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Pérez EJ, Carabali M, Mercille G, Sylvestre MP, Roncarolo F, Potvin L. Characterizing Trends in the Use of Food Donations and Other Food-Related Community-Based Social Assistance Programs in a Cohort of New Food Bank Users in Quebec, Canada. Int J Public Health 2024; 69:1605833. [PMID: 38404502 PMCID: PMC10884234 DOI: 10.3389/ijph.2024.1605833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 01/25/2024] [Indexed: 02/27/2024] Open
Abstract
Objective: To characterize 12-month trends in the use of food donations and other food-related community-based social assistance programs (CB-SAPs) during the first year following the enrollment of new food bank (FB) users in Quebec, Canada. Methods: A cohort of 1,001 newly registered FB-users in Quebec from the Pathways Study were followed-up during 12-month following baseline assessment. Outcomes were monthly use of food donations and other food-related CB-SAPs. Main predictors were alternative food source utilization (AFSU) profiles: 1) exclusive-FB-users; 2) FB+fruit/vegetable-market-users; and 3) Multiple/diverse-AFS-users. Covariates included sociodemographic characteristics, health status, and major life events. We fit Bayesian hierarchical mixed-effect models, accounting for spatial clustering, temporal correlation, and censoring. Results: We observed an overall downward trend of food donation use among study completers (n = 745). Each AFSU profile had a distinctive monthly trend of food donation use, but probabilities of use across the three profiles overlapped, between 44% and 55%. The use of other food-related CB-SAPs was low and not correlated with AFSU profiles. Conclusion: De novo FB-users use food donations in different ways over time according to specific contextual AFSU profiles.
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Affiliation(s)
- Elsury Johanna Pérez
- School of Public Health, Department of Social and Preventive Medicine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Chaire de Recherche du Canada sur les Approches Communautaires et Inégalités de Santé (CACIS), Université de Montréal, Montréal, QC, Canada
| | - Mabel Carabali
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Department of Epidemiology, Biostatistics and Occupational Health, School of Population and Global Health, McGill University, Montréal, QC, Canada
| | - Geneviève Mercille
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Chaire de Recherche du Canada sur les Approches Communautaires et Inégalités de Santé (CACIS), Université de Montréal, Montréal, QC, Canada
- Department of Nutrition, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Marie-Pierre Sylvestre
- School of Public Health, Department of Social and Preventive Medicine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM), Montréal, QC, Canada
| | - Federico Roncarolo
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Chaire de Recherche du Canada sur les Approches Communautaires et Inégalités de Santé (CACIS), Université de Montréal, Montréal, QC, Canada
| | - Louise Potvin
- School of Public Health, Department of Social and Preventive Medicine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche en Santé Publique (CReSP), Université de Montréal & CIUSSS du Centre-Sud-de-l’île-de-Montréal, Montréal, QC, Canada
- Chaire de Recherche du Canada sur les Approches Communautaires et Inégalités de Santé (CACIS), Université de Montréal, Montréal, QC, Canada
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Dana LM, Wright J, Ward R, Dantas JAR, Dhaliwal SS, Lawrence B, O'Connor M, Booth S, Kerr DA, Pollard CM. Food Insecurity, Food Assistance, and Psychological Distress among University Students: Cross-Sectional Survey Western Australia, 2020. Nutrients 2023; 15:nu15112431. [PMID: 37299396 DOI: 10.3390/nu15112431] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 05/17/2023] [Accepted: 05/21/2023] [Indexed: 06/12/2023] Open
Abstract
University students have been identified as a population sub-group vulnerable to food insecurity. This vulnerability increased in 2020 due to the COVID-19 pandemic. This study aimed to assess factors associated with food insecurity among university students and the differences between students with and without children. A cross-sectional survey of (n = 213) students attending one university in Western Australia measured food insecurity, psychological distress, and socio-demographic characteristics. Logistic regression analyses were conducted to identify factors associated with food insecurity. Forty-eight percent of students who responded to the survey had experienced food insecurity in 2020. International students who were studying in Australia were nine times more likely to experience food insecurity than domestic students (AOR = 9.13; 95% CI = 2.32-35.97). International students with children were more likely to experience food insecurity than international students without children (p < 0.001) and domestic students with (p < 0.001) or without children (p < 0.001). For each unit increase in depression level, the likelihood of experiencing food insecurity increased (AOR = 1.62; 95% CI = 1.12-2.33). Findings show a higher prevalence of food insecurity among international university students and students with children during the COVID-19 pandemic and that food insecurity was associated with higher levels of psychological distress. These findings highlight the need for targeted interventions to mitigate the risk of food insecurity among Australian university students, particularly among international students, students with children, and those experiencing psychological distress.
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Affiliation(s)
- Liyuwork Mitiku Dana
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
| | - Janine Wright
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
| | - Rebecca Ward
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
| | - Jaya A R Dantas
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
| | - Satvinder S Dhaliwal
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
- Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia
- Duke-NUS Medical School, National University of Singapore, College Road, Singapore 169857, Singapore
- Institute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, Jalan Inovasi, George Town 11800 USM, Malaysia
- Office of the Provost, Singapore University of Social Sciences, 463 Clementi Rd, Singapore 599494, Singapore
| | - Blake Lawrence
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
| | - Moira O'Connor
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
- Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia
- Enable Institute, Curtin University, Bentley, WA 6102, Australia
| | - Sue Booth
- College of Medicine and Public Health, Flinders University, Sturt Rd, Bedford Park, Adelaide, SA 5042, Australia
| | - Deborah A Kerr
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
- Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia
| | - Christina M Pollard
- School of Population Health, Faculty of Health Science, Curtin University, Bentley, WA 6102, Australia
- Enable Institute, Curtin University, Bentley, WA 6102, Australia
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Zorbas C, Browne J, Chung A, Peeters A, Booth S, Pollard C, Allender S, Isaacs A, Hawkes C, Backholer K. Shifting the social determinants of food insecurity during the COVID-19 pandemic: the Australian experience. Food Secur 2023; 15:151-170. [PMID: 36160693 PMCID: PMC9483265 DOI: 10.1007/s12571-022-01318-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 08/31/2022] [Indexed: 01/21/2023]
Abstract
We aimed to explore experiences of government-led actions on the social determinants of food insecurity during Australia's COVID-19 pandemic response (which included novel, yet temporary, social protection measures to support Australians facing hardship during state-wide lockdowns). During November-December 2020, we conducted in-depth interviews with 24 Victorians who received government income support (prior to COVID-19) and the temporary COVID-19 specific payments. Interviews were guided by a theoretical understanding of the social determinants of health and health inequities, which we aligned to the social policy context. Data were audio-recorded, transcribed, inductively coded, categorised and thematically analysed. Our sample included mostly women (n = 19) and single parents (n = 13). Interviews reflected four key themes. Firstly, participants described 'battles all around them' (i.e., competing financial, health and social stressors) that were not alleviated by temporary social policy changes and made healthy eating difficult to prioritise during the pandemic. Secondly, housing, income, job, and education priorities rendered food a lower and more flexible financial priority - even with 18 participants receiving temporary income increases from COVID-19 Supplements. Thirdly, given that food remained a lower and more flexible financial priority, families continued to purchase the cheapest and most affordable options (typically less healthful, more markedly price discounted). Finally, participants perceived the dominant public and policy rhetoric around income support policies and healthy eating to be inaccurate and shaming - often misrepresenting their lived experiences, both prior to and during COVID-19. Participants reported entrenched struggles with being able to afford basic living costs in a dignified manner during COVID-19, despite temporary social protection policy changes. To reduce inequities in population diets, a pre-requisite to health, all stakeholders must recognise an ongoing responsibility for adopting long-term food and social policies that genuinely improve lived experiences of food insecurity and poverty. Supplementary Information The online version contains supplementary material available at 10.1007/s12571-022-01318-4.
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Affiliation(s)
- Christina Zorbas
- Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Jennifer Browne
- Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Alexandra Chung
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Anna Peeters
- Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Sue Booth
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
| | - Christina Pollard
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Steven Allender
- Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Anna Isaacs
- Centre for Food Policy, School of Health Sciences, Division of Health Services Research and Management, City, University of London, London, United Kingdom
| | - Corinna Hawkes
- Centre for Food Policy, School of Health Sciences, Division of Health Services Research and Management, City, University of London, London, United Kingdom
| | - Kathryn Backholer
- Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
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Calloway EE, Carpenter LR, Gargano T, Sharp JL, Yaroch AL. Development of three new multidimensional measures to assess household food insecurity resilience in the United States. Front Public Health 2022; 10:1048501. [PMID: 36589949 PMCID: PMC9794863 DOI: 10.3389/fpubh.2022.1048501] [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: 09/19/2022] [Accepted: 11/22/2022] [Indexed: 12/15/2022] Open
Abstract
Introduction This study aimed to develop and test novel self-administered measures (Absorptive capacity, Adaptive capacity, and Transformative capacity) of three aspects of a household's resilience to financial shocks (e.g., job loss) that can increase food insecurity risk. Methods Measures were piloted in a convenience sample of households at risk for food insecurity in the United States. The survey included the new measures, validation variables (financial shock, household food security, general health, personal resilience to challenges, and financial wellbeing), and demographic questions. Exploratory factor analysis was used to assess dimensionality, internal consistency was assessed [Cronbach's alpha (CA)], and construct validity was assessed (Spearman's correlation). Also, brief screener versions of the full measures were created. Results Participants in the analytic samples (n = 220-394) averaged 44 years old, 67% experienced food insecurity, 47% had a high school diploma or less, 72% were women, and the sample was racially/ethnically diverse. Scores for Absorptive capacity [one factor; CA = 0.70; Mean = 1.32 (SD = 0.54)], Adaptive capacity [three factors; CAs 0.83-0.90; Mean = 2.63 (SD = 0.85)], and Transformative capacity [three factors; CAs 0.87-0.95; Mean = 2.70 (SD = 1.10)] were negatively associated with financial shocks (-0.221 to -0.307) and positively associated with food insecurity (0.310-0.550) general health (0.255-0.320), personal resilience (0.231-0.384), and financial wellbeing (0.401-0.474). Discussion These findings are encouraging and support reliability and validity of these new measures within this sample. Following further testing, such as Confirmatory Factor Analysis in future samples, these measures may prove useful for needs assessments, program evaluation, intake screening, and research/surveillance. Widespread adoption in the future may promote a more comprehensive understanding of the food insecurity experience and facilitate development of tailored interventions on upstream causes of food insecurity.
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Affiliation(s)
- Eric E. Calloway
- The Gretchen Swanson Center for Nutrition, Omaha, NE, United States,*Correspondence: Eric E. Calloway
| | | | - Tony Gargano
- The Gretchen Swanson Center for Nutrition, Omaha, NE, United States
| | - Julia L. Sharp
- Graybill Statistical Laboratory, Colorado State University, Fort Collins, CO, United States
| | - Amy L. Yaroch
- The Gretchen Swanson Center for Nutrition, Omaha, NE, United States
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Pollard CM, Landrigan TJ, Gray JM, McDonald L, Creed H, Booth S. Using the Food Stress Index for Emergency Food Assistance: An Australian Case Series Analysis during the COVID-19 Pandemic and Natural Disasters. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136960. [PMID: 34209708 PMCID: PMC8297278 DOI: 10.3390/ijerph18136960] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/22/2021] [Accepted: 06/24/2021] [Indexed: 11/16/2022]
Abstract
Food insecurity increases with human and natural disasters. Two tools were developed to assist effective food relief in Western Australia: the Food Stress Index (similar to rental stress, predicts the likelihood of household food insecurity by geographic location) and a basic and nutritious Food Basket Recommendation (that quantifies the types and amounts of food to meet dietary recommendations for different family types). This study aims to understand and compare the processes and impact of using these tools for organisations and their clients involved in emergency food assistance and/or disaster preparedness. A multiple case-study design analysed organisation's use of the tools to assist the response to COVID-19 pandemic restrictions and the catastrophic bushfires in Australia. Qualitative interviews were conducted by telephone and Zoom (a cloud-based video conferencing service) in July-August 2020. A purposeful sample of eight interviewees representing seven cases (government, food relief and community organisations involved in emergency food assistance and/or disaster preparedness). Three themes emerged from the analysis, (1) organisations are confident users of the tools; (2) Collaborations were "Ready to Go" and (3) Food Stress Index is a "game changer". Findings demonstrate the intrinsic value of the tools in the provision of emergency food relief under both normal circumstances and in times of increased need, i.e., COVID-19 pandemic. The study highlights the value and importance of ongoing intersectoral collaborations for food relief and food security (e.g., the Western Australian Food Relief Framework) and suggests that upscaling of the Food Stress Index and food baskets will increase the effectiveness of measures to address food insecurity in Australia.
