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Kim SA, Choi SK. Regional disparities in food security and depression among single-person households in the Republic of Korea. BMC Public Health 2023; 23:2047. [PMID: 37858062 PMCID: PMC10588069 DOI: 10.1186/s12889-023-16874-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 10/02/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND Single-person households constitute over 40% of all households in the Republic of Korea and are more vulnerable to food insecurity and depression than multi-person households. There is a lack of research on examining whether regional characteristics are associated with the degree of food insecurity and depression among single-person households. This study aimed to examine the regional disparities in food security and depression among single-person households in the Republic of Korea. METHODS A total of 227,873 adults from the 2019 Korean Community Health Survey was included in the analysis. According to population density and poverty rate, the residence of the participants was classified into four regions: metropolitan areas with high population density were classified into areas with low poverty rates (Region 1) and high poverty rates (Region 2), and provinces with low population density were classified into areas with low poverty rates (Region 3) and high poverty rates (Region 4). Using a single item of household food security, those who had experienced a lack of food due to financial difficulties over the past year were classified as food insecure. Depression was measured using the Patient Health Questionnaire-9. Odds ratios and 95% confidence intervals (CI) for the risk of food insecurity and depression according to regional characteristics were calculated after adjusting for potential confounding variables. RESULTS After adjusting for confounding variables, single-person households in regions with high population density, Regions 1 and 2, had 1.16 times (95% CI = 1.04-1.30) and 1.43 times (95% CI = 1.27-1.61) higher odds of food insecurity, respectively, compared to those in Region 4. Single-person households in regions with low poverty rates, Regions 1 and 3, had 1.54 times (95% CI = 1.34-1.77) and 1.21 times (95% CI = 1.01-1.46) higher odds of depression, respectively, than those in Region 4. Among those who lived alone, the middle-aged, having low income, receiving livelihood benefits, or having a low educational attainment had higher odds of experiencing both food insecurity and depression than their counterparts. CONCLUSIONS As the risk of food insecurity and depression in single-person households differs according to regional characteristics, local governments need to implement policies for single-person households in consideration of these distinct characteristics.
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Affiliation(s)
- Seong-Ah Kim
- Department of Urban Society, The Seoul Institute, Seoul, 06756, Republic of Korea
| | - Seul Ki Choi
- Graduate School of Urban Public Health, University of Seoul, Seoul, 02504, Republic of Korea.
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Cheng H, Zhao J, Zhang J, Wang Z, Liu Z, Ma X, Liang J, Li W, Fu P, Yang S, Guo Y. Attribution Analysis of Household Foodborne Disease Outbreaks in China, 2010-2020. Foodborne Pathog Dis 2023; 20:358-367. [PMID: 37506344 DOI: 10.1089/fpd.2022.0070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/30/2023] Open
Abstract
Foodborne diseases have become a serious public health problem worldwide, and foodborne disease outbreaks have placed a heavy disease burden on China. Foodborne disease outbreaks occur most frequently among families in China. The objectives of this study were to analyze the cause of household foodborne disease outbreaks in China from 2010 to 2020 and to identify where preventive measures could be targeted. All data were obtained from the China Foodborne Disease Surveillance System Report. A total of 17,985 outbreaks, which resulted in 73,252 illnesses, 38,829 hospitalizations, and 1269 deaths, were reported in this period. Most household outbreaks of foodborne diseases occurred in May-October, and the highest number occurred in July (3620 outbreaks, 20%). The province with the highest number of outbreaks was Yunnan Province (4829 outbreaks), followed by Hunan Province (2264 outbreaks). The attribution analysis revealed that fungi (mainly poisonous mushrooms) were the most implicated food category, with 8873 (49.3%) cases. The second was poisonous plants and their products, with 1552 (8.6%) cases. Fungi were the primary etiologic agent, with 31,125 illnesses, accounting for 42.5% of the incidents. Inedibility and misuse (9423 outbreaks), unknown origin (2505 outbreaks), and improper processing (2365 outbreaks) were the main contributing factors causing outbreaks of foodborne diseases. The results show that southwest China was a high-risk area for household foodborne diseases. Therefore, public health institutions should strengthen supervision and food safety education of residents to reduce the outbreaks of household foodborne diseases.
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Affiliation(s)
- Han Cheng
- School of Public Health, Weifang Medical University, Weifang, China
| | - Jie Zhao
- School of Public Health, Weifang Medical University, Weifang, China
| | - Jing Zhang
- Weifang Center for Disease Control and Prevention, Shandong, China
| | - Zhiyuan Wang
- School of Public Health, Weifang Medical University, Weifang, China
| | - Zhitao Liu
- Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Xiaochen Ma
- Beijing Center for Disease Control and Prevention, Beijing, China
| | - Jinjun Liang
- Hunan Center for Disease Control and Prevention, Changsha, China
| | - Weiwei Li
- Division of Risk Surveillance II, China National Center for Food Safety Risk Assessment, Beijing, China
| | - Ping Fu
- Division of Risk Surveillance II, China National Center for Food Safety Risk Assessment, Beijing, China
| | - Shuxiang Yang
- School of Public Health, Weifang Medical University, Weifang, China
| | - Yunchang Guo
- Division of Risk Surveillance II, China National Center for Food Safety Risk Assessment, Beijing, China
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Ebadi-Vanestanagh M, Molani-Gol R, Alizadeh M. Effects of the nutrition education intervention on food security, anthropometry, and body composition in women: A randomized controlled trial. Nutr Health 2023:2601060231155538. [PMID: 36775939 DOI: 10.1177/02601060231155538] [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: 02/14/2023]
Abstract
BACKGROUND Food insecurity as a social determinant of health is associated with adverse physical health outcomes such as obesity. AIM This study aimed to evaluate the effects of nutrition education intervention based on the transtheoretical model (TTM) on food security, anthropometry, and body composition status. METHODS In this randomized controlled trial, an intervention was conducted over months (five weeks) using the TTM among 160 women aged 19-64 years. Food security status, anthropometry, and body composition were determined three times: at baseline, three months, and six months after the intervention. RESULTS In the intervention group, food insecurity significantly decreased before, immediately after, and six months after the intervention, these changes were significant in follow-up time and treatment effect. After six months of follow-up, the intervention group significantly decreased weight (-1.29 kg), body mass index (-0.54), and waist circumference (-3.48 cm). Although differences between the two groups were not statistically significant except in the interaction between follow-up time and intervention groups. Also, the mean of fat mass and total body water decreased in the intervention group and differences between the two groups were statistically significant in follow-up time (p < 0.001 and p = 0.01, respectively) and interaction between follow-up time and intervention group (p < 0.001 and p = 0.005, respectively). CONCLUSION In the current study, the findings of a six-month TTM-based intervention among women were positive that revealed to be a strategy that may improve anthropometric and nutritional status. Therefore, government programs that offer nutrition counseling should be prioritized to help the population to improve their eating habits.
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Affiliation(s)
- Marziyeh Ebadi-Vanestanagh
- Student Research Center, 48432Tabriz University of Medical Sciences, Tabriz, Iran
- Nutrition Research Center, Faculty of Nutrition and Food Sciences, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Roghayeh Molani-Gol
- Student Research Center, 48432Tabriz University of Medical Sciences, Tabriz, Iran
- Nutrition Research Center, Faculty of Nutrition and Food Sciences, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mohammad Alizadeh
- Nutrition Research Center, Faculty of Nutrition and Food Sciences, 48432Tabriz University of Medical Sciences, Tabriz, Iran
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Woldesenbet B, Tolcha A, Tsegaye B. Water, hygiene and sanitation practices are associated with stunting among children of age 24-59 months in Lemo district, South Ethiopia, in 2021: community based cross sectional study. BMC Nutr 2023; 9:17. [PMID: 36691099 PMCID: PMC9869534 DOI: 10.1186/s40795-023-00677-1] [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: 03/14/2022] [Accepted: 01/16/2023] [Indexed: 01/25/2023] Open
Abstract
BACKGROUND Stunting among children of ages 24-59 months is a major public health challenge in developing countries. It has been linked with poor water quality, water accessibility, a lack of environmental sanitation, and personal hygiene (WASH) practices, particularly in food-insecure areas. Stunting occurs during certain seasons in food-insecure settings. Therefore, a complete understanding of risk factors is the first step in the development of a preventive strategy. However, information is scarce about the prevalence and factors associated with stunting among children of ages 24-59 months in these settings. OBJECTIVE This study aimed to assess the prevalence of and factors associated with stunting among children aged 24-59 months in Lemo district, south Ethiopia, in 2021. METHODS A community based cross-sectional study was conducted from January 1-30/2021. Data were collected from a total of 415 randomly selected children and mother /guardian/. Logistic regression analysis was done to identify factors associated with childhood stunting. In binary logistic regression analysis, independent variables with p-value < 0.25 were fitted into multivariable logistic regression analysis to explore final predictors of stunting/ thinness/. Independent variables with AOR and 95% CI and P-value < 0.05 was computed and reported as predictors of stunting among children in this study. RESULTS From a total of 450 children, only 415 were included in the final analysis, making a response rate of 92.2%. The prevalence of stunting among children was 33.5% (95% CI: 30.4 and 36.6%) in this study. Children ages 48-59 months (AOR = 2.8, 95% CI: 2.1, 12.1), children ages 36-47 months (AOR = 1.6, 95% CI: 1.1, 7.1), children of uneducated women (AOR = 1.8, 95% CI: 1.5, 4.2), children who lived near unimproved toilets (AOR = 1.7, 95% CI: 1.2, 2.6), children whose feces was disposed of unsafely (AOR = 2.8, 95% CI: 1.57, 5.31), and children whose mothers did not wash their hands before feeding their children (AOR = 6.2, 95% CI: 2.0, 19.1) were factors positively associated with stunting among children aged 24 months to 59 months. CONCLUSION The prevalence of stunting is high compared with the national prevalence of stunting in food insecure areas. Policy makers, local leaders, and community health extension workers should enhance environmental sanitation and create awareness about personal hygiene. Furthermore, improved toilet construction and appropriate utilization should be encouraged. Furthermore, the local government should work to improve the socio-economic status of poor households.
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Affiliation(s)
- Biruk Woldesenbet
- grid.192268.60000 0000 8953 2273Department of Environmental Health Science, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
| | - Alemu Tolcha
- grid.192268.60000 0000 8953 2273Department of Environmental Health Science, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia
| | - Berhan Tsegaye
- grid.192268.60000 0000 8953 2273Department of Midwifery, College of Medicine and Health science, Hawassa University, Hawassa, Ethiopia
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Bartelmeß T, Jasiok S, Kühnel E, Yildiz J. A scoping review of the social dimensions in food insecurity and poverty assessments. Front Public Health 2022; 10:994368. [PMID: 36620279 PMCID: PMC9815179 DOI: 10.3389/fpubh.2022.994368] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 12/05/2022] [Indexed: 12/24/2022] Open
Abstract
Food poverty is a phenomenon that is currently receiving increasing social attention in both the Global South and the Global North. It is often equated with food insecurity, for which numerous assessment tools and reports exist. However, only limited specific data can be found on food poverty. Starting from a theoretical concept of food poverty, this article examines in a scoping review which dimensions of food poverty are captured by indices and indicators of food insecurity and general poverty assessments. The review focuses particularly on the social dimension of food poverty and points out that it is under-reported and that no adequate assessment tools exist so far. Existing indices and indicators of food insecurity and general poverty assessments are critically reviewed and suggestions for the assessment of social food poverty for policy and practice derived.
