scholarly journals Conceptualising household food insecurity in Northern Ireland: risk factors, implications for society and the economy, and recommendations for business and policy response

2021 ◽  
Vol 1 (5) ◽  
Author(s):  
Emma Beacom ◽  
Sinéad Furey ◽  
Lynsey Hollywood ◽  
Paul Humphreys

AbstractHousehold food insecurity in developed nations has been identified as a significant public health concern. Although various research on the topic exists, such as contributors to food insecurity, and implications for individual physical and mental health outcomes; there is currently a lack of consideration as to how individual implications of food insecurity such as poor physical and mental health can consequently impact on business and the wider economy. In addition, there is a lack of conceptual literature related to food insecurity. Stakeholder interviews (n = 19) were conducted, and data were used to inform the conceptual model (risk factors, potential implications for individuals, the economy and business, and opportunities for business and policy response). The main suggested implications related to business and the economy were reduced contribution to the workforce and the economy, and increased cost pressures on the National Health Service. Business responses suggested included the inclusion of initiatives to address food insecurity in corporate social responsibility strategies, and further involvement of food businesses/retailers in redistributing surplus food. Policy responses suggested included policies relating to welfare, wages and work contracts, food redistribution incentives, sustainability, and community interventions in disadvantaged areas. The resulting model is unique in conceptualising food insecurity in the Northern Ireland context, with applicability to the UK and other developed nations.

2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
M. Margaret Weigel ◽  
Rodrigo X. Armijos ◽  
Marcia Racines ◽  
William Cevallos ◽  
Nancy P. Castro

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, and disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease in US and Canadian women but it is uncertain if the same is true for low- and middle-income Latin American countries in epidemiologic transition. We conducted a survey to investigate the association of HFI with the physical and mental health of 794 women with children living in low-income Quito, Ecuador, neighborhoods. Data were collected on HFI and health indicators including self-reported health (SF-1), mental health (MHI-5), blood pressure, and self-reported mental and physical health complaints. Fasting blood glucose and lipids were measured in a subsample. The multivariate analyses revealed that HFI was associated with poorer self-rated health, low MHI-5 scores, and mental health complaints including stress, depression, and ethnospecific illnesses. It was also associated with chest tightness/discomfort/pain, dental disease, and gastrointestinal illness but not other conditions. The findings suggest that improving food security in low-income households may help reduce the burden of mental distress in women with children. The hypothesized link with diabetes and hypertension may become more apparent as Ecuador moves further along in the epidemiologic transition.


2022 ◽  
Vol 2022 ◽  
pp. 1-8
Author(s):  
Tamiru Yazew

Undernutrition is the most difficult and widespread public health concern in low-income nations including Ethiopia. Therefore, this study aimed to investigate the associated risk factors of stunting and wasting among children aged 6–59 months in Jima Geneti district, Western Oromia, Ethiopia. A community-based cross-sectional study was conducted on 500 children from December 1 to 28, 2020. A multiple-stage sampling method was performed to select children from each kebele. Anthropometric measurements were taken, and the nutritional status was generated using WHO Anthro v. 3.2.1. Data analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were carried out to identify the associated risk factors of stunting and wasting among children in the study area. Statistical significance was set at p < 0.05 . The study results showed that the prevalence of stunting and wasting among children was 27% and 11.8%, respectively. The findings of this study also revealed that the prevalence of household food insecurity and poor dietary diets was 19.6% and 52.2%, respectively. Low wealth status (AOR = 2.5; 95% CI: 1.1, 5.55) and poor dietary diets (AOR = 4.7; 95% CI: 2.5, 8.83) were associated risk factors for stunting. However, child meal frequency (AOR = 3.9; 95% CI: 1.23, 12.6), and children who did feed leftover food (AOR = 2.75; 95% CI: 1.02, 7.44) were associated risk factors for wasting. Poor dietary diets (AOR = 2.65; 95% CI: 1.06, 6.66) were also associated risk factors for wasting. The findings of this study concluded that the prevalence of stunting and wasting was high in the study area. Therefore, addressing family-level risk factors which are major drivers of children’s nutritional status is crucial to ensure the nutritional status of children.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1626-1626
Author(s):  
Suvadra Datta Gupta ◽  
Rachel Engler-Stringer ◽  
Punam Pahwa

