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Krishnamurthy S, Chait JS, Reddy MN, Galli LD, Skelton JA. Food Insecurity and Family Dynamics: A Systematic Review. FAMILY & COMMUNITY HEALTH 2024; 47:219-230. [PMID: 38758024 PMCID: PMC11104509 DOI: 10.1097/fch.0000000000000401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2024]
Abstract
BACKGROUND Undernutrition is related to numerous childhood outcomes. However, little research has investigated the relationship between food insecurity and family dynamics. This systematic review seeks to validate the evidence for a relationship between these 2 factors. METHODS A systematic literature review was conducted in Embase, PubMed, and Scopus. Inclusion criteria include peer-reviewed research articles published during or after 1996 in English, using standardized measures of family function and food insecurity. Exclusion criteria include measurement of parent or child characteristics without assessing household or family characteristics or demographics. Two reviewers independently voted using Covidence, and Alpha agreement was determined at each phase. RESULTS A total of 15 studies were included for data extraction after the initial search being completed in April 2022. All included studies were found to be appropriate in numerous categories for quality assessment. Primary findings from these studies show a potential relationship exists between food insecurity and family dynamics. DISCUSSION The findings in this review suggest that effects of food insecurity expand to various aspects of healthy family functioning. Unhealthy family dynamics in childhood can also expose children to trauma and lead to increased physical and mental health disorders in the future.
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Affiliation(s)
- Sudarshan Krishnamurthy
- Wake Forest University School of Medicine, Winston-Salem, NC
- Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Joshua S Chait
- Wake Forest University School of Medicine, Winston-Salem, NC
| | - Menaka N Reddy
- Wake Forest University School of Medicine, Winston-Salem, NC
| | - Lucas D Galli
- Wake Forest University School of Medicine, Winston-Salem, NC
| | - Joseph A Skelton
- Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC
- Center for Prevention Science in Child and Family Health, Wake Forest University School of Medicine, Winston-Salem, NC
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Waterman EA, McLain M, Zulfiqar H, Ahmar Qadeer T, Ciavoi SM. The Link Between Intimate Partner Violence and Food Insecurity: A Review of Quantitative and Qualitative Studies. TRAUMA, VIOLENCE & ABUSE 2024; 25:1511-1530. [PMID: 37485673 DOI: 10.1177/15248380231186152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/25/2023]
Abstract
Intimate partner violence (IPV) and food insecurity are global health issues that affect millions of people worldwide. Numerous studies show that IPV and food insecurity are linked; however, there is a lack of synthesis of this research. Using a systematic search and review, we examined the international quantitative and qualitative research published on the link between IPV and food insecurity. We searched for peer-reviewed, English-language articles with participants above the age of 16 in 4 large online databases. Fifty-six studies were included from around the world that discussed the link between food insecurity and IPV perpetration and/or victimization. We found evidence in both qualitative and quantitative studies for a meaningful connection between these two global health isues. We also reviewed the literature on moderators and mediators (e.g., mental health). Our findings indicate the importance of implementing IPV prevention strategies which also address household food insecurity, and the potential for food insecurity resources to provide IPV resources. Future research should focus more frequently on IPV perpetration as opposed to victimization, and further examine the moderating and mediating mechanisms that inform the link between IPV and food insecurity.
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Brühl A, Ward CL, Lachman JM, Foran HM, Raleva M, Baban A, Heinrichs N. Co-Occurrence of Intimate Partner Violence Against Mothers and Maltreatment of Their Children With Behavioral Problems in Eastern Europe. Violence Against Women 2023; 29:2439-2463. [PMID: 37475529 PMCID: PMC10496420 DOI: 10.1177/10778012231188090] [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] [Indexed: 07/22/2023]
Abstract
This study investigates the co-occurrence of intimate partner violence (IPV) against mothers and their risk of perpetrating child maltreatment (CM) in North Macedonia, the Republic of Moldova, and Romania. Risk factors for IPV, CM, and their co-occurrence were identified. Two samples (N1 = 112, N2 = 701) of mothers with children with behavioral problems were assessed. IPV was reported by 64% of mothers, CM by 96%, and their co-occurrence by 63%. Mothers exposed to emotional IPV reported more physical and emotional CM. Mothers exposed to physical IPV reported more physical CM. Motheŕs own history of CM and offspring's behavior problems were associated with IPV and CM co-occurrence.