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Affiliation(s)
- Tina Bartelmeß
- Faculty of Life Sciences: Food, Nutrition, and Health, University of Bayreuth, Kulmbach, Germany,*Correspondence: Tina Bartelmeß ✉
| | - Sarah Jasiok
- Faculty of Life Sciences: Food, Nutrition, and Health, University of Bayreuth, Kulmbach, Germany
| | - Elias Kühnel
- Faculty of Law and Economics, University of Bayreuth, Bayreuth, Germany
| | - Juliane Yildiz
- Faculty of Agricultural, Nutritional and Environmental Sciences, Justus-Liebig-University Giessen, Giessen, Germany
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Ayala Durán C. Effects of the COVID-19 pandemic on food insecurity in El Salvador during 2020. Rev Panam Salud Publica 2022; 46:e209. [PMCID: PMC9749870 DOI: 10.26633/rpsp.2022.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 09/07/2022] [Indexed: 12/16/2022] Open
Abstract
Objective.
This study sought to quantify the prevalence of food insecurity among Salvadorian households, to identify the determinants of food insecurity and to explore the impact of the COVID-19 pandemic on food insecurity.
Methods.
A nationwide, representative random sample of 2358 households was used for this cross-sectional study. The Household Hunger Scale (HHS) was used to assess the prevalence of food insecurity during a 30-day period. For comparison, three items were used from the Household Food Insecurity Experience Scale (HFIES), which measures hunger occurring during a 12-month time frame. For determinant analysis, binary logistic regression was used for the HHS and ordered logistic regression for the HFIES.
Results.
The prevalence of food insecurity was 6.45% (152/2356) among Salvadorian households when the HHS was used, affecting 5.48% (129/2356) to a moderate degree and 0.98% (23/2356) to a severe degree. The prevalence significantly increased when the HFIES scale items were used, with 35.41% (835/2358) of households being affected, a figure closer to the national poverty level. Determinants of food insecurity according to the HHS included agricultural problems (P = 0.00, odds ratio [OR] =1.69), the household’s prepandemic income (P = 0.00, OR = 0.48) and higher educational levels (i.e. having a secondary education [P = 0.00, OR = 0.31], technical [P = 0.03, OR = 0.24] or university education [P = 0.00, OR = 0.05]). When using the HFIES, the determinants were similar (i.e. income, agricultural problems, educational level). In more than 94% (744/785) of households, participants reported that food insecurity was exacerbated by the COVID-19 pandemic.
Conclusions.
When compared with other relevant international studies, the prevalence of food insecurity identified using the HHS – only 6.45% – was low for El Salvador. However, when using the HFIES scale, the prevalence rose to 35.41% of households. Some determinants align with previous studies, namely income, educational level and agricultural problems. The COVID-19 pandemic appeared to have direct effects on food insecurity
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Willis DE, Long CR, Rowland B, Tidwell C, Andersen JA, McElfish PA. COVID-19 and food insecurity in a vulnerable rural state. DIALOGUES IN HEALTH 2022; 1:100013. [PMID: 36636611 PMCID: PMC9098512 DOI: 10.1016/j.dialog.2022.100013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 01/16/2023]
Abstract
Objective This study explored variations in food insecurity across sociodemographic groups and changes specific to the COVID-19 pandemic, including income loss, stimulus check receipt, and changes in household size. Design A cross-sectional online survey was conducted using a 2-item food insecurity screener. COVID-19 related factors and sociodemographic data were collected. Setting Data were collected in Arkansas, United States, during July and August 2020. Participants A sample of 1205 adults was recruited using ARresearch, a volunteer research registry. Participants were over the age of 18 and living, working, or receiving health care in Arkansas. Results The prevalence of food insecurity was 24.9% during the COVID-19 pandemic. Food insecurity was elevated even after the majority of respondents received a stimulus check. Chi-square and t-tests revealed that food insecurity was more prevalent among those who are younger, Black, Hispanic/Latinx, lower-income, less educated, and living in households with children. Multivariate logistic regression revealed that odds of food insecurity were greater for individuals who reported income loss due to the pandemic (OR = 3.29; p < .001), Black respondents (OR = 2.06, p = .014), Hispanic respondents (OR = 3.34, p = .001), those earning less than $25,000 annually (OR = 4.92; p < .001) or between $25,000 to $49,999 (OR = 2.04; p = .023), respondents with a high school degree or less (OR = 4.21; p < .001) or some college (OR = 2.55; p < .001), and those living in households with children (OR = 1.62; p = .021). Odds of food insecurity were lower for those who had received a stimulus check (OR = 0.60; p = .026). Conclusion Food insecurity prevalence was high in Arkansas in July and August 2020. The risk of food insecurity was uneven across sociodemographic groups. Several factors related to the COVID-19 pandemic were indicators for increased risk of food insecurity. Interventions to address food insecurity that recognize social factors unique to the pandemic are needed to reduce levels of food insecurity.
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Affiliation(s)
- Don E. Willis
- University of Arkansas for Medical Sciences Northwest, College of Medicine, 1125 N. College Avenue, Fayetteville, AR 72703, USA
| | - Christopher R. Long
- University of Arkansas for Medical Sciences Northwest, College of Medicine, 1125 N. College Avenue, Fayetteville, AR 72703, USA
| | - Brett Rowland
- University of Arkansas for Medical Sciences Northwest, Office of Community Health and Research, 1125 N. College Avenue, Fayetteville, AR 72703, USA
| | - Caitlin Tidwell
- University of Arkansas for Medical Sciences Northwest, Office of Community Health and Research, 1125 N. College Avenue, Fayetteville, AR 72703, USA
| | - Jennifer A. Andersen
- University of Arkansas for Medical Sciences Northwest, College of Medicine, 1125 N. College Avenue, Fayetteville, AR 72703, USA
| | - Pearl A. McElfish
- University of Arkansas for Medical Sciences Northwest, College of Medicine, 1125 N. College Avenue, Fayetteville, AR 72703, USA,Corresponding author
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Koschmann A, Wansink B. Food Security, Store Access, and Prices Paid: Do the Poor Pay More for Groceries? JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022. [DOI: 10.1080/19320248.2021.1997856] [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)
- Anthony Koschmann
- Assistant Professor of Marketing, Eastern Michigan UniversityCollege of Business, Michigan, USA
| | - Brian Wansink
- Professor and Director of the Food and Brand Lab, Cornell University College of Agriculture and Life Sciences Dyson School of Applied Economics and Management Ithaca, New York, USA
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Chukmaitov A, Dahman B, Garland SL, Dow A, Parsons PL, Harris KA, Sheppard VB. Addressing Social Risk Factors in the Inpatient Setting: Initial Findings from a Screening and Referral Pilot at an Urban Safety-Net Academic Medical Center in Virginia, USA. Prev Med Rep 2022; 29:101935. [PMID: 36161115 PMCID: PMC9501992 DOI: 10.1016/j.pmedr.2022.101935] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 07/20/2022] [Accepted: 07/26/2022] [Indexed: 11/18/2022] Open
Abstract
Social Determinants of Health (SDOH) impact health outcomes; thus, a pilot to screen for important SDOH domains (food, housing, and transportation) and address social needs in hospitalized patients was implemented in an urban safety-net academic medical center. This study describes the pilot implementation and examines patient characteristics associated with SDOH-related needs. An internal medicine unit was designated as a pilot site. Outreach workers approached eligible patients (n = 1,135) to complete the SDOH screening survey at time of admission with 54% (n = 615) completing the survey between May 2019 and July 2020. Data from patient screening survey and electronic health records were linked to allow for examination of associations between SDOH needs for food, housing, and transportation and various demographic and clinical characteristics of patients in multivariate logistic regression models. Of 615 screened patients, 45% screened positive for any need. Of 275 patients with needs, 33% reported needs in 2, and 34% – in 3 domains. Medicaid beneficiaries were more likely than patients with private health insurance to screen positive for 2 and 3 needs; Black patients were more likely than White patients to screen positive for 1 and 3 needs; Patients with no designated primary care physician status screened positive for 1 need; Patients with a history of substance use disorder screened positive for all 3 needs. SDOH screening assisted in addressing social risk factors of inpatients, informed their discharge plans and linkage to community resources. SDOH screening demonstrated significant correlations of positive screens with race/ethnicity, insurance type, and certain clinical characteristics.
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Affiliation(s)
- Askar Chukmaitov
- Virginia Commonwealth University (VCU) School of Medicine, Department of Health Behavior and Policy, 830 E. Main Str, Richmond, VA 23219, USA
- Corresponding author.
| | - Bassam Dahman
- Virginia Commonwealth University (VCU) School of Medicine, Department of Health Behavior and Policy, 830 E. Main Str, Richmond, VA 23219, USA
| | | | - Alan Dow
- VCU School of Medicine, Division of Hospital Medicine; VCU Health Sciences for Interprofessional Education & Collaborative Care; VCU Health Continuing Education; VCU Department of Health Administration, Richmond, USA
| | - Pamela L. Parsons
- VCU School of Nursing, Department of Family and Community Health Nursing; Richmond Memorial Health Foundation, Richmond, USA
| | - Kevin A. Harris
- VCU School of Medicine Dean's Office for Diversity, Equity and Inclusion, Richmond, USA
| | - Vanessa B. Sheppard
- Virginia Commonwealth University (VCU) School of Medicine, Department of Health Behavior and Policy, 830 E. Main Str, Richmond, VA 23219, USA
- VCU Massey Cancer Center, Richmond, USA
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Weinstein JM, Kahkoska AR, Berkowitz SA. Food Insecurity, Missed Workdays, And Hospitalizations Among Working-Age US Adults With Diabetes. Health Aff (Millwood) 2022; 41:1045-1052. [PMID: 35787082 PMCID: PMC9840294 DOI: 10.1377/hlthaff.2021.01744] [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: 01/17/2023]
Abstract
Food insecurity is associated with poor clinical outcomes among adults with diabetes, but associations with nonclinical outcomes, such as missed work, have not been well characterized. Our objective was to assess the associations between food insecurity, health-related missed workdays, and overnight hospitalizations. We pooled National Health Interview Survey data from the period 2011-18 to analyze food insecurity among 13,116 US adults ages 18-65 who had diabetes. Experiencing food insecurity, compared with being food secure, was associated with increased odds of reporting any health-related missed workdays, more than twice the rate of health-related missed workdays, and increased odds of overnight hospitalization within the prior twelve months. There was no significant association between food insecurity and the number of nights spent hospitalized. These findings underscore the broad impacts of food insecurity on health and wellness for working-age adults with diabetes. When weighing the costs and benefits of proposed interventions to address food insecurity, policy makers should consider potential benefits related to productivity in addition to implications for health care use.