Abstract Objectives To determine the prevalence and associated risk factors of obesity in Canadian adolescents and young adults between 12 to 24 years of age and to examine the causal mechanism between food insecurity and obesity using the Canadian Community Health Survey (CCHS): 2015–16 data. Methods We analyzed the CCHS 2015–16 data for population aged 12 to 24 from 8 provinces and 2 territories. Obesity was determined from self-reported height and weight measurements. Covariates ranging from socio demographic characteristics, food insecurity, physical activity and daily consumption of fruits and vegetables as well as multiple interaction terms were tested for association with obesity. A multivariable weighted logistic regression model was fitted and strength of association was informed by odds ratios estimates and confidence intervals. Direct and indirect effects of multiple mediators were tested to explore the association between food insecurity and obesity. Results More than one-fifth of the Canadian adolescents aged 12 to 24 years were obese and the highest rate of obesity was found in Québec. Household food insecurity significantly predicted obesity among adolescents (OR = 1.818, 95% CI: 1.19–2.75). We observed adolescents that consumed fruits and vegetable 5 to 10 times a day had significantly lower odds of being obese (OR = 0.68, 95% CI: 0.51–0.91). In addition, adolescents from severe food insecure households were three times more likely to be obese compared to the food secure households (OR = 3.18, 95% CI: 1.15–8.94). We also found, interaction between age and sex, age and household food insecurity, times of vegetables and fruits consumption and sex significantly predicted the probability of obesity. We found a marginal mediation effect by self-perceived mental health on the association between household food insecurity and obesity among Canadian adolescents and young adults age 12 to 24 years. Conclusions Our findings suggests even in a high income country setting, food insecurity persists and it is a significant predictor of obesity among adolescents and young adults (12–24). Age and sex moderates the association whereas we see a marginal mediation through self-perceived mental health. Funding Sources N/A.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 945
Author(s):  
Norhasmah Sulaiman ◽  
Heather Yeatman ◽  
Joanna Russell ◽  
Leh Shii Law

Living free from hunger is a basic human right. However, some communities still experience household food insecurity. This systematic literature review explored different aspects of household food insecurity in Malaysia including vulnerable groups, prevalence, risk factors, coping strategies, and the consequences of food insecurity. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Thirty-three relevant articles were selected from scientific databases such as CINAHL, Pubmed and Google Scholar, scrutiny of reference lists, and personal communication with experts in the field. The prevalence of household food insecurity in Malaysia was unexpectedly reported as high, with affected groups including Orang Asli, low-income household/welfare-recipient households, university students, and the elderly. Demographic risk factors and socioeconomic characteristics included larger household, living in poverty, and low education. Coping strategies were practices to increase the accessibility of food in their households. Consequences of household food insecurity included psychological, dietary (macro- and micronutrient intakes), nutritional status, and health impacts. In conclusion, this review confirmed that household food insecurity in Malaysia continues to exist. Nevertheless, extensive and active investigations are encouraged to obtain a more holistic and comprehensive picture pertaining to household food security in Malaysia.


Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4303
Author(s):  
S. M. Tafsir Hasan ◽  
Daluwar Hossain ◽  
Faysal Ahmed ◽  
Md Alfazal Khan ◽  
Ferdousi Begum ◽  
...  

Food insecurity may affect women’s health; however, pertinent research is scant among pregnant women. This study investigated the association of household food insecurity (HFI) with the nutritional status and mental health of 672 early-gestation (5–16 weeks) pregnant women with a singleton fetus, who participated in the screening activity of a community-based trial (NCT04868669) in Matlab, Bangladesh. Height (cm), weight (kg), body mass index (kg/m2), mid-upper arm circumference (MUAC) (cm), depression, anxiety, and stress were the outcomes studied. HFI was assessed using the Household Food Insecurity Access Scale. Women’s depression, anxiety, and stress were assessed using the Depression, Anxiety, and Stress Scales-21. Propensity score matching based weighted multivariable linear and logistic regression were used to evaluate the independent association of HFI with the outcomes. In adjusted models, pregnant women from food-insecure households in rural Matlab were on average 2.0 cm shorter (β = −2.0, 95% CI: −3.3, −0.7), 2.0 kg lighter (β = −2.0, 95% CI: −3.4, −0.7), and had 0.6 cm lower MUAC (β = −0.6, 95% CI: −1.1, −0.1) than their food-secure counterparts. HFI was associated with higher odds of depression (OR = 3.3, 95% CI: 1.8, 5.9), anxiety (OR = 6.1, 95% CI: 3.7, 10.0), and stress (OR = 4.8, 95% CI: 1.6, 14.2) among the women. Public health measures should focus on ensuring proper nutrition during the critical growth periods of life, pregnancy, and external environmental shocks, to mitigate the adverse effects of HFI on women’s health.