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Affiliation(s)
- Antonia Brühl
- Department of Psychology, Clinical Psychology, and Psychotherapy, University of Bremen, Bremen, Germany
| | - Catherine L. Ward
- Department of Psychology and Safety and Violence Initiative, University of Cape Town, Rondebosch, Western Cape, South Africa
| | - Jamie M. Lachman
- Centre for Evidence-Based Intervention, Department of Social Policy and Intervention, University of Oxford, Oxford, UK
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
- Centre for Social Science Research, University of Cape Town, Rondebosch, Western Cape, South Africa
| | - Heather M. Foran
- Department of Health Psychology, University of Klagenfurt, Klagenfurt, Carinthia, Austria
| | - Marija Raleva
- Department of Psychiatry and Medical Psychology, Medical Faculty, University of Skopje, Skopje,
North Macedonia
| | - Adriana Baban
- Department of Psychology, Babeș-Bolyai University, Cluj County, Cluj-Napoca, Romania
| | - Nina Heinrichs
- Department of Psychology, Clinical Psychology, and Psychotherapy, University of Bremen, Bremen, Germany
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Jansen E, Frantz I, Hutchings J, Lachman J, Williams M, Taut D, Baban A, Raleva M, Lesco G, Ward C, Gardner F, Fang X, Heinrichs N, Foran HM. Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework). FAMILY PROCESS 2022; 61:1162-1179. [PMID: 34494263 DOI: 10.1111/famp.12720] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 07/14/2021] [Accepted: 07/27/2021] [Indexed: 06/13/2023]
Abstract
The prevalence of child emotional and behavioral problems is an international problem but is higher in low- and middle-income countries (LMIC) where there are often less mental health supports for families. Parenting programs can be an effective means of prevention, but must be low-cost, scalable, and suitable for the local context. The RISE project aims to systematically adapt, implement, and evaluate a low-cost parenting program for preventing/reducing child mental health problems in three middle-income countries in Southeastern Europe. This small pre-post pilot study is informed by the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework and tested the feasibility of the intervention, the implementation, and evaluation procedures: Phase 1 of the three-phase Multiphase Optimization Strategy (MOST) for program adaptation. Local facilitators delivered the Parenting for Lifelong Health (PLH) for Young Children program to parents of children aged 2-9 in North Macedonia, the Republic of Moldova and Romania in 2018. Parents completed assessments pre- and post-program. Results demonstrated positive pre-post change for participating families (N = 140) on various outcomes including child externalizing and internalizing symptoms and parenting behavior, in all three countries, all in the expected direction. Program participation was associated with positive outcomes in participating families. Based on the experiences of this pilot study, we outline the practical implications for the successful implementation of parenting programs in the three countries that will inform our next study phases, factorial experiment, and RCT.