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Affiliation(s)
- Joshua M. Weinstein
- Department of Health Policy and Management, Gillings School
of Global Public Health, University of North Carolina at Chapel Hill
| | - Anna R. Kahkoska
- Department of Nutrition, Gillings School of Global Public
Health, University of North Carolina at Chapel Hill
| | - Seth A. Berkowitz
- Division of General Medicine and Clinical Epidemiology,
Department of Medicine, University of North Carolina at Chapel Hill School of
Medicine, Chapel Hill, NC
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11
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Crichton ES, Manhan AJ, Wang Z, Woodard J, Thompson AN, Sheaffer K, Williams K, Schenker ML, Smith RN. The Potential Impact of Food Insecurity in an Urban Trauma Population. Am Surg 2022; 88:2045-2049. [PMID: 35487593 DOI: 10.1177/00031348221094217] [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: 11/17/2022]
Abstract
BACKGROUND Food insecurity (FI) has been defined as a lack of consistent access to enough food for a healthy active lifestyle. As of 12.7% of the United States are suffering from FI, which has been correlated with increased hospital costs and poorer health outcomes. Currently, limited data exists examining the relationship between trauma populations and FI despite both having similar root causes. We sought to determine this and validate a screening tool for FI in this population. METHODS A cross-sectional survey study of trauma patients was conducted at a level 1 trauma center in Atlanta, Georgia. Survey questions included the first two items of the Core Food Security Module. Zip codes were used to determine FI, defined by the USDA Food Access Research and compared to individual participant survey responses. Binary classification test metrics were calculated to validate the two items as a screening tool in this population. RESULTS The cohort included 136 patients, of which the majority were black (60.3%) and male (60.3%). Thirty-one respondents affirmed food security (22.8%) despite over half (51.5%) living in a food insecure community. The sensitivity and specificity for this screening to predict FI were 25 and 80%, respectively. CONCLUSION Although the specificity is high, this screening tool has a low sensitivity, accuracy, NPV, and PPV to determine food insecurity in this population. Community-level statistics suggests that food insecurity is a significant public problem amongst trauma patients. Prevention efforts should, therefore, aim to address both issues simultaneously.
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Affiliation(s)
| | | | - Zhensheng Wang
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | | | | | | | | | | | - Randi N Smith
- 12239Emory University School of Medicine, Atlanta, GA, USA
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12
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Gany F, Melnic I, Ramirez J, Wu M, Li Y, Paolantonio L, Roberts-Eversley N, Blinder V, Leng J. The association between housing and food insecurity among medically underserved cancer patients. Support Care Cancer 2021; 29:7765-7774. [PMID: 34169329 PMCID: PMC8225310 DOI: 10.1007/s00520-021-06254-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 04/26/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE To assess the prevalence of socioeconomic needs and associations between housing characteristics and food insecurity among low-income cancer patients, among whom housing and food insecurity are particularly prevalent. METHODS Low-income cancer patients in active treatment (N = 1618) were enrolled in a comprehensive patient navigation program. Food insecurity was assessed using the 18-item US Department of Agriculture US Household Food Security Survey Module. Participants self-reported their need for assistance with housing issues/type of assistance needed, perception of overcrowding, satisfaction with living situation, and household density via a cross-sectional survey. Descriptive analyses, cross-tabulations and tests of proportions, and binary logistic regression were used in data analyses. RESULTS Seventy percent of patients were food insecure. Housing characteristics associated with food insecurity were homelessness or living in sheltered/supportive housing (83.3% food insecure), renting (71.9%), and homeownership (58.1%; p < .001); living situation satisfaction (not satisfied, 79.4%; somewhat satisfied, 25.6%; very satisfied, 66%; p < .001); need of housing assistance (79.2%; p < .001), and feeling crowded in their living unit (77.6%; p < .05). Associations of living unit type with food insecurity were significant in the binary logistic regression model (renters 1.68 OR, homeless/sheltered housing 2.80 OR vs homeowners). CONCLUSION The vulnerability to food insecurity of patients in this low-income sample was underlined by the high rates found, and clear associations with housing characteristics of homelessness, housing assistance needs, and feeling overcrowded were identified. These results could help shape priorities around screening patients for nutrition and housing needs and developing interventions to address them.
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Affiliation(s)
- Francesca Gany
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA.
- Department of Medicine, Department of Public Health, Weill Cornell Medical College, New York, NY, USA.
| | - Irina Melnic
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Julia Ramirez
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Minlun Wu
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Yuelin Li
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Luke Paolantonio
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Nicole Roberts-Eversley
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
| | - Victoria Blinder
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
- Department of Medicine, Department of Public Health, Weill Cornell Medical College, New York, NY, USA
| | - Jennifer Leng
- Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA
- Department of Medicine, Department of Public Health, Weill Cornell Medical College, New York, NY, USA
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Sanjeevi N, Sachdev PK. Household food insecurity and in-utero and early life smoke exposure: Data from NHANES 2003-2016. Prev Med 2021; 150:106710. [PMID: 34181942 DOI: 10.1016/j.ypmed.2021.106710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 06/18/2021] [Accepted: 06/23/2021] [Indexed: 10/21/2022]
Abstract
In-utero, postnatal, and childhood smoke exposure are associated with adverse health consequences, and examining factors related to smoke exposure during these vulnerable periods are critical to inform efforts that promote maternal and child health. This study included pregnant and postpartum women aged 20-44 years and children aged 3-12 years from National Health and Nutrition and Examination Survey (NHANES) 2003-2016 cycles. Logistic regression examined association of household food insecurity with firsthand (FHS) and secondhand (SHS) exposure among pregnant and postpartum women, and SHS exposure among children, based on serum cotinine and respondent-reports. Very low household food security was significantly associated with increased odds of cotinine-based FHS exposure among pregnant (OR(95%CI) = 5.19 (1.75, 15.39)) and postpartum women (OR(95%CI) = 4.75(1.66, 13.57)). Non-smoking, postpartum women from very low food secure households also had significantly greater odds of cotinine-based SHS exposure (OR(95%CI) = 7.40 (2.08, 26.37)) than those from food secure households. Using respondent-reported smoking status, low food security in pregnant and postpartum women was significantly related to increased odds of FHS exposure (OR(95% CI) = 3.75(1.52, 9.23)). Further, children from marginal, low and very low food secure households had significantly higher odds of SHS exposure compared to those from food secure households. Results imply the co-occurrence food insecurity and in-utero and early life smoke exposure.
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Affiliation(s)
- Namrata Sanjeevi
- The University of Texas at Austin, Department of Nutritional Sciences, College of Natural Sciences, United States.
| | - Prageet K Sachdev
- The University of Texas at Austin, Department of Nutritional Sciences, College of Natural Sciences, United States
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Joshi N, Raghuvanshi RS. Determinants of Household Food Insecurity in Rural Areas of the Hilly Region of Kumaun, Uttarakhand, India: A Pilot Study. Ecol Food Nutr 2020; 60:351-376. [PMID: 33334196 DOI: 10.1080/03670244.2020.1852228] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The food security status of rural inhabitants of the hilly region of the Uttarakhand State was poorly documented. This study aimed to determine the extent and determinants of household food insecurity in rural-hilly areas of Kumaun, Uttarakhand. A cross-sectional, interview-administered survey was conducted among 155 households. Food insecurity, as measured by Household Food Insecurity Access Scale, was found in a large number of households; 2.6% of households were categorized as severely food-insecure, 53.3% as moderately food-insecure, 7.1% as mildly food-insecure, and 36.8% as food-secure. Multivariate logistic regression analysis revealed that food insecurity was significantly associated with the poverty level of the family, number of children or adolescents in the household, educational level of household head, number of employed family members, and social class (p < 0.05). The food security policies in India must modify focus from food entitlement to include education, income, employment, and household composition. Nutrition-sensitive interventions in agriculture to promote the cultivation of fruits and vegetables in hilly areas. Promotion of poultry farming, goat rearing, freshwater fish farming, and related training will increase the availability of animal food sources. It is an urgent need to design and implement location-specific programs and policies to address food insecurity and food access.
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Affiliation(s)
- Nidhi Joshi
- Department of Food and Nutrition, College of Home Science, Govind Ballabh Pant University of Agriculture and Technology, Pantnagar, India
| | - Rita Singh Raghuvanshi
- Department of Food and Nutrition, College of Home Science, Govind Ballabh Pant University of Agriculture and Technology, Pantnagar, India
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Bidirectional Relationship Between Food Insecurity and Housing Instability. J Acad Nutr Diet 2020; 121:84-91. [PMID: 33060025 DOI: 10.1016/j.jand.2020.08.081] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 07/30/2020] [Accepted: 08/19/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Due to the commonality of material hardship, food insecurity and housing instability are highly correlated. There is a need to assess the bidirectional relationship between food insecurity and housing instability over time. OBJECTIVES To examine the potential bidirectional associations between food insecurity and housing instability over a 2-year period. DESIGN Two time points from the Fragile Families and Child Wellbeing Study were used to conduct an analysis on 2368 families. PARTICIPANTS/SETTING At baseline (1998-2000), researchers recruited primarily unmarried mothers after giving birth from 75 hospitals in 20 cities across the United States. Participants were followed up when the child was 3 years old (2001-2003) and 5 years old (2003-2005). MAIN OUTCOMES MEASURED Food insecurity was assessed using the 18-item US Department of Agriculture's Food Security Survey. Housing instability was assessed using 6 items that describe housing related hardship. STATISTICAL ANALYSES PERFORMED Cross-lagged path analyses using structural equation modeling were conducted to test bidirectional relationship of food insecurity and housing instability over time, controlling for sociodemographic characteristics. RESULTS Families who experienced food insecurity at time 1 were 62% higher odds of experiencing housing instability at time 2 (odds ratio: 1.624, B = 0.485, 95% confidence interval: 0.199, 0.778), controlling for time 1 housing instability, concurrent food insecurity, and covariates. Families who experienced housing instability at time 1 were 40% increased odds of experiencing food insecurity at time 2 (odds ratio: 1.404, B = 0.339, 95% confidence interval: 0.071, 0.619), controlling for food insecurity at time 1, concurrent housing instability, and covariates. CONCLUSIONS The relationships between food insecurity and housing instability were highly correlated over time, controlling for covariates that are associated with socioeconomic status. Currently, programs designed to reduce food insecurity and housing instability function in isolation. Consolidating antipoverty programs or increasing referrals to various programs may help to reduce these 2 types of economic hardships.
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Sociodemographic factors associated with food insecurity: data from the 2003-2014 New South Wales Population Health Survey. Public Health Nutr 2020; 23:1857-1867. [PMID: 32408925 DOI: 10.1017/s1368980019005159] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To determine the prevalence and sociodemographic factors associated with food insecurity in the state of New South Wales (NSW), Australia. DESIGN Cross-sectional analysis of food insecurity data collected by the NSW Population Health Survey between 2003 and 2014. Multiple logistic regression was used to examine associations with key sociodemographic variables. SETTING NSW, Australia. PARTICIPANTS 212 608 survey participants responded to the food insecurity survey question between 2003 and 2014. 150 767 of them were aged ≥16 years. The survey sample was randomly selected and weighted to be representative of the NSW population. RESULTS On average 6 % of adults aged ≥16 years experienced food insecurity in NSW. The odds of food insecurity appeared to increase from one survey year to the next by a factor of 1·05. Food insecurity was found to be independently associated with age, sex, marital status, household size, education, employment status, household income, smoking status, alcohol intake and self-rated health. The association with income, smoking status and self-rated health appeared to be the strongest among all covariates and showed a gradient effect. Food insecurity appeared to increase significantly between the age of 16 and 19 years. CONCLUSIONS The prevalence of food insecurity appears to be rising over time. Given the negative health consequences of food insecurity, more rigorous measurement and monitoring of food insecurity in NSW and nationally is strongly recommended. The findings provide support for interventions targeting low-income and younger population groups.
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Ayele AW, Kassa M, Fentahun Y, Edmealem H. Prevalence and associated factors for rural households food insecurity in selected districts of east Gojjam zone, northern Ethiopia: cross-sectional study. BMC Public Health 2020; 20:202. [PMID: 32033552 PMCID: PMC7007667 DOI: 10.1186/s12889-020-8220-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 01/14/2020] [Indexed: 11/17/2022] Open
Abstract
Background Food insecurity is a pressing social and public health issue that varies in degree and impact on individuals and social groups, requiring immediate attention for policymakers and decision-makers. This study was conducted to identify the prevalence and associated factors of food insecurity of rural households particularly in the Shebel Berenta and Machakel districts of East Gojjam zone. Methods A cross-sectional study design was conducted, in the fall of March 2017 among 504 households. Households are selected using a systematic sampling technique through multistage cluster sampling technique (two stage cluster sampling). The data were collected using a structured interviewer-administered questionnaire covering a range of topics including 18 core food security modules (CFSM) question series, socioeconomic, demographic and related variables. Multivariable Partial proportional odds model (PPOM) was employed to identify the factors associated with food insecurity in rural households. Result Of a total of 504 households considered in the study, 54 (10.71%) were highly food secure, 75 (14.88%) were marginally food secure, 157 (31.15%) were low food secure, and 218 (43.25%) were severely food insecure. District (Machakel) (AOR = 3.28 95% CI: 1.73, 6.24), household head education status, illiterate (AOR = 113.4, 95% CI:7.02,1832.02), read and write (AOR = 169.29, 95%CI:11.64, 2461.39), and elementary completed (AOR = 119.75,95%CI:8.43,1700.74), agro-ecological zone, Woina Dega (AOR = 0.0021,95% CI: 0.00009,0.0514), Dega (AOR = 0.0323, 95%CI: 0.002, 0.5209), family size (AOR = 1.18, 95%CI: 1.01, 1.36), landholding (AOR = 0.767, 95% CI: 0.605, 0.972), TLU (AOR = 0.151, 95% CI: 0.0716, 0.3189), access to toilet (no) (AOR = 7.63, 95% CI: 1.459, 39.78), practicing irrigation (yes) (AOR = 0.121, 95% CI: 0.037, 0.38), loan (no) (AOR = 2.83, 95% CI:1.36, 5.89), access to energy, government electric (AOR = 0.468, 95% CI: 0.23, 0.94), solar panels (AOR = 0.45, 95% CI: 0.25, 0.79), soil fertility, moderate (AOR = 0.28, 95% CI: 0.12, 0.87), fertile (AOR = 0.15, 95% CI: 0.032, 0.72) were significant associated food insecurity factors in the study area. Conclusion In this study, a high prevalence of food insecurity and various associated food insecurity factors have been identified in the study area. Thus, the concerned stockholders should intervene in food insecure households via different irrigation practices and by considering household size, community-based household head education, and landholding in hectare.
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Affiliation(s)
- Amare Wubishet Ayele
- Department of Statistics, College of Natural and Computational Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.
| | - Mulusew Kassa
- Department of Plant Science, College of Agriculture and Natural Resources, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia
| | - Yenesew Fentahun
- Department of Statistics, College of Natural and Computational Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia
| | - Hayimro Edmealem
- Department of Statistics, College of Natural and Computational Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia
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Impact of the Chicago Earned Income Tax Periodic Payment intervention on food security. Prev Med Rep 2019; 16:100993. [PMID: 31737468 PMCID: PMC6849410 DOI: 10.1016/j.pmedr.2019.100993] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 09/05/2019] [Accepted: 09/17/2019] [Indexed: 11/23/2022] Open
Abstract
This article examines the Earned Income Tax Credit Periodic Payment Pilot and its effectiveness in reducing food insecurity for low-income households. Low-income families in Chicago who were eligible for the Earned Income Tax Credit provided data over four waves of data collection between 2014 and 2015. We utilize longitudinal random effects logit models to test the likelihood of experiencing food insecurity. The sample was composed mostly by women with low educational levels. The intervention significantly decreased the likelihood of experiencing food insecurity over time (T2: β = -0.23, p = .581; T3: β = -0.89, p < .10; T4: β = -2.21, p < .01). The Periodic Payment Pilot seems effective at reducing food insecurity in low-income families. Further research should examine how changes to the Earned Income Tax Credit payment distribution could improve the lives of low-income families, specifically concerning food insecurity.
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Cheong P, Coughenour C, Shegog M, Ghimire S, Sagadraca L, Sy F. An Evaluation of Food Insecurity and Its Correlates in a Filipino American Study Sample Residing in Clark County, Nevada. Health Equity 2019; 3:512-519. [PMID: 31656938 PMCID: PMC6814077 DOI: 10.1089/heq.2019.0074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Purpose: Filipino Americans comprise over half of the Asian American population in Clark County, Nevada. Despite their large numbers, food insecurity rates are aggregated with the entire Asian American population. In 2016, 1.6% of Asian American households in Clark County were food insecure, yet, 22% of households reported annual incomes at or below 200% of the federal poverty level. This study aimed to assess the status and correlates of food insecurity specific to Filipino Americans in Clark County, Nevada. Methods: The United States Department of Agriculture (USDA) Short Form Food Security Module was administered among 192 Filipino Americans residing in Clark County, NV. Results were viewed through the theoretical framework of the Social Ecological Model. Results: 27.1% of respondents experienced food insecurity within the past year. Adjusted logistic regression revealed that incomes less than $20,000 (odds ratio [OR]=4.13, 95% confidence interval [CI]: 1.43–11.9), having no health insurance (OR=5.22, 95% CI: 1.67–16.34), and eating mainly American or Western foods (OR=7.3, 95% CI: 1.73–30.77) were significant predictors of food insecurity. Conclusions: A significantly higher prevalence of food insecurity among Filipino American subpopulations, compared to the estimates for Asian Americans in Clark County, suggests the need to disaggregate data for Asian American subgroups. The Social Ecological Model provides greater context to the findings identifying that the intrapersonal and policy level factors were associated with food insecurity among our participants, thus suggesting the need to utilize multilevel interventions to address food insecurity in Filipino Americans. The findings may be utilized to inform future interventions aimed at improving the overall health and food security among Filipino Americans.
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Affiliation(s)
- Prescott Cheong
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
| | | | - Marya Shegog
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
- The Lincy Institute, University of Nevada, Las Vegas, Las Vegas, Nevada
| | - Saruna Ghimire
- Department of Sociology and Gerontology, Miami University, Oxford, Ohio
| | - Lawrence Sagadraca
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
| | - Francisco Sy
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
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Assessment of Food Safety Knowledge and Behaviors of Cancer Patients Receiving Treatment. Nutrients 2019; 11:nu11081897. [PMID: 31416193 PMCID: PMC6722877 DOI: 10.3390/nu11081897] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 08/12/2019] [Accepted: 08/12/2019] [Indexed: 11/17/2022] Open
Abstract
Cancer patients receiving treatment are at a higher risk for the acquisition of foodborne illness than the general population. Despite this, few studies have assessed the food safety behaviors, attitudes, risk perceptions, and food acquisition behaviors of this population. Further, no studies have, yet, quantified the food safety knowledge of these patients. This study aims to fill these gaps in the literature by administering a thorough questionnaire to cancer patients seeking treatment in three hospitals in a Midwest, metropolitan area. Demographic, treatment, food security, and food safety knowledge, behaviors, attitudes, risk perceptions, and acquisition information was assessed for 288 patients. Specific unsafe attitudes, behaviors, and acquisition practices were identified. Most notable is that 49.4% (n = 139) of participants were not aware that they were at increased risk of foodborne infection, due to their disease and treatment. Additionally, though patients exhibited a general understanding of food safety, the participant average for correctly answering the food safety questions was 74.77% ± 12.24%. The section concerning food storage showed lowest participant knowledge, with an average score of 69.53% ± 17.47%. Finally, patients reporting low food security also reported a higher incidence of unsafe food acquisition practices (P < 0.05). These findings will help healthcare providers to better educate patients in the food safety practices necessary to decrease risk of foodborne infection, and to provide targeted food safety education to low-food-security patients.
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Roba KT, O’Connor TP, O’Brien NM, Aweke CS, Kahsay ZA, Chisholm N, Lahiff E. Seasonal variations in household food insecurity and dietary diversity and their association with maternal and child nutritional status in rural Ethiopia. Food Secur 2019. [DOI: 10.1007/s12571-019-00920-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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22
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Farzaneh H, Pourghassem Gargari B, Asghari Jafarabadi M, Lalezadeh Z, Arzhang P, Farzaneh A. Depression and Its Association with Food Insecurity in Household Women Living in Northwest of Iran. NUTRITION AND FOOD SCIENCES RESEARCH 2019. [DOI: 10.29252/nfsr.6.2.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Hunt BR, Benjamins MR, Khan S, Hirschtick JL. Predictors of Food Insecurity in Selected Chicago Community Areas. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:287-299. [PMID: 30316584 DOI: 10.1016/j.jneb.2018.08.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 07/23/2018] [Accepted: 08/08/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Examine associations between food insecurity and multiple demographic, socioeconomic, acculturation, social risk factor, and food access variables. DESIGN Data are from Sinai Community Health Survey 2.0, a cross-sectional, population-based probability survey of adults. SETTING Ten selected community areas in Chicago. PARTICIPANTS Adults aged 18 years and over who completed the Household Food Security Scale (HFSS) portion of the survey were included in the analysis (n = 1,041). MAIN OUTCOME MEASURES Food insecurity as defined by the HFSS was the dependent variable. Independent variables included multiple demographic, socioeconomic, acculturation, social risk factor, and food access variables. ANALYSIS Multivariate logistic regression, along with a manual backward selection process, was used to examine predictors of food insecurity. A P of .05 was used to determine statistical significance. RESULTS Respondents reporting English as their primary language (odds ratio [OR] = 0.31; P = .002) had significantly lower odds of experiencing food insecurity. Respondents who reported feeling lonely (OR = 1.86; P = .024) had significantly higher odds of experiencing food insecurity. Emergency food use (OR = 3.89; P = .001) and food stamp benefit receipt (OR = 2.79; P = .001) were also associated with food insecurity. Race/ethnicity demonstrated a strong relationship with food insecurity in early models, but this relationship appeared to be mediated by language and social risk factors. In the final adjusted model, most demographic and socioeconomic variables, including race/ethnicity, gender, and education were not significantly associated with food insecurity. CONCLUSIONS AND IMPLICATIONS The burden of food insecurity was not shared equally across populations. This analysis sheds light on significant predictors of food insecurity in several diverse communities in Chicago. Findings can help inform tailored interventions by guiding food assistance programs to those most in need.
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Affiliation(s)
- Bijou R Hunt
- Sinai Health System, Sinai Urban Health Institute, Chicago, IL.
| | | | - Sabena Khan
- Rosalind Franklin University of Medicine and Science, Chicago Medical School, North Chicago, IL
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Brown EM, Laraia B, Gruneisen K, Jones P, Seligman H. Food insecurity and hunger safety net use among single-room occupancy tenants in San Francisco, CA. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2018. [DOI: 10.1080/19320248.2018.1512932] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Erika M. Brown
- Division of Epidemiology, UC Berkeley School of Public Health, University of California, Berkeley, CA, USA
| | - Barbara Laraia
- Department of Public Health Nutrition, UC Berkeley School of Public Health, University of California, Berkeley, CA, USA
| | - Karen Gruneisen
- Episcopal Community Services of San Francisco, ECS Administrative Offices, San Francisco, CA, USA
| | - Paula Jones
- Office of Equity and Quality Improvement, Population Health Division, Department of Public Health, San Francisco, CA, USA
| | - Hilary Seligman
- Departments of Medicine and of Epidemiology and Biostatistics, University of California San Francisco’s Center for Vulnerable Populations, San Francisco, CA, USA
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Becerra MB, Mshigeni SK, Becerra BJ. The Overlooked Burden of Food Insecurity among Asian Americans: Results from the California Health Interview Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15081684. [PMID: 30087306 PMCID: PMC6121379 DOI: 10.3390/ijerph15081684] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 07/18/2018] [Accepted: 07/24/2018] [Indexed: 01/22/2023]
Abstract
Objective: Food insecurity remains a major public health issue in the United States, though lack of research among Asian Americans continue to underreport the issue. The purpose of this study was to evaluate the prevalence and burden of food insecurity among disaggregated Asian American populations. Methods: The California Health Interview Survey, the largest state health survey, was used to assess the prevalence of food insecurity among Asian American subgroups with primary exposure variable of interest being acculturation. Survey-weighted descriptive, bivariate, and multivariable robust Poisson regression analyses, were conducted and alpha less than 0.05 was used to denote significance. Results: The highest prevalence of food insecurity was found among Vietnamese (16.42%) and the lowest prevalence was among Japanese (2.28%). A significant relationship was noted between prevalence of food insecurity and low acculturation for Chinese, Korean, and Vietnamese subgroups. Language spoken at home was significant associated with food insecurity. For example, among Chinese, being food insecure was associated with being bilingual (prevalence ratio [PR] = 2.51) or speaking a non-English language at home (PR = 7.24), while among South Asians, it was associated with speaking a non-English language at home was also related to higher prevalence (PR = 3.62), as compared to English speakers only. Likewise, being foreign-born also related to being food insecure among Chinese (PR = 2.31), Filipino (PR = 1.75), South Asian (PR = 3.35), Japanese (PR = 2.11), and Vietnamese (PR = 3.70) subgroups, when compared to their US-born counterparts. Conclusion: There is an imperative need to address food insecurity burden among Asian Americans, especially those who have low acculturation.
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Affiliation(s)
- Monideepa B Becerra
- Department of Health Science and Human Ecology, California State University, 5500 University Parkway, San Bernardino, CA 92407, USA.
| | - Salome Kapella Mshigeni
- Department of Health Science and Human Ecology, California State University, 5500 University Parkway, San Bernardino, CA 92407, USA.
| | - Benjamin J Becerra
- School of Allied Health Professions, Loma Linda University, 24951 North Circle Drive, Loma Linda, CA 92350, USA.
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Is household food insecurity a determinant of weight status in patients with type 2 diabetes in rural areas? Med J Islam Repub Iran 2018; 31:138. [PMID: 29951438 PMCID: PMC6014794 DOI: 10.14196/mjiri.31.138] [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: 12/04/2016] [Indexed: 11/18/2022] Open
Abstract
Background: There is mixed evidence about food insecurity and overweight/obesity coexisting, however it is unclear about association
between food insecurity and weight status in people with type 2 diabetes. Therefore, the aim of this study was to evaluate the relationship
between food insecurity and weight status in individuals with type 2 diabetes in rural areas in Iran.
Methods: 1847 patients with type 2 diabetes who were residence in rural areas completed Household Food Security Scale (six-item
short questionnaire). Logistic regression model was applied to assess the independent effect of food insecurity on weight status.
Results: Mean age of the study population was 62.6±11.8 years, and the majority of them were female (70.4%). Most of the study
population (70.4%) had unhealthy weight status. Food insecurity affected more than 46% (n=852) of the households of the study population.
According to weight status, more than 40% (n=565) of overweight and obese subjects and 60% (n=18) of underweight subjects
lived in households with food insecurity. The results of multiple logistic regression model showed that food insecurity was not an independent
significant predictor of overweight or obesity in patients with type 2 diabetes. However, low food security (LFS) was an
independent significant predictor for underweight in patients with type 2 diabetes (OR=2.35, P=0.041).
Conclusion: It is concluded that food insecurity was frequent in all levels of weight status of patients with type 2 diabetes in rural
regions. However this association observed in underweight individuals but there was no significant overall relationship between
household food insecurity and in overweight and obesity in this group of patients.
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Jung SE, Kim S, Bishop A, Hermann J. Poor Nutritional Status among Low-Income Older Adults: Examining the Interconnection between Self-Care Capacity, Food Insecurity, and Depression. J Acad Nutr Diet 2018; 119:1687-1694. [PMID: 29921540 DOI: 10.1016/j.jand.2018.04.009] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 04/10/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND Understanding of the mechanisms of how food insecurity and poor physical and mental health status are interrelated with nutritional status among older adults is needed due to their unique health and social needs. OBJECTIVE To examine the complex relationships between self-care capacity, depressive symptoms, food insecurity, and nutritional status among low-income older adults. DESIGN The cross-sectional study was conducted from February 2017 to May 2017. PARTICIPANTS/SETTING A total of 372 low-income older adults, 60 years of age and older, living in the state of Alabama participated. MAIN OUTCOME MEASURES Participants completed a validated survey measuring food insecurity (six-item US Food Security Survey Module), self-care capacity (Self-Care Capacity Scale), depressive symptoms (10-item Geriatric Depression Scale), and nutritional status (Mini Nutritional Assessment Short-Form). STATISTICAL ANALYSES PERFORMED Generalized structural equation modeling was used to include the simultaneous equations and multiple mediators in one model. The Akaike Information Criterion, Bayesian Information Criterion, and likelihood ratio tests were conducted to compare the fit of competing model specifications. RESULTS Lower self-care capacity was associated with greater food insecurity (beta [b]=.11, odds ratio [OR]=1.11, P=0.03) and higher depressive symptoms (b=.08, P=0.005). Poorer self-care capacity and higher depressive symptoms were associated with poorer nutritional status (b=.24, OR=1.27, P<0.001; b=.13, OR=1.43, P=0.001, respectively). Higher food insecurity was associated with increased depressive symptoms (b=.40, P<0.001). Self-care capacity was associated with nutritional status directly and indirectly through depressive symptoms (b=.04, P=0.048). Although food insecurity was not significantly associated with nutritional status, a significant indirect association between food insecurity and nutritional status through depressive symptoms was observed (b=.02, P=0.04). CONCLUSIONS Study results indicate functionally impaired low-income older adults encounter greater food insecurity. Inability to afford food combined with limited ability to take care of oneself contributes to an increased self-report of depressive symptoms, resulting in less favorable nutritional status.
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Tabibian S, Daneshzad E, Bellissimo N, Brett NR, Dorosty-Motlagh AR, Azadbakht L. Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women. Nutr Diet 2018; 75:481-487. [PMID: 29888435 DOI: 10.1111/1747-0080.12440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Revised: 04/25/2018] [Accepted: 05/15/2018] [Indexed: 12/16/2022]
Abstract
AIM To investigate the association between adherence to the Dietary Approaches to Stop Hypertension (DASH) diet with food security and weight status in adult women. METHODS This cross-sectional study was carried out in 227 women-20-50 years of age-who were referred from 10 health centres. Dietary intakes were assessed using validated food frequency questionnaires. The DASH score was calculated using the Fung method based on eight food and nutrient components (high intake of fruits, vegetables, whole grains, nuts and legumes, low-fat dairy, low intakes of red and processed meats, sweetened beverages and sodium). The United States Department of Agriculture (USDA) household food security questionnaire was used to assess food security status. RESULTS The prevalence of food insecurity was 33.9%. A greater percentage of overweight and obese people were in the food insecure group (P = 0.006). In addition, the prevalence of overweight and obese people was lower with greater adherence to the DASH dietary pattern (P = 0.017). After controlling for age and energy intake, participants in the highest tertile of adherence to DASH diet had 66% lower odds of overweight and obesity than those in the lowest tertile (odds ratio (OR): 0.34; 95% confidence interval (CI): 0.15; 0.79). This relationship of DASH diet tertile and overweight and obesity was significant for both food secure women (OR: 0.54, 95% CI: 0.23; 0.97) and food insecure women (OR: 0.35, 95% CI: 0.06; 0.42). CONCLUSIONS Adherence to the DASH diet is associated with a reduced risk of overweight and obesity, based on body mass index, in both food secure and insecure Iranian women.
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Affiliation(s)
- Saeideh Tabibian
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
| | - Elnaz Daneshzad
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Neil R Brett
- School of Nutrition, Ryerson University, Toronto, Canada
| | - Ahmad R Dorosty-Motlagh
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
| | - Leila Azadbakht
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.,Diabetes Research Centre, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Li Y, Huang Y, Yang J, Liu Z, Li Y, Yao X, Wei B, Tang Z, Chen S, Liu D, Hu Z, Liu J, Meng Z, Nie S, Yang X. Bacteria and poisonous plants were the primary causative hazards of foodborne disease outbreak: a seven-year survey from Guangxi, South China. BMC Public Health 2018; 18:519. [PMID: 29669556 PMCID: PMC5907191 DOI: 10.1186/s12889-018-5429-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 04/10/2018] [Indexed: 11/13/2022] Open
Abstract
Background Foodborne diseases are a worldwide public health problem. However, data regarding epidemiological characteristics are still lacking in China. We aimed to analyze the characteristics of foodborne diseases outbreak from 2010 to 2016 in Guangxi, South China. Methods A foodborne disease outbreak is the occurrence of two or more cases of a similar foodborne disease resulting from the ingestion of a common food. All data are obtained from reports in the Public Health Emergency Report and Management Information System of the China Information System for Disease Control and Prevention, and also from special investigation reports from Guangxi province. Results A total of 138 foodborne diseases outbreak occurred in Guangxi in the past 7 years, leading to 3348 cases and 46 deaths. Foodborne disease outbreaks mainly occurred in the second and fourth quarters, and schools and private homes were the most common sites. Ingesting toxic food by mistake, improper cooking and cross contamination were the main routes of poisoning which caused 2169 (64.78%) cases and 37 (80.43%) deaths. Bacteria (62 outbreaks, 44.93%) and poisonous plants (46 outbreaks, 33.33%) were the main etiologies of foodborne diseases in our study. In particular, poisonous plants were the main cause of deaths involved in the foodborne disease outbreaks (26 outbreaks, 56.52%). Conclusions Bacteria and poisonous plants were the primary causative hazard of foodborne diseases. Some specific measures are needed for ongoing prevention and control against the occurrence of foodborne diseases. Electronic supplementary material The online version of this article (10.1186/s12889-018-5429-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yongqiang Li
- Department of Epidemiology and Health Statistics, School of Public Health of Huazhong University of Science and Technology, Wuhan, Hubei, China.,Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Yaling Huang
- Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, Guangxi, China.,Center for Genomic and Personalized Medicine, Guangxi Medical University, Nanning, Guangxi, China.,Guangxi Collaborative Innovation Center for Genomic and Personalized Medicine, Nanning, Guangxi, China
| | - Jijun Yang
- Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Zhanhua Liu
- Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, China
| | - Yanning Li
- School of Information and Management of Guangxi Medical University, Nanning, Guangxi, China
| | - Xueting Yao
- Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, China
| | - Bo Wei
- Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Zhenzhu Tang
- Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, China
| | - Shidong Chen
- Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Decheng Liu
- Guangxi Zhuang Autonomous Region Health and Family Planning Commission, Nanning, Guangxi, China
| | - Zhen Hu
- Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Junjun Liu
- School of Information and Management of Guangxi Medical University, Nanning, Guangxi, China
| | - Zenghui Meng
- Guangxi Food and Drug Administration, Nanning, Guangxi, China
| | - Shaofa Nie
- Department of Epidemiology and Health Statistics, School of Public Health of Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xiaobo Yang
- Center for Genomic and Personalized Medicine, Guangxi Medical University, Nanning, Guangxi, China. .,Guangxi Collaborative Innovation Center for Genomic and Personalized Medicine, Nanning, Guangxi, China. .,Department of Occupational Health and Environmental Health, School of Public Health of Guangxi Medical University, Shuangyong road, Nanning, 530021, Guangxi, China.