2018 ◽  
Vol 63 (8) ◽  
pp. 557-569 ◽  
Author(s):  
Valerie Tarasuk ◽  
Joyce Cheng ◽  
Craig Gundersen ◽  
Claire de Oliveira ◽  
Paul Kurdyak

Objective: To determine the relationship between household food insecurity status over a 12-month period and adults’ use of publicly funded health care services in Ontario for mental health reasons during this period. Methods: Data for 80,942 Ontario residents, 18 to 64 years old, who participated in the Canadian Community Health Survey in 2005, 2007-2008, 2009-2010, or 2011-2012 were linked to administrative health care data to determine individuals’ hospitalizations, emergency department visits, and visits to psychiatrists and primary care physicians for mental health reasons. Household food insecurity over the past 12 months was assessed using the Household Food Security Survey Module. Logistic regression models were used to estimate the odds of mental health service utilization in the past 12 months by household food insecurity status, adjusting for sociodemographic factors and prior use of mental health services. Results: In our fully adjusted models, in comparison to food-secure individuals, the odds of any mental health care service utilization over the past 12 months were 1.15 (95% confidence interval [CI], 1.04 to 1.29) for marginally food-insecure individuals, 1.39 (95% CI, 1.19 to 1.42) for moderately food-insecure individuals, and 1.50 (95% CI, 1.35 to 1.68) for severely food-insecure individuals. A similar pattern persisted across individual types of services, with odds of utilization highest with severe food insecurity. Conclusions: Household food insecurity status is a robust predictor of mental health service utilization among working-age adults in Ontario. Policy interventions are required to address the underlying causes of food insecurity and the particular vulnerability of individuals with mental illness.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1645-P
Author(s):  
LUCINE FRANCIS ◽  
RUTH-ALMA N TURKSON-OCRAN ◽  
ERIN SPAULDING ◽  
BINU KOIRALA ◽  
DIANA BAPTISTE ◽  
...  

2017 ◽  
Vol 28 (04) ◽  
pp. 397-407 ◽  
Author(s):  
K. Tirfessa ◽  
C. Lund ◽  
G. Medhin ◽  
Y. Hailemichael ◽  
A. Fekadu ◽  
...  

Aim.In low-income African countries, ensuring food security for all segments of the population is a high priority. Mental illness is associated consistently with poverty, but there is little evidence regarding the association with food insecurity. The aim of this study was to compare the levels of food insecurity in people with severe mental disorders (SMD) with the general population in a rural African setting with a high burden of food insecurity.Method.Households of 292 community-ascertained people with a specialist-confirmed diagnosis of SMD (including schizophrenia and bipolar disorder) were compared with 284 households without a person with SMD in a rural district in south Ethiopia. At the time of the study, no mental health services were available within the district. Food insecurity was measured using a validated version of the Household Food Insecurity Access Scale. Disability was measured using the World Health Organisation Disability Assessment Schedule 2.0.Result.Severe household food insecurity was reported by 32.5% of people with SMD and 15.9% of respondents from comparison households: adjusted odds ratio 2.82 (95% confidence interval 1.62 to 4.91). Higher annual income was associated independently with lower odds of severe food insecurity. When total disability scores were added into the model, the association between SMD and food insecurity became non-significant, indicating a possible mediating role of disability.Conclusion.Efforts to alleviate food insecurity need to target people with SMD as a vulnerable group. Addressing the disabling effects of SMD would also be expected to reduce food insecurity. Access to mental health care integrated into primary care is being expanded in this district as part of the Programme for Improving Mental health carE (PRIME). The impact of treatment on disability and food insecurity will be evaluated.


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