Perceived Neighborhood-Level Drivers of Food Insecurity Among Aging Women in the United States: A Qualitative Study

2021 ◽  
Vol 121 (5) ◽  
pp. 844-853
Author(s):  
Jacqueline A. Shieh ◽  
Anna M. Leddy ◽  
Henry J. Whittle ◽  
Ighovwerha Ofotokun ◽  
Adaora A. Adimora ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Jacqueline Shieh ◽  
Sheri Weiser ◽  
Henry Whittle ◽  
Ighovwerha Ofotokun ◽  
Adaora Adimora ◽  
...  

Abstract Objectives Aging populations in the United States (US) exhibit high rates of both food insecurity and chronic illness. Few studies have explored in depth how food insecurity arises among such populations, and how it interacts with experiences of aging. We qualitatively explored how aging, low-income women experience food insecurity at multiple sites across the US, focusing on the neighborhood-level factors that influence these experiences. Methods Study participants were drawn from the San Francisco, CA, Atlanta, GA, and Chapel Hill, NC sites of the Women's Interagency HIV Study (WIHS), a cohort study of women with or at risk for HIV. Using purposive sampling, we recruited 38 women who were food-insecure, 50 years of age or older, either with or at risk for HIV, and from different neighborhoods within each site. Semi-structured interviews explored participants’ perceptions of how their neighborhood influenced their experiences with food security and aging. An inductive-deductive approach was used to thematically analyze the data. Results Participants across the three sites explained that food insecurity was related to limited access to food stores. In San Francisco, this limited access primarily resulted from high food prices, whereas in Atlanta and Chapel Hill long distances to food stores and poor public transport systems were prominent. Most participants also described being dependent on food aid programs, but often found this difficult due to poor quality food and long wait times. Aging-related issues emerged as a cross-cutting theme. Both HIV + and HIV- women explained how fatigue, poor strength, and joint pains all amplified their barriers to accessing food. Women with chronic illness, regardless of HIV status, also found it difficult to afford healthy and nutritious food, which in turn further aggravated their poor health. Conclusions Findings from this study suggest that older women across different settings in the US experience multiple barriers to navigating the food system, with key similarities and differences in barriers and systems of institutional support. While future programs should address common neighborhood-level barriers such as the availability and affordability of healthy foods and transportation, they should also be tailored to aging women, and to the unique local context. Funding Sources NIAID.


2014 ◽  
Vol 7 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Elisabeth Scheibelhofer

This paper focuses on gendered mobilities of highly skilled researchers working abroad. It is based on an empirical qualitative study that explored the mobility aspirations of Austrian scientists who were working in the United States at the time they were interviewed. Supported by a case study, the paper demonstrates how a qualitative research strategy including graphic drawings sketched by the interviewed persons can help us gain a better understanding of the gendered importance of social relations for the future mobility aspirations of scientists working abroad.


Sexes ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 331-344
Author(s):  
Jessamyn Bowling ◽  
Erika Montanaro ◽  
Sarai Guerrero-Ordonez ◽  
Stuti Joshi ◽  
Diana Gioia

In the United States, the COVID-19 pandemic has decreased partnered sexual behavior and increased the use of enhancement (e.g., toys). This has been partly attributed to reduced social interactions and stress. However, individuals’ perceptions of changes are missing in research. This study aims to examine how adults perceive changes in their sexuality during the pandemic. We conducted a nationwide survey of US adults from April–June 2020 (N = 326). This qualitative study examines the open-ended responses using thematic analyses. The following themes emerged from the data: (1) changes in the purpose of sex; (2) changes in sexual identity; (3) decreases in sex drive and desire; (4) increases in sex drive and desire; (5) fluctuations in sex drive and desire; (6) increased sexual experimentation and reflection. The stress, changes in home responsibilities and living situations, and time spent with partners (more or less) has affected individuals by increasing or decreasing their sex drive and desire. Participants responded to changes with self-reflection and awareness, and incorporating new practices (e.g., technology, kink). The purpose of sex has shifted in order to gain intimacy or connect, or to pass time. These changes were perceived as both positive and negative, and more research is needed to determine the durability of these changes.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.


Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 63
Author(s):  
Maria Carlota Dao ◽  
Sophie Thiron ◽  
Ellen Messer ◽  
Camille Sergeant ◽  
Anne Sévigné ◽  
...  

(1) Background: The influence of food culture on eating behavior and obesity risk is poorly understood. (2) Methods: In this qualitative study, 25 adults in France with or without overweight/obesity participated in semi-structured interviews (n = 10) or focus groups (n = 15) to examine attitudes to food consumption and external pressures that influence eating behavior and weight management. Results were compared to an equivalent study conducted in the United States, thereby contrasting two countries with markedly different rates of obesity. Emerging key themes in the French data were identified through coding using a reflexive approach. (3) Results: The main themes identified were: (1) influence of commensality, social interactions, and pleasure from eating on eating behavior, (2) having a balanced and holistic approach to nutrition, (3) the role of environmental concerns in food consumption, (4) relationship with “natural” products (idealized) and food processing (demonized), (5) perceptions of weight status and management. Stress and difficulties in hunger cue discernment were viewed as important obstacles to weight management in both countries. External pressures were described as a major factor that explicitly influences food consumption in the U.S., while there was an implicit influence of external pressures through eating-related social interactions in France. In France, products considered “natural” where idealized and juxtaposed against processed and “industrial” products, whereas this was not a salient aspect in the U.S. (4) Conclusions: This first comparative qualitative study assessing aspects of food culture and eating behaviors across countries identifies both common and divergent attitudes to food and eating behavior. Further studies are needed to inform the development of effective behavioral interventions to address obesity in different populations.


Author(s):  
Heather Mechler ◽  
Kathryn Coakley ◽  
Marygold Walsh-Dilley ◽  
Sarita Cargas

In recent years, researchers have increasingly focused on the experience of food insecurity among students at higher education institutions. Most of the literature has focused on undergraduates in the eastern and midwestern regions of the United States. This cross-sectional study of undergraduate, graduate, and professional students at a Minority Institution in the southwestern United States is the first of its kind to explore food insecurity among diverse students that also includes data on gender identity and sexual orientation. When holding other factors constant, food-insecure students were far more likely to fail or withdraw from a course or to drop out entirely. We explore the role that higher education can play in ensuring students’ basic needs and implications for educational equity.


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