Household Food Insecurity and Home Food Availability in Relation to Youth Diet, Body Mass Index, and Adiposity

Background: Perinatally acquired HIV-infected (PHIV+) adolescents have shown impairments in neurocognitive function and mental health problems compared with their peers. The contribution of food insecurity to such impairments has not been explored.Objectives: The aim of this report has been to explore the contribution of food insecurity to neurocognitive impairment and mental health problems in adolescents with perinatally-acquired HIV infection.Method: A total of 248 PHIV+ adolescents and healthy controls aged between 9 and 12 years completed a neuropsychological battery, the Childhood Behaviour Checklist (CBCL) and the Becks Youth Inventory. Head circumference, body mass index (BMI), height for age (HAZ), Tanner pubertal staging, albumin, haemoglobin, CD4 and viral loads were also measured. Participants’ caregivers were interviewed about their mental health and household food security. T-tests were used to assess for differences in food secure and food insecure households.Results: Caregivers of PHIV+ adolescents reported higher levels of depressive symptoms and household food insecurity. Increased food insecurity was associated with more behavioural problems in adolescents, as well as lower haemoglobin and albumin levels, faster processing speed and increased Tanner staging in boys. Body mass index and HAZ were not affected by food insecurity.Conclusion: These findings suggest that household food insecurity is associated with some altered behavioural, physical and physiological outcomes, which could complicate and compound the existing difficulties in PHIV+ households.

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Cross-Sectional Association of Food Source with Food Insecurity, Dietary Diversity and Body Mass Index in Western Kenya

Nutrients ◽

10.3390/nu14010121 ◽

2021 ◽

Vol 14 (1) ◽

pp. 121

Author(s):

Elizabeth Olatunji ◽

Charles Obonyo ◽

Pamela Wadende ◽

Vincent Were ◽

Rosemary Musuva ◽

...

Keyword(s):

Body Mass Index ◽

Food Insecurity ◽

Body Mass ◽

Food Source ◽

Dietary Diversity ◽

Household Food Insecurity ◽

Food Environments ◽

Western Kenya ◽

Household Food ◽

The Relationship

The triple burden of malnutrition in many low- and middle-income countries (LMICs) is partly a result of changing food environments and a shift from traditional diets to high-calorie Western-style diets. Exploring the relationship between food sources and food- and nutrition-related outcomes is important to understanding how changes in food environments may affect nutrition in LMICs. This study examined associations of household food source with household food insecurity, individual dietary diversity and individual body mass index in Western Kenya. Interview-administered questionnaire and anthropometric data from 493 adults living in 376 randomly-selected households were collected in 2019. Adjusted regression analyses were used to assess the association of food source with measures of food insecurity, dietary diversity and body mass index. Notably, participants that reported rearing domesticated animals for consumption (‘own livestock’) had lower odds of moderate or severe household food insecurity (odds ratio (OR) = 0.29 (95% CI: 0.09, 0.96)) and those that reported buying food from supermarkets had lower odds of moderate or severe household food insecurity (borderline significant, OR = 0.37 (95% CI: 0.14, 1.00)), increased dietary diversity scores (Poisson coefficient = 0.17 (95% CI: 0.10, 0.24)) and higher odds of achieving minimum dietary diversity (OR = 2.84 (95% CI: 1.79, 4.49)). Our findings provide insight into the relationship between food environments, dietary patterns and nutrition in Kenya, and suggest that interventions that influence household food source may impact the malnutrition burden in this context.

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Food Insecurity, Diet Quality, Home Food Availability, and Health Risk Behaviors Among Emerging Adults: Findings From the EAT 2010–2018 Study

American Journal of Public Health ◽

10.2105/ajph.2020.305783 ◽

2020 ◽

Vol 110 (9) ◽

pp. 1422-1428 ◽

Cited By ~ 1

Author(s):

Nicole Larson ◽

Melissa N. Laska ◽

Dianne Neumark-Sztainer

Keyword(s):

Food Insecurity ◽

Emerging Adults ◽

Food Availability ◽

Diet Quality ◽

Fast Food ◽

Health Risk Behaviors ◽

Food Literacy ◽

Home Food ◽

Home Food Availability

Objectives. To examine emerging adults’ experiences of food insecurity in relation to measures of diet quality, food literacy, home food availability, and health behaviors. Methods. We used EAT 2010–2018 (Eating and Activity over Time) study data on 1568 participants who completed surveys as adolescents in 2009 to 2010 and follow-up surveys in 2017 to 2018 (mean age = 22.0 ±2.0 years; 58% female). At baseline, participants were recruited from 20 urban schools in Minneapolis–St Paul, Minnesota. Food insecurity was defined by emerging adult report of both eating less than they thought they should and not eating when hungry because of lack of money. Results. The prevalence at follow up of experiencing food insecurity in the past year was 23.3% among emerging adults. Food insecurity was associated with poorer diet quality (e.g., less vegetables and whole grains, more sugar-sweetened drinks and added sugars), lower home availability of healthy foods, skipping breakfast, frequently eating at fast-food restaurants, binge eating, binge drinking, and substance use (all P < .01). Conclusions. Assistance programs and policies are needed to address food insecurity among emerging adults and should be coordinated with other services to protect health.

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Home Food Safety Practice and Household Food Insecurity: A Structural Equation Modeling Approach

Iranian Journal of Public Health ◽

10.18502/ijph.v48i10.3495 ◽

2020 ◽

Author(s):

Fatemeh ESFARJANI ◽

Hedayat HOSSEINI ◽

Ramin KHAKSAR ◽

Roshanak ROUSTAEE ◽

Haleh ALIKHANIAN ◽

...

Keyword(s):

Food Security ◽

Structural Equation Modeling ◽

Food Safety ◽

Food Insecurity ◽

Structural Equation ◽

Equation Modeling ◽

Household Food Insecurity ◽

Safety Practice ◽

Household Food ◽

Home Food

Background: Food safety and food security are interrelated concepts with a profound impact on the quality of human life. The current study, for the first time, was set to identify associations between home food safety practice and household food insecurity a structural equation modeling approach. Methods: In this cross-sectional study, urban households were selected from among 10 health centers of five districts of Tehran, Iran (2015). The following questionnaires were completed: socioeconomic status (SES), food security and food safety. Structural Equation Modeling (SEM) was applied for predicting the relationships between SES, food insecurity, and food safety in households. Results: Food security was observed in 56% of households. Mild, moderate and severe food-insecure households were determined to be 29%, 12%, and 3%, respectively. In addition, the scores of home food safety practice in 37.5%, 33% and 29.5% of the households were classified as desirable, acceptable and weak, respectively. Low-educated mothers having husbands with low educational and occupational level had a weaker food safety practice compared to high-educated ones. Based on the SEM results, an inverse association between food safety practice and food insecurity score was observed (t= -2.89, ɣ= 0.16). Conclusion: Food insecurity and undesirable food safety practice were relatively prevalent among households. In addition, the economic and social factors could inversely affect both food insecurity and food safety practices.

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Impact of COVID-19 on child malnutrition, obesity in women and household food insecurity in underserved urban settlements in Sri Lanka: a prospective follow up study

Public Health Nutrition ◽

10.1017/s1368980021001841 ◽

2021 ◽

pp. 1-24

Author(s):

Renuka Jayatissa ◽

Himali Herath ◽

Amila Gayan Perera ◽

Thulasika Thejani Dayaratne ◽

Nawmali Dhanuska De Alwis ◽

...

Keyword(s):

Sri Lanka ◽

Food Insecurity ◽

Child Malnutrition ◽

Nutrition Status ◽

Household Food Insecurity ◽

Follow Up Study ◽

Household Food ◽

Before And After ◽

Urban Settlements

Abstract Objectives: To determine changes and factors associated with child malnutrition, obesity in women and household food insecurity before and after the first wave of COVID-19 pandemic. Design: A prospective follow up study. Setting: In 2019, the baseline Urban Health and Nutrition Study (UHNS-2019) was conducted in 603 households, which were selected randomly from 30 clusters to represent underserved urban settlements in Colombo. In the present study, 35% of households from the UHNS-2019 cohort were randomly selected for repeat interviews, one year after the baseline study and 6 months after COVID-19 pandemic in Sri Lanka. Height/length and weight of children and women were re-measured, household food insecurity was reassessed, and associated factors were gathered through interviewer administered questionnaires. Differences in measurements at baseline and follow-up studies were compared. Participants: A total of 207 households, comprising 127 women and 109 children were included. Results: The current prevalence of children with wasting and overweight was higher in the follow-up study than at baseline UHNS-2019 (18.3%vs13.7%;p=0.26 and 8.3%vs3.7%;p=0.12 respectively). There was a decrease in prevalence of child stunting (14.7%vs11.9%;p=0.37). A change was not observed in overall obesity in women, which was around 30.7%. Repeated lockdown was associated with a significant reduction in food security from 57% in UHNS-2019 to 30% in the current study (p<0.001). Conclusions: There was an increase in wasting and overweight among children while women had a persistent high prevalence of obesity. This population needs suitable interventions to improve nutrition status of children and women to minimise susceptibility to COVID-19.

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Obesogenic home food availability, diet, and BMI in Pakistani and White toddlers

Maternal and Child Nutrition ◽

10.1111/mcn.13138 ◽

2021 ◽

Author(s):

Madison N. LeCroy ◽

Maria Bryant ◽

Sandra S. Albrecht ◽

Anna Maria Siega‐Riz ◽

Dianne S. Ward ◽

...

Keyword(s):

Food Availability ◽

Home Food ◽

Home Food Availability

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