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Nagata JM, Gomberg S, Hagan MJ, Heyman MB, Wojcicki JM. Food insecurity is associated with maternal depression and child pervasive developmental symptoms in low-income Latino households. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2018; 14:526-539. [PMID: 31673300 DOI: 10.1080/19320248.2018.1434101] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
The objective of this study was to investigate associations between household food insecurity, maternal clinical depression, and child behavior problems in low-income Latino households. Data were collected from a cohort of 168 children and their Latina mothers recruited prenatally at two San Francisco hospitals from 2006 to 2007. Food insecurity at year four was associated with increased odds of maternal clinical depression at years four to five (adjusted OR 1.22, 95% confidence interval 1.03 to 1.43). Food insecurity at year four was associated with child pervasive developmental problems at year five (B=0.21, p=0.041) in adjusted models. The association between food insecurity at year four and oppositional defiant problems at year five was partially mediated (28.7% mediation, p=0.046) by maternal clinical depression in years four and five. Our results suggest that household food insecurity is associated with greater maternal depression, and both food insecurity and maternal depression uniquely predict certain types of child behavior problems. Assessing for and addressing household food insecurity may be beneficial additions to psychosocial interventions targeting maternal and child mental health.
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Affiliation(s)
- Jason M Nagata
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, San Francisco CA 94158 USA
| | - Simon Gomberg
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, San Francisco CA 94158 USA.,Medical Sciences Division, University of Oxford, Oxford, United Kingdom
| | - Melissa J Hagan
- Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave., Bldg. 20, Suite 2100, San Francisco, CA 94110 USA
| | - Melvin B Heyman
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, San Francisco CA 94158 USA
| | - Janet M Wojcicki
- Department of Pediatrics, University of California, San Francisco, 550 16th Street, San Francisco CA 94158 USA
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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.
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Affiliation(s)
- Howard P Greenwald
- Sol Price School of Public Policy, University of Southern California, 650 Childs Way, Los Angeles, CA, 90089, USA.
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Food security among individuals experiencing homelessness and mental illness in the At Home/Chez Soi Trial. Public Health Nutr 2017; 20:2023-2033. [PMID: 28560947 DOI: 10.1017/s1368980017000489] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Individuals experiencing homelessness are particularly vulnerable to food insecurity. The At Home/Chez Soi study provides a unique opportunity to first examine baseline levels of food security among homeless individuals with mental illness and second to evaluate the effect of a Housing First (HF) intervention on food security in this population. DESIGN At Home/Chez Soi was a 2-year randomized controlled trial comparing the effectiveness of HF compared with usual care among homeless adults with mental illness, stratified by level of need for mental health services (high or moderate). Logistic regressions tested baseline associations between food security (US Food Security Survey Module), study site, sociodemographic variables, duration of homelessness, alcohol/substance use, physical health and service utilization. Negative binomial regression determined the impact of the HF intervention on achieving levels of high or marginal food security over an 18-month follow-up period (6 to 24 months). SETTING Community settings at five Canadian sites (Moncton, Montreal, Toronto, Winnipeg and Vancouver). SUBJECTS Homeless adults with mental illness (n 2148). RESULTS Approximately 41 % of our sample reported high or marginal food security at baseline, but this figure varied with gender, age, mental health issues and substance use problems. High need participants who received HF were more likely to achieve marginal or high food security than those receiving usual care, but only at the Toronto and Moncton sites. CONCLUSIONS Our large multi-site study demonstrated low levels of food security among homeless experiencing mental illness. HF showed promise for improving food security among participants with high levels of need for mental health services, with notable site differences.
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Motbainor A, Worku A, Kumie A. Household food insecurity is associated with both body mass index and middle upper-arm circumference of mothers in northwest Ethiopia: a comparative study. Int J Womens Health 2017; 9:379-389. [PMID: 28603432 PMCID: PMC5457173 DOI: 10.2147/ijwh.s130870] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Food insecurity and associated malnutrition result in serious health problems in developing countries. This study determined levels of maternal undernutrition and its association with food insecurity in northwest Ethiopia. MATERIALS AND METHODS This was a community-based comparative cross-sectional study conducted May 24-July 20, 2013. Multistage random sampling was used to select 4,110 samples. Availability of Ethiopia's Productive Safety Net Programme was used for grouping the study areas. A food-security access scale developed by the Food and Nutrition Technical Assistant project was used to measure food security. Sociodemographic data were collected using a structured questionnaire. A binary logistic regression model was used to assess the association of food insecurity and maternal undernutrition. RESULTS From the total participants, 12.6% (95% confidence interval [CI] 11.6%-13.6%) had a body mass index (BMI) <18.5 kg/m2. Comparison of maternal undernutrition in the two study areas revealed 8.8% (95% CI 7.6%-10.2%) in the program area and 16.4% (95% CI 14.8%-18.1%) in nonprogram areas were undernourished. Severe food insecurity was significantly associated with BMI of mothers (adjusted odds ratios [AORs] 3.6 and 2.31, 95% CI 2.32-5.57 and 1.52-3.5, respectively) in both program and nonprogram areas. Mild (AOR 1.77, 95% CI 1.21-2.6) and moderate (AOR 1.6, 95% CI 1.18-2.16) food insecurity significantly associated with maternal undernutrition in nonprogram areas. In the same way, all forms of food insecurity significantly associated with maternal middle upper-arm circumference in both program and nonprogram areas. The odds of mothers who did not exercise decision-making practice on the household income was also 4.13 times higher than those who did (AOR 4.13, 95% CI 2.2-7.77) in the program area. CONCLUSION Food insecurity significantly associated with both maternal BMI and middle upper-arm circumference in both study areas. Female authority also significantly associated with BMI of the mothers in the program area. Maternal nutrition-intervention programs should focus on women-empowerment strategies that enable them to decide on the income for household-nutrition provision.
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Affiliation(s)
- Achenef Motbainor
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Alemayehu Worku
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abera Kumie
- School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Dasgupta P, Bhattacherjee S, Das DK. Food Security in Households of People Living With Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome: A Cross-sectional Study in a Subdivision of Darjeeling District, West Bengal. J Prev Med Public Health 2017; 49:240-8. [PMID: 27499166 PMCID: PMC4977769 DOI: 10.3961/jpmph.16.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 07/19/2016] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) adversely impacts food security in households of people living with HIV/AIDS (PLWHA). Little research has focused on food insecurity among PLWHA in India. The purpose of this study was to identify the prevalence of and factors relating to food security in households of PLWHA in the Siliguri subdivision of Darjeeling, West Bengal, India. METHODS A cross-sectional community-based study was carried out among 173 PLWHA residing in Siliguri and registered at the Anti-retroviral Therapy Centre of North Bengal Medical College & Hospital. Data was collected at the household level with interviews of PLWHA using a food security survey instrument. We analyzed the associations using logistic regression. RESULTS The prevalence of household food security among the participants was 50.9% (88/173). Five years or more of schooling, higher socioeconomic class and males were found to be significantly associated with a higher likelihood of food security. A later stage of the disease and the presence of other family members with HIV/AIDS were significantly associated with a lower likelihood of food security. The major coping strategies to deal with food insecurity in the acute phase HIV infection included borrowing money (56.1%), followed by spousal support, loans from microfinance institutions, banks, or money lenders, borrowing food, or selling agricultural products. CONCLUSIONS The present study revealed that only about half of households with PLWHA were food secure. Prior interventions relating to periods of food and economic crisis as well as strategies for sustaining food security and economic status are needed in this area.
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Affiliation(s)
- Pallabi Dasgupta
- Department of Community Medicine, North Bengal Medical College & Hospital, Siliguri, India
| | | | - Dilip Kumar Das
- Department of Community Medicine, North Bengal Medical College & Hospital, Siliguri, India
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Ghodsi D, Omidvar N, Eini-Zinab H, Rashidian A, Raghfar H. Impact of the National Food Supplementary Program for Children on Household Food Security and Maternal Weight Status in Iran. Int J Prev Med 2016; 7:108. [PMID: 27833722 PMCID: PMC5036276 DOI: 10.4103/2008-7802.190605] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 08/09/2016] [Indexed: 11/20/2022] Open
Abstract
Background: Food aid programs are strategies that aim to improve nutritional status and to tackle food insecurity. This study aimed to evaluate the effect of a National Food Supplementary Program for Children on households’ food security. Methods: The study sample included 359 mothers of children aged 6–72 months under the coverage of the program in two provinces of Iran. Demographic and socioeconomic characteristics of the households and percentage of supplementary food items consumed by target child were assessed by a questionnaire and checklist. Data on household food security were collected by locally adapted Household Food Insecurity Access Scale at the baseline of the study and 6 months thereafter. Results: At the baseline, only 4.7% of families were food secure, while 43.5% were severely food insecure, and these proportions were changed to 7.9% and 38%, respectively (P < 0.001), at the end of the study. Odds of having worse food insecurity in households with medium and high wealth index was 65% and 87% lower than those with low wealth index, respectively (odds ratio [OR] = 0.35, 95% confidence interval [CI]: 0.2–0.61, and OR = 0.23, 95% CI: 0.12–0.43). Food sharing was common among more than 95% of the studied households. Mean maternal body mass index (BMI) increased significantly after 6 months (P < 0.001). However, there was no significant association between mother's BMI and household food security in the baseline and at the end of the study (P > 0.05). Conclusions: Findings show that the food supplementary program for children can also improve the household food security status. Further research is needed to assess other factors that affect the effectiveness of this kind of programs.