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Affiliation(s)
- Christina Mary Pollard
- Faculty of Health Sciences, School of Population Health, Curtin University, Bentley, WA 6102, Australia;
- East Metropolitan Health Service, Perth, WA 6000, Australia
- Correspondence: ; Tel.: +61-8-9266-2731
| | - Timothy John Landrigan
- Faculty of Health Sciences, School of Population Health, Curtin University, Bentley, WA 6102, Australia;
| | - Jennie Margaret Gray
- Western Australian Council of Social Service, East Victoria Park, WA 6101, Australia; (J.M.G.); (H.C.)
| | - Lockie McDonald
- Independent Consultant, Fullsky Consulting, Mount Lawley, WA 6050, Australia;
| | - Helen Creed
- Western Australian Council of Social Service, East Victoria Park, WA 6101, Australia; (J.M.G.); (H.C.)
| | - Sue Booth
- College of Medicine and Public Health, Flinders University, Adelaide, SA 5000, Australia;
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6
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Hardcastle SJ, Caraher M. The role of foodbanks in the context of food insecurity: Experiences and eating behaviours amongst users. Appetite 2021; 163:105208. [PMID: 33774137 DOI: 10.1016/j.appet.2021.105208] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 01/24/2021] [Accepted: 03/11/2021] [Indexed: 11/29/2022]
Abstract
The study aim was to investigate the role of foodbanks in the context of food insecurity and explore food choices and eating behaviours amongst users. Food insecurity is associated with poor diet quality and obesity; however, the dimensions that influence food choices and eating behaviour remain unclear. Face-to-face interviews were conducted with individuals who had visited a faith-based foodbank in Perth, Western Australia. Participants were thirty-three service users who had collected a food hamper from the foodbank. Interview transcripts were analyzed using thematic analysis. Four main themes emerged: Ties you over until pay day; Food hamper supporting meals and fruit and vegetable consumption; Food choices supplementing hamper; Household gatekeeping and food control. Participants were complimentary about the content of the food hamper received which included a variety of fresh produce. A key new finding was the frequent purchase and consumption of meat and processed meat to supplement the food hamper provision. Future work and interventions to improve eating behaviour and reduce food-related financial pressure for those vulnerable to food insecurity include further exploration of the dimensions influencing food choices (i.e., cultural norms, habits, symbols); exposure to healthy and tasty plant-based meals, (i.e., tasting low-cost and tasty vegetable-based meals); parenting training focused on handling child/partner food choice influences, and, enforcing household rules governing food.
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Affiliation(s)
- Sarah J Hardcastle
- Dublin City University, Glasnevin, Dublin, Ireland; Institute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia.
| | - Martin Caraher
- Centre for Food Policy, City, University of London, London, UK
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7
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A structured expert judgement elicitation approach: how can it inform sound intervention decision-making to support household food security? Public Health Nutr 2021; 24:2050-2061. [PMID: 33541466 DOI: 10.1017/s1368980021000525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To examine structured expert judgement (SEJ) elicitation as a method to provide robust, defensible data for three determinants of household food security (food cost, household disposable income and physical access) for quantifying a proof-of-concept integrating decision support system for food security. DESIGN SEJ elicitation is a validated method for obtaining unavailable data, but its use in household food security in high-income countries is novel. Investigate Discuss Estimate Aggregate (IDEA) elicitation protocol was implemented, including quantitative and qualitative elements. Using specific questions related to three determinants, food security experts were encouraged to Investigate - estimate individual first-round responses to these questions, Discuss - with each other evidence on the reasoning and logic of their estimates, Estimate - second-round responses, following which these judgements were combined using mathematical Aggregation. SETTING Victoria, Australia. PARTICIPANTS Five experts with a range of expertise in the area of household food insecurity participated in the SEJ elicitation process. RESULTS The experts' ability to provide reliable estimates was tested and informed the aggregation of the collection of individual estimates into a single quantity of interest for use in decision support. The results of the quantitative elicitation show the impact of combinations of varying household income, food cost and physical access on household food security status and severity and is supported by the experts reasoning during elicitation. CONCLUSION This research provides insight to the application of SEJ where elicited data can inform and support intervention decision-making specific to household food security, especially where evidence is absent or of poor quality.
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Piaskoski A, Reilly K, Gilliland J. A Conceptual Model of Rural Household Food Insecurity: A Qualitative Systematic Review and Content Analysis. FAMILY & COMMUNITY HEALTH 2020; 43:296-312. [PMID: 32773496 PMCID: PMC7447178 DOI: 10.1097/fch.0000000000000273] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This systematic review explores experiences of household food insecurity in rural areas of developed countries. A search of 5 databases resulted in 32 peer-reviewed articles for inclusion. Data were analyzed using directed content analysis to broaden the understanding of rural household food insecurity. Elements of food security (ie, availability, accessibility, acceptability, adequacy, and agency) were exemplified across the literature. In addition, 4 key themes were found: exercising human capital, realizing social capital, coping with compounding stressors, and navigating complex systems. This review demonstrates the need for interventions that improve social connectedness, individual coping skills, and system navigation.
