Food insecurity, childhood hunger and caregiver life experiences among households with children in South Carolina, USA

2019 ◽  
Vol 22 (14) ◽  
pp. 2581-2590 ◽  
Author(s):  
Erin R Drucker ◽  
Angela D Liese ◽  
Erica Sercy ◽  
Bethany A Bell ◽  
Carrie Draper ◽  
...  
Keyword(s):  
South Carolina ◽  
Food Security ◽  
Food Insecurity ◽  
Life Experiences ◽  
Household Food Insecurity ◽  
Household Food ◽  
Unit Increase ◽  
Child Hunger ◽  
Households With Children ◽  
Negative Life Experiences

AbstractObjective:We explored how positive and negative life experiences of caregivers are associated with household food insecurity.Design:The Midlands Family Study (MFS) was a cross-sectional study with three levels of household food security: food secure, food insecure without child hunger and food insecure with child hunger. Ordinal logistic regression analysis was used for analyses of negative and positive life experiences (number, impact, type) associated with food insecurity.Setting:An eight-county region in South Carolina, USA, in 2012–2013.Participants:Caregivers (n 511) in households with children.Results:Caregivers who reported greater numbers of negative life experiences and greater perceived impact had increased odds of household food insecurity and reporting their children experienced hunger. Each additional negative life experience count of the caregiver was associated with a 16 % greater odds of food insecurity without child hunger and a 28 % greater odds of child hunger. Each one-unit increase in the negative impact score (e.g. a worsening) was associated with 8 % higher odds of food insecurity without child hunger and 12 % higher odds of child hunger. Negative work experiences or financial instability had the strongest association (OR = 1·8; 95 % CI 1·5, 2·2) with child hunger. Positive life experiences were generally not associated with food security status, with one exception: for each unit increase in the number of positive experiences involving family and other relationships, the odds of child hunger decreased by 22 %.Conclusions:More research is needed to understand approaches to build resilience against negative life experiences and strengthen positive familial, community and social relationships.

scholarly journals Prevalence and severity of household food insecurity of First Nations people living in an on-reserve, sub-Arctic community within the Mushkegowuk Territory

2013 ◽  
Vol 17 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Kelly Skinner ◽  
Rhona M Hanning ◽  
Leonard JS Tsuji
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
First Nations ◽  
Canadian Community Health Survey ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Household Food ◽  
Aboriginal Populations ◽  
Households With Children ◽  
First Nations People

AbstractObjectiveTo measure and describe the prevalence and severity of household food insecurity in a remote on-reserve First Nations community using the Household Food Security Survey Module (HFSSM) and to evaluate the perceived relevance of the HFSSM for this population.DesignHousehold food security status was determined from the eighteen-item HFSSM following the classifications developed by Health Canada for the Canadian Community Health Survey, Cycle 2·2 Nutrition. One adult from each household in the community was invited to complete the HFSSM and to comment on its relevance as a tool to measure food security for First Nations communities.SettingSub-Arctic Ontario, Canada.SubjectsHouseholds (n64).ResultsSeventy per cent of households were food insecure, 17 % severely and 53 % moderately. The prevalence of food insecurity in households with children was 76 %. Among respondents from homes rated as having severe food insecurity, all (100 %) reported worrying that food would run out, times when food didn't last and there wasn't money to buy more, and times when they couldn't afford to eat balanced meals. The majority of respondents felt the HFSSM did not capture an accurate picture of food security for their situation. Aspects missing from the HFSSM included the high cost of market food and the incorporation of traditional food practices.ConclusionsA high prevalence of household food insecurity was reported in this community. On-reserve remote First Nations communities may be more susceptible to food insecurity than off-reserve Aboriginal populations. Initiatives that promote food security for this vulnerable population are needed.

scholarly journals Preparing for COVID-19: Household food insecurity and vulnerability to shocks in Nairobi, Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259139
Author(s):  
Elizabeth Opiyo Onyango ◽  
Jonathan Crush ◽  
Samuel Owuor
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Emergency Preparedness ◽  
Multilevel Modelling ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Preparedness Plan ◽  
Household Food ◽  
New Policies ◽  
Social Safety Nets

An understanding of the types of shocks that disrupt and negatively impact urban household food security is of critical importance to develop relevant and targeted food security emergency preparedness policies and responses, a fact magnified by the current COVID-19 pandemic. This gap is addressed by the current study which draws from the Hungry Cities Partnership (HCP) city-wide household food insecurity survey of Nairobi city in Kenya. It uses both descriptive statistics and multilevel modelling using General Linear Mixed Models (GLMM) to examine the relationship between household food security and 16 different shocks experienced in the six months prior to the administration of the survey. The findings showed that only 29% of surveyed households were completely food secure. Of those experiencing some level of food insecurity, more experienced economic (55%) than sociopolitical (16%) and biophysical (10%) shocks. Economic shocks such as food price increases, loss of employment, and reduced income were all associated with increased food insecurity. Coupled with the lack of functioning social safety nets in Nairobi, households experiencing shocks and emergencies experience serious food insecurity and related health effects. In this context, the COVID-19 pandemic is likely to have a major negative economic impact on many vulnerable urban households. As such, there is need for new policies on urban food emergencies with a clear emergency preparedness plan for responding to major economic and other shocks that target the most vulnerable.

Severity of household food insecurity and lifetime racial discrimination among African-American households in South Carolina

2016 ◽  
Vol 23 (3) ◽  
pp. 276-292 ◽  
Author(s):  
Michael P. Burke ◽  
Sonya J. Jones ◽  
Edward A. Frongillo ◽  
Maryah S. Fram ◽  
Christine E. Blake ◽  
...  
Keyword(s):  
South Carolina ◽  
African American ◽  
Food Insecurity ◽  
Racial Discrimination ◽  
Household Food Insecurity ◽  
Household Food

scholarly journals Association between Household Food Insecurity and Asthma in Korean Adults

2019 ◽  
Vol 16 (12) ◽  
pp. 2115 ◽  
Author(s):  
Seo-Hee Park ◽  
Byung-Jin Park ◽  
Dong-Hyuk Jung ◽  
Yu-Jin Kwon
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Confidence Intervals ◽  
Household Food Security ◽  
Asthma Prevalence ◽  
Household Food Insecurity ◽  
Confounding Factors ◽  
Odds Ratios ◽  
Korean Adults ◽  
Household Food

Household food insecurity has been associated with noncommunicable diseases. The aim of this study was to investigate the association between household food insecurity and asthma in Korean adults. Household food security statuses were classified into three groups: Food-secure household, food-insecure household without hunger, and food-insecure household with hunger. The odds ratios and 95% confidence intervals for the presence of asthma according to household food security status were calculated using multiple logistic regression analyses after adjusting for confounding factors. A total of 14,770 participants were included in the analysis. The prevalence of asthma was 2.6% in those with a secure food status, 3.2% in those with an insecure food status without hunger, and 7.6% in those with an insecure food status with hunger (p < 0.001). Compared with that in participants with a household food secure status, the odds ratios (95% confidence intervals) for asthma were 1.12 (0.73–1.73) in those with a food-insecure household without hunger status and 2.44 (1.33–4.46) in those with a food-insecure household with hunger status after additionally adjusting for confounding factors. We found that household food insecurity with hunger was significantly associated with asthma prevalence in Korean adults. Implementation of household food security screening and public health intervention could be helpful to prevent and reduce asthma in adults.

scholarly journals Comparing measures of urban food security in Accra, Ghana

Food Security ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 417-431 ◽  
Author(s):  
Cascade Tuholske ◽  
Kwaw Andam ◽  
Jordan Blekking ◽  
Tom Evans ◽  
Kelly Caylor
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Sub Saharan Africa ◽  
Poor Correlation ◽  
Household Food Insecurity ◽  
Urban Food Security ◽  
Household Level ◽  
Household Food ◽  
Sub Saharan ◽  
Food Insecurity Access

AbstractThe urban population in Sub-Saharan Africa is projected to expand by nearly 800 million people in the next 30 years. How this rapid urban transition is affecting household-level urban food security, and reverberating into broader food systems, is poorly understood. To fill this gap, we use data from a 2017 survey (n = 668) of low- and middle-income residents of Accra, Ghana, to characterize and compare the predictors of household-level food security using three established metrics: the Household Food Insecurity Access Scale (HFIAS); the Household Food Insecurity Access Prevalence (HFIAP); and the Food Consumption Score (FCS). According to HFIAP, 70% of sampled households are food insecure, but only 2% fall below acceptable thresholds measured by FCS. Only one household reported sourcing food from modern supermarkets and fewer than 3% produce food for consumption through gardening, farming, or fishing. Instead, households rely on purchased food from traditional markets, local stalls and kiosks, and street hawkers. Results from a suite of general linear models show that household assets, education, and demographic characteristics are significantly associated with food security outcomes according to HFIAS and HFIAP. The poor correlation and weak model agreement between dietary recall such as FCS, and experience-based food security metrics, like HFIAS and HFIAP, highlight limitations of employing historically rural-centric food security measurement approaches within the urban context. Given that Sub-Saharan Africa’s future is urban, our results add empirical evidence in support of the growing chorus of scholars advocating for comprehensive urban-oriented food security research and policy agendas across Sub-Saharan Africa.

scholarly journals Household Food Insecurity and the Association with Cumulative Biological Risk among Lower-Income Adults: Results from the National Health and Nutrition Examination Surveys 2007–2010

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1517 ◽  
Author(s):  
Cindy W. Leung ◽  
Megan S. Zhou
Keyword(s):  
Food Security ◽  
Health Outcomes ◽  
Food Insecurity ◽  
Risk Score ◽  
Risk Scores ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Biological Risk ◽  
Health And Nutrition ◽  
Household Food