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Affiliation(s)
- Delaram Ghodsi
- Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nasrin Omidvar
- Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hassan Eini-Zinab
- Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Arash Rashidian
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Department of Information, Evidence and Research, Eastern Mediterranean Region, World Health Organization, Cairo, Egypt
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Parpouchi M, Moniruzzaman A, Russolillo A, Somers JM. Food Insecurity among Homeless Adults with Mental Illness. PLoS One 2016; 11:e0159334. [PMID: 27437937 PMCID: PMC4954689 DOI: 10.1371/journal.pone.0159334] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Accepted: 06/30/2016] [Indexed: 11/26/2022] Open
Abstract
Background The prevalence of food insecurity and food insufficiency is high among homeless people. We investigated the prevalence and correlates of food insecurity among a cohort of homeless adults with mental illness in Vancouver, British Columbia, Canada. Methods Data collected from baseline questionnaires in the Vancouver At Home study were analysed to calculate the prevalence of food insecurity within the sample (n = 421). A modified version of the U.S. Department of Agriculture’s Adult Food Security Survey Module was used to ascertain food insecurity. Univariable and multivariable logistic regression were used to examine potential correlates of food insecurity. Results The prevalence of food insecurity was 64%. In the multivariable model, food insecurity was significantly associated with age (adjusted odds ratio [aOR] = 0.97; 95% CI: 0.95–0.99), less than high school completion (aOR = 0.57; 95% CI: 0.35–0.93), needing health care but not receiving it (aOR = 1.65; 95% CI: 1.00–2.72), subjective mental health (aOR = 0.97; 95% CI: 0.96–0.99), having spent over $500 for drugs and alcohol in the past month (aOR = 2.25; 95% CI: 1.16–4.36), HIV/AIDS (aOR = 4.20; 95% CI: 1.36–12.96), heart disease (aOR = 0.39; 95% CI: 0.16–0.97) and having gone to a drop-in centre, community meal centre or program/food bank (aOR = 1.65; 95% CI: 1.01–2.68). Conclusions The prevalence of food insecurity was extremely high in a cohort with longstanding homelessness and serious mental illness. Younger age, needing health care but not receiving it, poorer subjective mental health, having spent over $500 for drugs and alcohol in the past month, HIV/AIDS and having gone to a drop-in centre, community meal centre or program/food bank each increased odds of food insecurity, while less than high school completion and heart disease each decreased odds of food insecurity. Interventions to reduce food insecurity in this population are urgently needed.
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Affiliation(s)
- Milad Parpouchi
- Somers Research Group, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Akm Moniruzzaman
- Somers Research Group, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Angela Russolillo
- Somers Research Group, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
| | - Julian M Somers
- Somers Research Group, Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
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Motbainor A, Worku A, Kumie A. Level and determinants of food insecurity in East and West Gojjam zones of Amhara Region, Ethiopia: a community based comparative cross-sectional study. BMC Public Health 2016; 16:503. [PMID: 27289456 PMCID: PMC4903159 DOI: 10.1186/s12889-016-3186-7] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Accepted: 06/08/2016] [Indexed: 11/23/2022] Open
Abstract
Background Food insecurity remains highly prevalent in developing countries and over the past two decades it has increasingly been recognized as a serious public health problem, including in Ethiopia. An emerging body of literature links food insecurity to a range of negative health outcomes and causes of a decline in productivity. The objectives of the present study were to determine the level of food insecurity in East Gojjam zone where the productive safety net program is available, and in West Gojjam zone where there is no program, and to identify the determinants of food insecurity in both East and West Gojjam zones of Amhara Region, Ethiopia. Methods Community based comparative cross-sectional study design was used from 24 May 2013- 20 July 2013. Multistage sampling technique was implemented. A total of 4110 randomly selected households in two distinct populations were approached to be included in the study. Availability and absence of the productive safety net program between the two study areas was used to categorize them as comparative groups; otherwise the two communities are comparable in many socio-cultural characteristics. The household food security access scale questionnaire, developed by the Food and Nutrition Technical Assistant Project, was used to measure food security level. Socio-demographic and other household level information were collected by using a structured questionnaire. The binary logistic regression model was used to assess factors associated with food insecurity. Results From the total 4110 households, 3964 (96.45 %) gave complete responses. The total prevalence of food insecurity was 55.3 % (95 % CI: 53.8, 56.8). To compare food insecurity levels between the two zones, nearly sixty percent, 59.2 % (95 % CI: 57 %, 61.4 %) of the East Gojjam and 51.3 % (95 % CI: 49.1 %, 53.5) of West Gojjam households were food insecure. Family size (2–4) (AOR = 0.641, 95 % CI: 0.513, 0.801), non-merchant women (AOR = 1.638, 95 % CI: 1.015, 2.643), household monthly income quartiles, 1st (AOR = 2.756, 95 % CI: 1.902, 3.993), and 2nd (AOR =1.897, 95 % CI: 1.299, 2.775) were the significant socio-demographic determinants in east Gojjam zone. Illiterate mothers (AOR = 1.388, 95 % CI: 1.011, 1.905), household monthly income quartiles, 1st (AOR = 3.110232, 95 % CI: 2.366, 4.415), 2nd (AOR =2.618, 95 % CI: 1.892, 3.622) and 3rd (AOR = 2.177, 95 % CI: 1.6911, 2.803) were the significant socio-demographic predictors in west Gojjam zone. Rural residential area (AOR = 3.201, 95 % CI: 1.832, 5.594) and (AOR = 2.425, 95 % CI: 1.79, 3.272), highland agro-ecology (AOR = 2.193, 95 % CI: 1.348, 3.569 and AOR = 3.669, 95 % CI: 2.442, 5.513) and lack of livestock (AOR = 1.553, 95 % CI: 1.160, 2.078 and AOR = 1.568 95 % CI: 1.183, 2.080) were significant environmental predictors in east and west Gojjam zones respectively. Conclusion Food insecurity is highly prevalent in both study areas; however, there are different predictor factors. Intervention strategies should give emphasis to women’s education, diversified income generating opportunities, and for each agro-ecological zone, mixed agriculture strategy.
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Affiliation(s)
- Achenef Motbainor
- School of Public Health College of Health Science, Addis Ababa University, P. O. Box: 23676, Code: 1000, Addis Ababa, Ethiopia.
| | - Alemayehu Worku
- School of Public Health College of Health Science, Addis Ababa University, P. O. Box: 23676, Code: 1000, Addis Ababa, Ethiopia
| | - Abera Kumie
- School of Public Health College of Health Science, Addis Ababa University, P. O. Box: 23676, Code: 1000, Addis Ababa, Ethiopia
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Abstract
OBJECTIVE We estimated the prevalence of food insecurity among people who inject drugs (PWID) in Los Angeles and San Francisco and explored correlates of food insecurity. DESIGN A cross-sectional study that measured 30 d food insecurity using the US Adult Food Security Survey ten-item Module developed by the US Department of Agriculture. Food insecurity was defined as including low and very low food security. SETTING Two cities in the state of California, USA. SUBJECTS Male and female active PWID (n 777). RESULTS Among participants, 58 % reported food insecurity and 41 % reported very low food security. Food-insecure PWID were more likely to report being homeless (prevalence ratio (PR)=1·20; 95 % CI 1·05, 1·37), chest pain in the past 12 months (PR=1·19; CI 1·06, 1·35), acquiring syringes from someone who goes to a syringe exchange programme (PR=1·27; 95 % CI 1·13, 1·43) and feeling at risk for arrest for possession of drug paraphernalia (PR=1·30; 95 % CI 1·15, 1·46). CONCLUSIONS Current food insecurity was common among PWID in these two cities, yet few factors were independently associated with food insecurity. These data suggest that broad strategies to improve food access for this high-risk population are urgently needed.
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Grobler WC. Perceptions of Poverty: A Study of Food Secure and Food Insecure Households in an Urban Area in South Africa. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/s2212-5671(16)00028-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Horner-Johnson W, Dobbertin K, Kulkarni-Rajasekhara S, Beilstein-Wedel E, Andresen EM. Food Insecurity, Hunger, and Obesity Among Informal Caregivers. Prev Chronic Dis 2015; 12:E170. [PMID: 26447547 PMCID: PMC4599054 DOI: 10.5888/pcd12.150129] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Introduction Increasing numbers of US residents rely on informal caregiving from friends and family members. Caregiving can have substantial health and financial impacts on caregivers. This study addressed whether those impacts include adverse nutritional states. Specifically, we examined household food insecurity, individual hunger, and obesity among caregivers compared with noncaregivers. Methods We analyzed 2012 Behavioral Risk Factor Surveillance System data from Oregon. The Caregiving Module was administered to a random subset of 2,872 respondents. Module respondents included 2,278 noncaregivers and 594 caregivers providing care or assistance to a friend or family member with a health problem or disability. We used multivariable logistic regression to assess associations between caregiving status and each of our dependent variables. Results Caregivers had significantly greater odds of reporting household food insecurity (odds ratio [OR] = 2.10, P = .003) and personal hunger (OR = 2.89, P = .002), even after controlling for income and other correlates of food insecurity. There were no significant differences in obesity between caregivers and noncaregivers. Conclusion Caregiving is associated with increased risk of food insecurity and hunger in Oregon, suggesting that careful attention to the nutritional profile of households with family caregivers is needed in this population.
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Affiliation(s)
- Willi Horner-Johnson
- Institute on Development and Disability, Oregon Health and Science University, 707 SW Gaines St, Portland, OR 97239.
| | - Konrad Dobbertin
- Institute on Development and Disability, Oregon Health and Science University, Portland, Oregon
| | | | - Erin Beilstein-Wedel
- Institute on Development and Disability, Oregon Health and Science University, Portland, Oregon
| | - Elena M Andresen
- Institute on Development and Disability, Oregon Health and Science University, Portland, Oregon
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The association between intimate partner domestic violence and the food security status of poor families in Brazil. Public Health Nutr 2015; 19:1305-11. [DOI: 10.1017/s1368980015002694] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
AbstractObjectiveTo assess the association between physical intimate partner violence and household food security within households with schoolchildren.DesignCross-sectional study.SettingSalvador, Bahia, north-eastern Brazil.SubjectsThe study was conducted in 1019 households with students. Violence between couples was evaluated using the Portuguese version of the revised Conflict Tactics Scales (CTS2), previously adapted and validated for use in Brazil. The Brazilian Food Insecurity Scale (BFIS) was used to identify food insecurity. We also obtained socio-economic information for each participant. We used multivariate Poisson regression to assess the associations of interest.ResultsAccording to the results of the BFIS, 62·5 % of the households were found to experience food insecurity, including 19·5 % moderate food insecurity and 6·5 % severe food insecurity. The prevalence of minor physical violence was 9·6 % (95 % CI 7·8, 11·4 %) and of severe physical violence was 4·7 % (95 % CI 3·4, 6·0 %) among the couples. In the final multivariate model, it was found that couples reporting minor (prevalence ratio=1·23; 95 % CI 1·12, 1·35) and severe (prevalence ratio=1·16; 95 % CI 1·00, 1·34) physical violence were more likely to be experiencing household food insecurity, compared with those not reporting physical violence.ConclusionsPhysical intimate partner violence was associated with food insecurity of households. The present study brings new data to the subject of the role of violence in the context of food insecurity.
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Mazidi M, Rezaie P, Norouzy A, Saeb MH, Mehdizadeh Hakkak A, Balali S, Nematy M. Investigating the relation between macronutrients intake and anthropometric indices. MEDITERRANEAN JOURNAL OF NUTRITION AND METABOLISM 2015. [DOI: 10.3233/mnm-150038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Mohsen Mazidi
- Key State Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Chaoyang, Beijing, China
| | - Peyman Rezaie
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Abdolreza Norouzy
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Mohammad Hasan Saeb
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Atieh Mehdizadeh Hakkak
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Sara Balali
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Mohsen Nematy
- Biochemistry of Nutrition Research Center, School of Medicine, Mashhad University of Medical Science, Mashhad, Iran
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Motbainor A, Worku A, Kumie A. Stunting Is Associated with Food Diversity while Wasting with Food Insecurity among Underfive Children in East and West Gojjam Zones of Amhara Region, Ethiopia. PLoS One 2015; 10:e0133542. [PMID: 26285047 PMCID: PMC4540277 DOI: 10.1371/journal.pone.0133542] [Citation(s) in RCA: 75] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2015] [Accepted: 06/29/2015] [Indexed: 11/20/2022] Open
Abstract
Background Food insecurity has detrimental effects in protecting child undernutrition.This study sought to determine the level of child undernutrition and its association with food insecurity. Methods A community based comparative cross-sectional study design involving multistage sampling technique was implemented from 24th of May to 20th of July 2013. Using two population proportion formula, a total of 4110 randomly selected households were included in the study. Availability of the productive safety net programme was used for grouping the study areas. A multiple linear regression model was used to assess the association between food insecurity and child malnutrition. Clustering effects of localities were controlled during analysis. Results Stunting (37.5%), underweight (22.0%) and wasting (17.1%) were observed in East Gojjam zone, while 38.3% stunting, 22.5% underweight, and 18.6% wasting for the West Gojjam zone. Food insecurity was significantly associated with wasting (β = - 0.108, P < 0.05).Food diversity and number of meals the child ate per day significantly associated with stunting (β = 0.039, P < 0.01) and underweight (β = 0.035, P < 0.05) respectively. Residential area was the significant predictor of all indices. Conclusion The magnitude of child undernutrition was found to be very high in the study areas. Food insecurity was the significant determinant of wasting. Food diversity and number of meals the child ate per day were the significant determinants of stunting and underweight respectively. Child nutrition intervention strategies should take into account food security, dietary diversity, and carefully specified with regard to residential locations. Addressing food insecurity is of paramount importance.