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Affiliation(s)
| | | | - Jason Gilliland
- Correspondence: Jason Gilliland, PhD, Human Environments Analysis Laboratory, Western University, London, Ontario, Canada ()
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Sproesser G, Ruby MB, Arbit N, Akotia CS, Alvarenga MDS, Bhangaokar R, Furumitsu I, Hu X, Imada S, Kaptan G, Kaufer-Horwitz M, Menon U, Fischler C, Rozin P, Schupp HT, Renner B. Understanding traditional and modern eating: the TEP10 framework. BMC Public Health 2019; 19:1606. [PMID: 31791293 PMCID: PMC6889524 DOI: 10.1186/s12889-019-7844-4] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 10/24/2019] [Indexed: 12/02/2022] Open
Abstract
Across the world, there has been a movement from traditional to modern eating, including a movement of traditional eating patterns from their origin culture to new cultures, and the emergence of new foods and eating behaviors. This trend toward modern eating is of particular significance because traditional eating has been related to positive health outcomes and sustainability. Yet, there is no consensus on what constitutes traditional and modern eating. The present study provides a comprehensive compilation of the various facets that seem to make up traditional and modern eating. Specifically, 106 facets were mentioned in the previous literature and expert discussions, combining international and interdisciplinary perspectives. The present study provides a framework (the TEP10 framework) systematizing these 106 facets into two major dimensions, what and how people eat, and 12 subdimensions. Hence, focusing only on single facets of traditional and modern eating is an oversimplification of this complex phenomenon. Instead, the multidimensionality and interplay between different facets should be considered to gain a comprehensive understanding of the trends, consequences, and underlying factors of traditional and modern eating.
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Affiliation(s)
- Gudrun Sproesser
- Department of Psychology, University of Konstanz, Konstanz, Germany.
| | - Matthew B Ruby
- Department of Psychology and Counselling, La Trobe University, Albury-Wodonga, Australia
| | | | - Charity S Akotia
- Department of Psychology, School of Social Sciences, University of Ghana, Legon, Accra, Ghana
| | | | - Rachana Bhangaokar
- Department of Human Development & Family Studies, Maharaja Sayajirao University of Baroda, Vadodara, India
| | - Isato Furumitsu
- Faculty of Health Sciences, Hiroshima-Shudo University, Hiroshima, Japan
| | - Xiaomeng Hu
- Department of Psychology, Tsinghua University, Beijing, China
| | - Sumio Imada
- Faculty of Health Sciences, Hiroshima-Shudo University, Hiroshima, Japan
| | - Gülbanu Kaptan
- Centre for Decision Research, Leeds University Business School, University of Leeds, Leeds, LS2 9JT, UK
| | - Martha Kaufer-Horwitz
- Obesity and Eating Disorders Clinic, Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Usha Menon
- Department of Anthropology, Drexel University, Philadelphia, USA
| | - Claude Fischler
- IIAC, Centre National de la Recherche Scientifique, Paris, France
| | - Paul Rozin
- Department of Psychology, University of Pennsylvania, Philadelphia, USA
| | - Harald T Schupp
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Britta Renner
- Department of Psychology, University of Konstanz, Konstanz, Germany
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10
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Pollard CM, Booth S, Jancey J, Mackintosh B, Pulker CE, Wright JL, Begley A, Imtiaz S, Silic C, Mukhtar SA, Caraher M, Berg J, Kerr DA. Long-Term Food Insecurity, Hunger and Risky Food Acquisition Practices: A Cross-Sectional Study of Food Charity Recipients in an Australian Capital City. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16152749. [PMID: 31374922 PMCID: PMC6696626 DOI: 10.3390/ijerph16152749] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/18/2019] [Accepted: 07/30/2019] [Indexed: 11/17/2022]
Abstract
Inadequate social protection, stagnant wages, unemployment, and homelessness are associated with Australian household food insecurity. Little is known about the recipients of food charity and whether their needs are being met. This cross-sectional study of 101 food charity recipients in Perth, Western Australia, measured food security, weight status, sociodemographic characteristics and food acquisition practices. Seventy-nine percent were male, aged 21–79 years, 90% were unemployed, 87% received social assistance payments, and 38% were homeless. Ninety-one percent were food insecure, 80% with hunger, and 56% had gone a day or more without eating in the previous week. Fifty-seven percent had used food charity for ≥1 year, and, of those, 7.5 years was the mode. Charitable services were the main food source in the previous week, however 76% used multiple sources. Begging for money for food (36%), begging for food (32%), stealing food or beverages (34%), and taking food from bins (28%) was commonplace. The omnipresence and chronicity of food insecurity, reliance on social security payments, and risky food acquisition suggest that both the social protection and charitable food systems are failing. Urgent reforms are needed to address the determinants of food insecurity (e.g., increased social assistance payments, employment and housing support) and the adequacy, appropriateness and effectiveness of food charity.