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Affiliation(s)
- Elena Jansen
- Institute of Psychology, University of Klagenfurt, Klagenfurt, Austria
| | - Inga Frantz
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Bremen, Bremen, Germany
| | - Judy Hutchings
- Centre for Evidence Based Early Intervention, School of Psychology, Bangor University, Bangor, UK
| | - Jamie Lachman
- Department of Social Policy and Intervention, University of Oxford, Oxford, UK
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Margiad Williams
- Centre for Evidence Based Early Intervention, School of Psychology, Bangor University, Bangor, UK
| | - Diana Taut
- Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, Romania
| | - Adriana Baban
- Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, Romania
| | - Marija Raleva
- Institute for Marriage, Family and Systemic Practice-ALTERNATIVA, Skopje, Macedonia
| | - Galina Lesco
- Health for Youth Association, Chișinău, Republic of Moldova
| | - Cathy Ward
- Department of Psychology, University of Cape Town, Rondebosch, South Africa
| | - Frances Gardner
- Department of Social Policy and Intervention, University of Oxford, Oxford, UK
| | - Xiangming Fang
- School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | - Nina Heinrichs
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Bremen, Bremen, Germany
| | - Heather M Foran
- Institute of Psychology, University of Klagenfurt, Klagenfurt, Austria
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Paquin V, Muckle G, Bolanis D, Courtemanche Y, Castellanos-Ryan N, Boivin M, Tremblay R, Côté S, Geoffroy MC. Longitudinal Trajectories of Food Insecurity in Childhood and Their Associations With Mental Health and Functioning in Adolescence. JAMA Netw Open 2021; 4:e2140085. [PMID: 34928352 PMCID: PMC8689386 DOI: 10.1001/jamanetworkopen.2021.40085] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
IMPORTANCE Household food insecurity has been associated with mental health problems in children independently of family income and other confounders. It is unclear whether food insecurity during childhood is also associated with mental health and functioning during adolescence. OBJECTIVE To evaluate longitudinal trajectories of household food insecurity during the first 13 years of life, characteristics associated with these trajectories, and the associations of the trajectories with externalizing, internalizing, substance use, and social adjustment problems at 15 years of age. DESIGN, SETTING, AND PARTICIPANTS This cohort study included participants from the Québec Longitudinal Study of Child Development, a cohort of 2120 children born in Québec, Canada, in 1997 and 1998 and followed up annually or biannually from 5 months to 15 years of age (1998-2013). Data were analyzed from November 2020 to October 2021. EXPOSURES When children were aged 1.5, 4, 8, 10, 12, and 13 years, mothers reported whether a family member experienced hunger because the family had run out of food or money to buy food in the past 12 months. MAIN OUTCOMES AND MEASURES Group-based trajectory modeling was used to identify differential exposure to food insecurity from 1.5 to 13 years according to logit functions of age. At 15 years of age, adolescents completed validated questionnaires assessing externalizing, internalizing, substance use, and social adjustment problems. Associations between trajectories of food insecurity and outcomes were assessed using linear regressions. RESULTS A total of 2032 individuals were included in the analyses of trajectories of food insecurity (1026 [50.5%] male) and 1441 in the analysis of the association with outcomes at 15 years of age (752 [52.2%] female). Two trajectories of food insecurity were identified between 1.5 and 13 years of age: high risk (73 children [3.6%]) and low risk (1959 children [96.4%]). At 5 months, the high-risk and low-risk groups differed in household characteristics including income insufficiency (58 [80.6%] vs 405 [21.0%]), single parenthood (21 [29.2%] vs 135 [6.9%]), and parental history of depression (mothers: 30 [43.5%] vs 411 [21.7%]; fathers: 12 [32.4%] vs 209 [13.5%]). The high-risk trajectory from 1.5 to 13 years of age was associated with cannabis use (β, 0.47; 95% CI, 0.12-0.81), peer bullying (β, 0.43; 95% CI, 0.08-0.77), and dropout potential (β, 0.38; 95% CI, 0.03-0.68) at 15 years of age after adjustment for sex, household income insufficiency, and parental mental health. CONCLUSIONS AND RELEVANCE In this cohort study, few children experienced a persistent high risk of food insecurity, which was associated with psychosocial problems later in adolescence after adjustment for confounders including low income. Early identification of risk for food insecurity may guide the delivery of tailored interventions to improve functioning in adolescence.