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Affiliation(s)
- Achenef Motbainor
- School of Public Health College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
- * E-mail:
| | - Alemayehu Worku
- School of Public Health College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abera Kumie
- School of Public Health College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Prevalence and covariates of food insecurity among residents of single-room occupancy housing in Chicago, IL, USA. Public Health Nutr 2015; 19:1122-30. [DOI: 10.1017/s1368980015002384] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractObjectiveEmerging evidence suggests that food insecurity is a significant public health concern among people who are homeless or marginally housed. The present study assessed prevalence of food insecurity and its covariates among a group of marginally housed individuals living in single-room occupancy (SRO) dwellings, a population for which there is little extant health or nutrition research.DesignCross-sectional survey incorporating the Household Food Insecurity Access Scale.SettingTen private SRO residences in the Uptown neighbourhood of Chicago, IL, USA, 2013.SubjectsSRO residents over 18 years of age who were able to communicate verbally in English (n153).ResultsFood insecurity was widespread among SRO residents, with 75 % of the sample considered food insecure and 52 % meeting criteria for severe food insecurity. Bivariate analyses indicated that female gender, eating most meals at a soup kitchen, having a mental health condition, problem drinking, having at least one chronic health condition, and diabetes were all significantly associated with food insecurity. In the multivariate ordered logistic regression model, eating most meals at a soup kitchen remained as the only significant correlate of food insecurity (OR=10·13).ConclusionsSRO residents and other marginally housed populations face unique food access challenges. Although targeted assistance in the form of food stamps and congregate meal programmes remains critical, efforts to prevent and address food insecurity among homeless and marginally housed individuals should include policy interventions that recognize poverty as the root cause of food insecurity and aim to increase overall income and improve housing conditions.
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Younginer NA, Blake CE, Draper CL, Jones SJ. Resilience and Hope: Identifying Trajectories and Contexts of Household Food Insecurity. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2015. [DOI: 10.1080/19320248.2015.1004212] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
OBJECTIVE To determine the prevalence of (very) low food security among Dutch food bank recipients, and to identify potential demographic, lifestyle and nutrition-related factors associated with (very) low food security. SETTING 11 of 135 Dutch food banks were selected throughout the Netherlands. PARTICIPANTS 251 Dutch food bank recipients participated in the study (93 men and 158 women). Inclusion criteria for participation were: (1) at least 18 years of age, (2) sufficiently fluent in Dutch to participate in oral and written interviews, (3) recipient of a Dutch food bank for at least 1 month and (4) collect own food parcel at the food bank. A single member per household was included. PRIMARY OUTCOME Level of food security. RESULTS The prevalence of food insecurity was 72.9% (N=183), of which 40.4% (N=74) reported very low food security. Of the very low food secure participants, 56.8% (N=42) reported they were ever hungry but did not eat because they could not afford enough food in the previous 3 months. Adjusted multinomial logistic regression analyses showed that households without children were less likely to experience low food security (OR 0.39 (95% CI 0.18 to 0.88)) and men (OR 0.24 (95% CI 0.11 to 0.51)) were less likely to experience very low food security, while low-educated recipients (OR 5.05 (95% CI 1.37 to 18.61)) were more likely to experience very low food security. Furthermore, recipients with high satisfaction with overall food intake (OR 0.46 (95% CI 0.27 to 0.78)), high perceived healthiness of overall food intake (OR 0.34 (95% CI 0.19 to 0.62)) or high self-efficacy of eating healthy (OR 0.62 (95% CI 0.40 to 0.96)) were less likely to experience very low food security. CONCLUSIONS Our study showed high prevalence rates of food insecurity among Dutch food bank recipients, and identified subgroups at increased risk of food insecurity. More research is urgently needed on the underlying determinants of food insecurity and the effectiveness of food assistance by food banks.
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Affiliation(s)
- Judith E Neter
- Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands
| | - S Coosje Dijkstra
- Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands
| | - Marjolein Visser
- Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands
- Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
| | - Ingeborg A Brouwer
- Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands
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Determining Food Insecurity: An Application of the Rasch Model with Household Survey Data in Uganda. INTERNATIONAL JOURNAL OF FOOD SCIENCE 2014; 2014:121269. [PMID: 26904617 PMCID: PMC4745529 DOI: 10.1155/2014/121269] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Revised: 11/28/2014] [Accepted: 12/08/2014] [Indexed: 11/17/2022]
Abstract
The inexplicable nature of food insecurity in parts of Uganda and worldwide necessitated an investigation into the nature, extent, and differentials of household food security. The main objective of this study was to examine the food security dynamics and model household food insecurity. The Rasch modelling approach was employed on a dataset from a sample of 1175 (Tororo = 577; Busia = 598) randomly selected households in the year 2010. All households provided responses to the food security questions and none was omitted from the analysis. At 5 percent level of significance the analysis indicated that Tororo district average food security assessment (0.137 ± 0.181) was lower than that for Busia district (0.768 ± 0.177). All the mean square fit statistics were in the range of 0.5 to 1.5, and none of them showed any signs of distortion, degradation, or less productivity for measurement. This confirmed that items used in this study were very productive for measurement of food security in the study area. The study recommends further analysis where item responses are ordered polytomous rather than the dichotomous item response functions used. Furthermore, consideration should be given to fit models that allow for different latent distributions for households with children and those without children and possibly other subgroups of respondents.
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Facchini LA, Nunes BP, Motta JVDS, Tomasi E, Silva SM, Thumé E, Silveira DSD, Siqueira FV, Dilélio AS, Saes MDO, Miranda VIA, Volz PM, Osório A, Fassa AG. Insegurança alimentar no Nordeste e Sul do Brasil: magnitude, fatores associados e padrões de renda per capita para redução das iniquidades. CAD SAUDE PUBLICA 2014; 30:161-74. [DOI: 10.1590/0102-311x00036013] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Accepted: 07/24/2013] [Indexed: 11/21/2022] Open
Abstract
O artigo analisa a insegurança alimentar em domicílios urbanos com crianças menores de sete anos de idade. Por meio de estudo transversal localizou-se, nas áreas de abrangência de unidades básicas de saúde, 5.419 domicílios na Região Nordeste e 5.081 na Região Sul do Brasil. A insegurança alimentar foi avaliada usando-se a Escala Brasileira de Insegurança Alimentar. A prevalência de insegurança alimentar moderada ou grave foi 22,9% no Nordeste e 7,5% no Sul. Em ambas as regiões, na análise ajustada, a maior probabilidade de insegurança alimentar moderada e grave foi identificada em domicílios chefiados por mulheres, com cor da pele materna preta e parda/mestiça, com menor escolaridade materna, menor renda familiar per capita e beneficiários do Bolsa Família. A insegurança alimentar moderada ou grave seria reduzida em 59,5% no Nordeste e em 45,4% no Sul, com uma renda familiar per capita mínima de R$ 175,00 ao mês. O aumento da renda familiar dos mais pobres e a melhor focalização do Bolsa Família são essenciais para a diminuição da insegurança alimentar no país.
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Hur I, Jang MJ, Oh K. Food and nutrient intakes according to income in korean men and women. Osong Public Health Res Perspect 2013; 2:192-7. [PMID: 24159472 PMCID: PMC3767089 DOI: 10.1016/j.phrp.2011.11.044] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Revised: 09/26/2011] [Accepted: 10/27/2011] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES The present study investigated associations between income and intake of nutrients and food in adults (n = 11,063) from the fourth Korea National Health and Nutrition Examination Survey 2007-2009. METHODS To examine relationships between individual dietary intake and anthropometric measures and family income, multiple linear regression models were constructed for each outcome variable. All models were adjusted for age, education, energy intake, smoking, body mass index, and physical activity. RESULTS For men, intakes of protein, calcium, phosphorus, potassium, and vitamin C were lower in low-income compared to high-income groups. For women, intakes of protein and niacin were lower in low-income groups. Lowest income group ate less dairy products in men and less fruits and fishes or shellfishes in women. CONCLUSION Low-income groups had severe food insecurity and low diet quality compared to high-income groups. The study results will provide direction for public health efforts regarding dietary intakes according to economic status among Korean men and women.
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Vahabi M, Damba C. Perceived barriers in accessing food among recent Latin American immigrants in Toronto. Int J Equity Health 2013; 12:1. [PMID: 23286318 PMCID: PMC3547743 DOI: 10.1186/1475-9276-12-1] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2012] [Accepted: 12/18/2012] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE In Canada, recent immigrant households experience more food insecurity than the general population, but limited information is available about the personal, cultural, and social factors that contribute to this vulnerability. This study focused on recent Latin American (LA) immigrants to explore their perceived barriers in acquiring safe, nutritious, and culturally-appropriate food. DESIGN A cross-sectional mixed-method design was applied to collect information from a convenience sample of 70 adult Spanish/Portuguese speakers who had arrived in Toronto within the last five years. Face-to-face interviews were conducted with primary household caregivers to obtain responses about barriers to acquiring food for their households; data were analyzed using a thematic analysis technique. RESULTS Four main categories of barriers were identified: limited financial resources; language difficulty; cultural food preferences; and poor knowledge of available community-based food resources and services. Inadequate income was the main impediment in accessing adequate food, and was related to affordability of food items, accessibility of food outlets and transportation cost, and limited time for grocery shopping due to work conditions. Language barriers affected participants' ability to obtain well-paid employment and their awareness about and access to available community-based food resources. Cultural barriers were related to food preferences and limited access to culturally-appropriate foods and resources. CONCLUSION The main barrier to food security among our sample of LA newcomers to Toronto is limited financial resources, highlighting the need for policies and strategies that could improve their financial power to purchase sufficient, nutritious, and culturally-acceptable food. Linguistic barriers and limited information among newcomers suggest the need to provide linguistically- and culturally-appropriate information related to community-based food programs and resources, as well as accessible subsidized English language programs, in the community and at workplaces. Participatory community-based food programs can augment, in a socially acceptable manner, food resources and reduce the social stigma attached to food charity. Finally, it is crucial to monitor and evaluate existing social and community-based services for their accessibility, cultural appropriateness and diversity, and effectiveness.
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Affiliation(s)
- Mandana Vahabi
- Faculty of Community Services-Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
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