scholarly journals Food security moderates relationship between perceived food environment and diet quality among adults in communities with low access to healthy food retail

2020 ◽  
pp. 1-12
Author(s):  
Nisha R Gupta ◽  
Darcy A Freedman
Keyword(s):  
Food Security ◽  
Food Availability ◽  
Healthy Eating ◽  
Diet Quality ◽  
Healthy Food ◽  
Healthy Food Availability ◽  
Food Security Status ◽  
Food Retailers ◽  
Eating Identity ◽  
The Relationship

Abstract Objective: To examine the relationship between food security status, diet quality measured using Healthy Eating Index-2010 (HEI-2010) scores, demographics and the following factors: perceptions of healthy food availability, healthy eating identity and perceived control of healthy eating. Design: A cross-sectional study in 2016–2017 using three 24-h dietary recalls and one psychosocial survey. Setting: Two urban communities in Cleveland and Columbus, Ohio, USA, with low access to healthy food retailers. Participants: Primary food shoppers living in the targeted geographic areas (N 450). Results: Our results indicated that high school graduates had lower HEI-2010 scores compared with participants who had some college education or more (β = –2·77, P = 0·02). Participants receiving Supplemental Nutrition Assistance Program (SNAP) benefits had lower HEI-2010 scores (β = –2·69, P = 0·03). Healthy eating identity was associated with higher HEI-2010 scores (β = 1·85, P = 0·004). Food security status moderated the relationship between perception of healthy food availability and HEI-2010 scores. Among participants with very low food security (VLFS), greater perceptions of healthy food availability were associated with higher HEI-2010 scores (β = 3·25, P = 0·03), compared with food secure participants. Only 14 % of VLFS participants used a personal vehicle as transportation to their primary food shopping store. Conclusions: Findings offer targets for future intervention development and evaluation to promote community nutrition. These targets include strategies to improve the value of SNAP benefits, promote access to quality education, increase transportation options to healthy food retailers and develop nutrition programming to promote healthy eating identity.

scholarly journals Acculturation Is Related to Diet Quality in Phoenix Preschoolers, Controlling for Food Insecurity (P04-048-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Marisa Gutierrez ◽  
Kimberly Fine ◽  
Meg Bruening ◽  
Corrie Whisner ◽  
Rebecca Lee
Keyword(s):  
Food Security ◽  
Diet Quality ◽  
Family Income ◽  
Saturated Fat ◽  
Household Food Security ◽  
Maternal Child Health ◽  
Household Food ◽  
Food Security Status ◽  
The Relationship

Abstract Objectives To examine the relationship between acculturation and diet quality of preschoolers in the Phoenix area. There is little research on how the dietary intake of preschoolers outside of the home is impacted by parental acculturation in food secure and insecure households. Methods This study was a cross-sectional secondary data analysis of the SAGE (Sustainability via Active Garden Education) research project. SAGE provides education on gardening, physical activity, and nutrition to preschoolers in Phoenix, AZ. Preschoolers (Mean age 53.1 + 3.5 mos; n = 154) were recruited from early care and education centers (ECEC). Acculturation was evaluated using a parent-report validated survey on a scale of 1–5 (1 = low acculturation). Parents also reported sociodemographic variables (child sex, age, ethnicity, and family income) and household food security status (dichotomized as food secure or insecure). Meals were observed by trained research staff at the ECEC for one full day (breakfast, lunch, snack) and recorded using the Nutrition Data System for Research. Linear regressions examined the relationship between acculturation and diet quality (total kcal, fruits, vegetables, saturated fat, added sugar intake) adjusting for sociodemographics and household food security status. Results A total of 78.6% of preschoolers in this study were Hispanic. Of the 154 children, 52.6% and 47.4% were male and female, respectively. The mean acculturation score was 3.0 + 1.3 with 41.8% of the sample being food insecure. Higher acculturation was significantly associated with increased vegetable (β = 0.095, P = 0.028) and saturated fat intake (β = 1.001, P = 0.018). Acculturation trended an association with increased kcal intake (β = 47.475, P = 0.053). Conclusions Results suggest parent acculturation is associated with healthy and unhealthy eating habits in preschoolers outside of the home regardless of food security status. When evaluating diet quality of preschoolers, acculturation needs to be assessed to promote improved health behaviors, especially in relation to saturated fat and vegetable intake. Funding Sources This study was funded by the Maternal Child Health Bureau and the National Institute of Minority Health and Health Disparities of the National Institutes of Health.

“Spending all this time stressing and worrying and calculating”: Marginal Food Security and Student Life at a Diverse Urban University

2021 ◽  
pp. 1-19
Author(s):  
Ryan J Gamba ◽  
Michael T Schmeltz ◽  
Nancy Ortiz ