J 2013; 18:604-12. [DOI: 10.1007/s10995-013-1281-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
24
|
Purtell KM, Gershoff ET, Aber JL. Low Income Families' Utilization of the Federal "Safety Net": Individual and State-Level Predictors of TANF and Food Stamp Receipt. CHILDREN AND YOUTH SERVICES REVIEW 2012; 34:713-724. [PMID: 22711951 PMCID: PMC3375851 DOI: 10.1016/j.childyouth.2011.12.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Two of the primary programs through which the federal government provides benefits to low income families are the Temporary Assistance for Needy Families (TANF) program and the Food Stamp program. However, many eligible low income families do not actually receive these benefits. We combined state-level policy data with rich data on a national sample of low income families to investigate family and state-level predictors of TANF and Food Stamp receipt. Our findings indicate: 1) families experiencing more economic hardship and health challenges are more likely to receive benefits, and 2) states' coverage is associated with families' receipt of TANF, but not Food Stamps. Implications for policy and research are discussed.
Collapse
|
25
|
Zhang Q, Chen Z, Diawara N, Wang Y. Prices of unhealthy foods, Food Stamp Program participation, and body weight status among U.S. low-income women. JOURNAL OF FAMILY AND ECONOMIC ISSUES 2011; 32:245-256. [PMID: 25177147 PMCID: PMC4145343 DOI: 10.1007/s10834-010-9228-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
This paper examines the interactive effect between the price of unhealthy foods and Food Stamp Program participation on body weight status among low-income women in the United States. We merged the panel data of the National Longitudinal Survey of Youth 1979 cohort in 1985-2002 and the Cost of Living Index data compiled by the American Chamber of Commerce Researchers Association by using geographic identifiers. Using the merged data, we used panel econometric models to examine the impact of unhealthy food prices on the food stamp-eligible U.S. population. Our results indicate that higher prices for unhealthy food can partially offset the positive association between Food Stamp Program participation and bodyweight among low-income women.
Collapse
Affiliation(s)
- Qi Zhang
- School of Community and Environmental Health, Old Dominion University, Norfolk, VA 23529, USA;
| | - Zhuo Chen
- Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, MS-E33, Atlanta, GA 30333, USA;
| | - Norou Diawara
- Department of Mathematics and Statistics, Old Dominion University, Norfolk, VA 23529, USA;
| | - Youfa Wang
- Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA;
| |
Collapse
|
26
|
Radermacher H, Feldman S, Bird S. Food security in older australians from different cultural backgrounds. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2010; 42:328-336. [PMID: 20828666 DOI: 10.1016/j.jneb.2009.10.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2008] [Revised: 09/25/2009] [Accepted: 10/11/2009] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To investigate the experiences and barriers to food security of community-dwelling older people. DESIGN Quantitative questionnaire and 5 focus group discussions using purposive sampling. SETTING Shire of Melton, Victoria, Australia. PARTICIPANTS Thirty-seven people (13 male and 24 female), between 58 and 85 years of age, from Anglo-Celtic (15), Macedonian (6), Serbian (8), and Maltese (8) backgrounds. PHENOMENA OF INTEREST Food security perceptions and barriers. ANALYSES Quantitative data were analyzed using descriptive statistics and chi-square. The focus group data (transcripts) were subjected to a systematic thematic analysis to identify major themes and subthemes. RESULTS Cost and financial considerations, health and physical capacity, transport, intrapersonal factors, and lack of availability of preferred food all emerged as potential barriers to participants accessing nutritious food of their choice. CONCLUSIONS AND IMPLICATIONS Overall, the quantitative and qualitative data indicated that the changing circumstances that accompany growing older influenced this group's ability to independently shop for, prepare, and eat affordable and nutritious food. Nutrition educators, in conjunction with local government service providers, have the opportunity to play a key role in building upon existing safety nets and innovative initiatives to ensure older people have access to adequate and appropriate food of their choice.
Collapse
Affiliation(s)
- Harriet Radermacher
- Healthy Ageing Research Unit, Monash University, Primary Care Research, Notting Hill, Victoria, Australia.
| | | | | |
Collapse
|
27
|
Patterns of food insecurity and participation in food assistance programmes over time in the elderly. Public Health Nutr 2009; 12:2113-9. [PMID: 19371452 DOI: 10.1017/s1368980009005357] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE The present study aimed to understand the relationship between need and help-seeking behaviour in older adults by examining the patterns of food insecurity and participation in food assistance programmes (FAP), i.e. the Food Stamp Program and home-delivered meals. DESIGN Data from two longitudinal studies were used. The studies were designed to obtain nationally representative information on health, insurance coverage, financial status, family support systems, labour market status and retirement planning, every two years: the Health and Retirement Study (HRS, 1996-2002) and Asset and Health Dynamics Among the Oldest Old (AHEAD, 1995-2002). SETTING USA. SUBJECTS There were 7623 participants for HRS and 3378 for AHEAD. RESULTS The older adults appeared to have persistent patterns between food insecurity and participation in FAP, especially in the Food Stamp Program. More persistently food-insecure older adults had higher participation in FAP (P < 0.001). Food-insecure older adults at one time were more likely to shift from non-participation to participation in FAP the next time than food-secure older adults (P < 0.001). Regardless of previous food insecurity status, previous participants in FAP were more likely to participate subsequently. CONCLUSIONS The relationship between need and help-seeking behaviour in older adults was found to follow a persistent positive pattern, determined by looking at the patterns of food insecurity and participation in FAP. Although food insecurity as a need is a good predictor of participation in FAP, it is not enough to fully predict participation in FAP. Help-seeking behaviour (i.e. previous programme participation) is also important in predicting participation in FAP.
Collapse
|
28
|
Bruening JE, Dover KM, Clark BS. Preadolescent female development through sport and physical activity: a case study of an urban after-school program. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2009; 80:87-101. [PMID: 19408471 DOI: 10.1080/02701367.2009.10599533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Youth development research has found that children become more engaged and benefit more from being incorporated as decision makers. Thus participation helps promote development and encourages engagement. Based in theories of engagement and free-choice learning, the current research focused on a program combining sport/physical activity, life skills, and mentoring while promoting healthy life choices for preadolescent girls of color The co-investigators, all women, conducted two 2-hr visits per week for two 12-week periods with a group of 8 girls at a community recreation center in Hartford, Connecticut, including lessons in nutrition and life skills and participation in a sport/physical activity. Five of the girls completed every stage of data collection, including participant journals and four individual interviews with each participant and her parents, over the course of the 24 weeks. The co-investigators also kept journals throughout the program. The results reflected the following themes: self-esteem/self-worth, accountability/responsibility for self connections to community and a sense of belonging, knowledge and acquisition of health/life skills, application of those skills, and planning and recognizing one's own influence on self and others.
Collapse
Affiliation(s)
- Jennifer E Bruening
- Department of Kinesiology, University of Connecticut, Storrs, CT 06269, USA.
| | | | | |
Collapse
|
29
|
Fuller-Thomson E, Redmond M. Falling through the social safety net: food stamp use and nonuse among older impoverished americans. THE GERONTOLOGIST 2008; 48:235-44. [PMID: 18483435 DOI: 10.1093/geront/48.2.235] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE Older adults are less likely than any other age group to use the federal Food Stamp Program. The personal and social costs of elderly diet insufficiency include disease exacerbation, depression, and increased hospitalization. In order to improve targeting and outreach efforts, this study identifies the characteristics of eligible older Americans who are not receiving food stamps and assesses the validity of the Andersen behavioral model for predicting impoverished older adults food stamp use. DESIGN AND METHODS We conducted a secondary analysis of the 2003 American Community Survey, which is a nationally representative survey with a response rate of 96.7%. We restricted our study subsample to the 14,724 impoverished American citizens who were aged 65 years and older. We used bivariate and logistic regression analyses to compare the 2,796 food stamp recipients with the 11,928 nonrecipients. RESULTS One in five impoverished older American citizens had received foods stamps in the preceding year. Female respondents, renters, younger respondents, disabled individuals, and those who received Supplemental Security Income or welfare were more likely to receive food stamps. The pseudo-R-square value indicated that the Andersen Behavioral Model explained 28% of the model's variability. IMPLICATIONS Improved targeting is needed to enhance older adults' participation rates. Mobile and satellite food stamp offices in lower income neighborhoods and other innovative outreach programs that collaborate with community partners could also improve access. With the vast majority of impoverished older adults not receiving food stamps, strategies such as these are extremely important to rectify this situation among the most vulnerable group of older Americans.
Collapse
Affiliation(s)
- Esme Fuller-Thomson
- Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, Ontario M5S 1A1, Canada.
| | | |
Collapse
|
30
|
Why do low-income women not use food stamps? Findings from the California Women's Health Survey. Public Health Nutr 2008; 11:1288-95. [PMID: 18507889 DOI: 10.1017/s1368980008002528] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To determine factors associated with Food Stamp Program (FSP) participation in a potentially eligible California population. DESIGN The California Women's Health Survey is an on-going annual telephone survey that collects data about health-related attitudes and behaviours from a randomly selected sample of women. Statistical procedures included chi2 and logistic regression. SETTING California, USA, from 2002 to 2004. SUBJECTS A total of 527 FSP female participants and 1405 potentially eligible non-participant females, aged 18 years and older. RESULTS The following characteristics remained independently and positively related to FSP participation: single mother with children; unemployed; on welfare; on WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children); and US-born. Women under 25 years and those over 54 years were less likely to participate than women aged 25-54 years. Hispanic/Latino ethnicity was also negatively related to participation. Over 42 % of potentially eligible non-participants cited 'don't need them' as the reason for not applying for FSP, but 34.9 % either do not think they are eligible or do not know how to apply. Potentially eligible non-participants who cite 'don't need them' as a reason for not applying are less likely to be food insecure, to have inadequate income and to use alternative emergency aid, compared to women citing all other reasons. The highest level of need is among those who cite worry about citizenship or stigma as reasons for not applying. CONCLUSION Strategies to increase participation in FSP should incorporate messages that change the public's perception of the programme, in addition to simplifying the application process, raising awareness of eligibility criteria and improving customer service.
Collapse
|
31
|
|