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Affiliation(s)
- Vincent Paquin
- McGill Group for Suicide Studies, Department of Psychiatry, Douglas Mental Health University Institute, Montreal, Québec, Canada
| | - Gina Muckle
- School of Psychology, Laval University, Québec City, Québec, Canada
- Centre Hospitalier Universitaire de Québec, Laval University Research Center, Québec City, Québec, Canada
| | - Despina Bolanis
- McGill Group for Suicide Studies, Department of Psychiatry, Douglas Mental Health University Institute, Montreal, Québec, Canada
- Department of Educational and Counselling Psychology, McGill University, Montreal, Québec, Canada
| | - Yohann Courtemanche
- Centre Hospitalier Universitaire de Québec, Laval University Research Center, Québec City, Québec, Canada
| | - Natalie Castellanos-Ryan
- Department of Psychology, University of Montreal, Montreal, Québec, Canada
- Centre Hospitalier Universitaire Sainte-Justine Research Centre, Montreal, Québec, Canada
| | - Michel Boivin
- School of Psychology, Laval University, Québec City, Québec, Canada
| | - Richard Tremblay
- Department of Psychology, University of Montreal, Montreal, Québec, Canada
- Centre Hospitalier Universitaire Sainte-Justine Research Centre, Montreal, Québec, Canada
| | - Sylvana Côté
- Centre Hospitalier Universitaire Sainte-Justine Research Centre, Montreal, Québec, Canada
- Department of Social and Preventive Medicine, University of Montreal, Montreal, Québec, Canada
- INSERM 1219 Bordeaux Population Health, Bordeaux, France
| | - Marie-Claude Geoffroy
- McGill Group for Suicide Studies, Department of Psychiatry, Douglas Mental Health University Institute, Montreal, Québec, Canada
- Department of Educational and Counselling Psychology, McGill University, Montreal, Québec, Canada
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Carrillo-Álvarez E, Salinas-Roca B, Costa-Tutusaus L, Milà-Villarroel R, Shankar Krishnan N. The Measurement of Food Insecurity in High-Income Countries: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9829. [PMID: 34574753 PMCID: PMC8468034 DOI: 10.3390/ijerph18189829] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 09/08/2021] [Accepted: 09/09/2021] [Indexed: 11/17/2022]
Abstract
The measurement of food insecurity is essential to monitor the prevalence, risk factors, consequences and effects of food insecurity and the interventions and policies implemented to tackle it. Yet, how best to apply it remains an unsettled issue due to the multifaceted and context-dependent nature of food insecurity. We report a scoping review of measures of food insecurity at the individual and household level in high-income countries with the final purpose of facilitating a catalogue of instruments to be used by both researchers and practitioners. The scoping review was conducted following the methodological framework of Arksey and O'Malley and the Joanna Briggs Institute guidelines. We included all types of documents published between 2000-2020 using instruments that estimate food insecurity at both individual and household level in high-income countries, and with respondents including adolescents, adults, and elderly. We identified a total of 23 measurement strategies being used in 33 peer-reviewed publications and 114 documents from the grey literature. Our results show that most measures focus on the access dimension of food insecurity and that further research is required to develop measures that incorporate aspects of quality of dietary intake and relevant individual, household and social conditions related to food insecurity.
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Affiliation(s)
- Elena Carrillo-Álvarez
- Global Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Science, Ramon Llull University, Padilla, 326-332, 08025 Barcelona, Spain; (B.S.-R.); (L.C.-T.); (R.M.-V.); (N.S.K.)
| | - Blanca Salinas-Roca
- Global Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Science, Ramon Llull University, Padilla, 326-332, 08025 Barcelona, Spain; (B.S.-R.); (L.C.-T.); (R.M.-V.); (N.S.K.)
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig 2, 25198 Lleida, Spain
| | - Lluís Costa-Tutusaus
- Global Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Science, Ramon Llull University, Padilla, 326-332, 08025 Barcelona, Spain; (B.S.-R.); (L.C.-T.); (R.M.-V.); (N.S.K.)
| | - Raimon Milà-Villarroel
- Global Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Science, Ramon Llull University, Padilla, 326-332, 08025 Barcelona, Spain; (B.S.-R.); (L.C.-T.); (R.M.-V.); (N.S.K.)
| | - Nithya Shankar Krishnan
- Global Research on Wellbeing (GRoW) Research Group, Blanquerna School of Health Science, Ramon Llull University, Padilla, 326-332, 08025 Barcelona, Spain; (B.S.-R.); (L.C.-T.); (R.M.-V.); (N.S.K.)
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