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Affiliation(s)
- Christina M Pollard
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia.
| | - Sue Booth
- College of Medicine & Public Health, Flinders University, GPO Box 2100, Adelaide 5000, Australia
| | - Jonine Jancey
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Bruce Mackintosh
- School of Agriculture and Environment, The University of Western Australia, 35 Stirling Highway, Crawley, Perth 6009, Australia
| | - Claire E Pulker
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Janine L Wright
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Andrea Begley
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Sabrah Imtiaz
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Claire Silic
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - S Aqif Mukhtar
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
| | - Martin Caraher
- Centre for Food Policy, City University of London, Northampton Square, London EC1V 0HB, UK
| | - Joel Berg
- Hunger Free America, 50 Broad Street, Suite 1103, New York, NY10004, USA
| | - Deborah A Kerr
- Faculty of Health Science, School of Public Health, Curtin University GPO Box U1987, Perth Western 6845, Australia
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11
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Addressing Food and Nutrition Security in Developed Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16132370. [PMID: 31277354 PMCID: PMC6651785 DOI: 10.3390/ijerph16132370] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Accepted: 07/01/2019] [Indexed: 11/16/2022]
Abstract
The guest editors of the special issue on Addressing Food and Nutrition Security in Developed Countries reflect on the 26 papers that were published as part of this issue and the scope of research contained therein. There is an extensive body of work, which focuses on topics ranging from the prevalence of food insecurity in developed countries, associations and determinants, measurement and monitoring, to reports of the lived experience and coping strategies of people who are living with food insecurity or and those who are a part of the charitable food sector. Very few solutions to address the problem of food insecurity in developed countries were offered, and many challenges highlighted. Further research is required to find the solutions to address the problem of food insecurity in developed countries, and important principles and values are proposed for those undertaking this work to embrace.
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Pollard CM, Booth S. Food Insecurity and Hunger in Rich Countries-It Is Time for Action against Inequality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16101804. [PMID: 31117216 PMCID: PMC6572174 DOI: 10.3390/ijerph16101804] [Citation(s) in RCA: 85] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 05/06/2019] [Accepted: 05/18/2019] [Indexed: 11/16/2022]
Abstract
Household food insecurity is a serious public health concern in rich countries with developed economies closely associated with inequality. The prevalence of household food insecurity is relatively high in some developed countries, ranging from 8 to 20% of the population. Human rights approaches have the potential to address the structural causes, not just the symptoms of food insecurity. Despite most developed countries ratifying the Covenant on Economic, Social and Cultural Rights over 40 years ago, food insecurity rates suggest current social protections are inadequate. The contemporary framing of the solution to food insecurity in developed countries is that of diverting food waste to the hungry to meet the United Nations Sustainable Development Goals agenda (Goals 2 and 12.3). An estimated 60 million people or 7.2% of the population in high income countries used food banks in 2013. Although providing food assistance to those who are hungry is an important strategy, the current focus distracts attention away from the ineffectiveness of government policies in addressing the social determinants of food insecurity. Much of the action needed to improve household food security falls to actors outside the health sector. There is evidence of promising actions to address the social determinants of food insecurity in some developed countries. Learning from these, there is a strong case for government leadership, for action within and across government, and effective engagement with other sectors to deliver a coordinated, collaborative, and cooperative response to finding pathways out of food insecurity.
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Affiliation(s)
- Christina M Pollard
- Faculty of Health Science, School of Public Health, Curtin University, Perth 6845, Australia.
| | - Sue Booth
- College of Medicine & Public Health, Flinders University, Adelaide 5000, Australia.
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