Household food insecurity has been associated with adverse health outcomes; however, the mechanisms underlying these associations are not well-defined. Using data from 5005 adults from the 2007–2010 National Health and Nutrition Examination Surveys (NHANES), we examined associations between household food insecurity and cumulative biological risk, a measure of the body’s physiological response to chronic stress. Household food security was assessed using the 18-item Household Food Security Survey Module. Marginal food security refers to 1–2 positive responses, and food insecurity refers to ≥3 positive responses. The cumulative biological risk scores were calculated based on the distributions of ten biomarkers from the cardiovascular, metabolic, and immune systems. Elevated biological risk was defined as a risk score of ≥3. Multivariable regression models were used to examine associations between food security and cumulative biological risk scores, adjusting for sociodemographic characteristics. After multivariable adjustment, food insecurity was associated with a 0.14-unit higher cumulative biological risk score (95% CI 0.05–0.22, p-trend = 0.003) and higher odds of elevated biological risk (OR 1.20, 95% CI 1.05–1.37, p-trend = 0.003). These associations differed by gender. Among women, food insecurity was associated with 0.30-unit higher cumulative biological risk score (95% CI 0.14–0.45, p-trend = 0.0004) and higher odds of elevated biological risk (OR 1.61, 95% CI 1.29–2.00, p-trend < 0.0001). These associations were not observed in men. Women experiencing food insecurity demonstrated elevated levels of biological risk. These findings support the hypothesis that food insecurity may be associated with women’s chronic health outcomes through the pathway of chronic stress. Further research is needed to understand why these associations were not observed in men.

scholarly journals The assessment of food security in homeless individuals: a comparison of the Food Security Survey Module and the Household Food Insecurity Access Scale

2011 ◽  
Vol 14 (12) ◽  
pp. 2254-2259 ◽  
Author(s):  
Anna C Holland ◽  
Matthew C Kennedy ◽  
Stephen W Hwang
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Homeless Population ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
The Us ◽  
Food Insecurity Access

AbstractObjectiveTo compare the Household Food Insecurity Access Scale (HFIAS), the US Food Security Survey Module (US FSSM) and a modified version of the US FSSM in which references to buying food were changed to references to getting food, in terms of their classification of food security levels among homeless individuals, and to determine which of these instruments was most preferred by homeless individuals.DesignA cross-sectional survey.SettingRecruitment of participants took place at seven shelters and from three drop-in programmes that serve homeless individuals in Toronto, Canada.SubjectsFifty individuals who were ≥18 years of age, able to communicate in English and currently homeless.ResultsThe modified US FSSM assigned 20 % of participants to a lower ordinal food security category compared with the US FSSM, and only 8 % to a higher food security category. The HFIAS assigned 30 % of participants to a lower food security category compared with either the US FSSM or the modified US FSSM, and only 10–16 % of participants to a higher food security category. When asked to compare all three instruments, the majority of respondents (62 %) selected the HFIAS as the best instrument for people who are homeless.ConclusionsA majority of homeless individuals selected the HFIAS as the best food security instrument for people who are homeless. Our findings suggest that the HFIAS is a more appropriate instrument than the US FSSM for measuring food security in the homeless population.

scholarly journals Household food insecurity: a systematic review of the measuring instruments used in epidemiological studies

2014 ◽  
Vol 18 (5) ◽  
pp. 877-892 ◽  
Author(s):  
Emanuele S Marques ◽  
Michael E Reichenheim ◽  
Claudia L de Moraes ◽  
Marina ML Antunes ◽  
Rosana Salles-Costa
Keyword(s):  
Systematic Review ◽  
Food Security ◽  
Food Insecurity ◽  
Standard Form ◽  
Reliability And Validity ◽  
Household Food Security ◽  
Measuring Instruments ◽  
Household Food Insecurity ◽  
Household Food ◽  
Psychometric Studies

AbstractObjectiveTo conduct a systematic review aimed at identifying and characterizing the experience-based household food security scales and to synthesize their psychometric properties.DesignSearch in the MEDLINE, LILACS and SciELO databases, using the descriptors (‘food insecurity’ OR ‘food security’) AND (‘questionnaires’ OR ‘scales’ OR ‘validity’ OR ‘reliability’). There was no limitation on the period of publication. All articles had their titles and abstracts analysed by two reviewers. The studies of interest were read in their entirety and the relevant information extracted using a standard form.ResultsThe initial bibliographic search identified 299 articles. Of these, the 159 that seemed to meet the criteria for inclusion were read fully. After consultation of the bibliographic references of these articles, twenty articles and five documents were added, as they satisfied the previously determined criteria for inclusion. Twenty-four different instruments were identified; all were brief and of easy application. The majority were devised in the USA. Forty-seven references reported results of psychometric studies. The instruments that presented the highest number of psychometric studies were the Core Food Security Measurement/Household Food Security Survey Module (CFSM/HFSSM) and the Self-Perceived Household Food Security Scale.ConclusionsThere are a number of structured scales available in the literature for characterization of household food insecurity. However, despite some psychometric studies already existing about the majority of the instruments, it is observed that, except for the studies of the CFSM/HFSSM, these are still restricted to appraisal of a few aspects of reliability and validity.

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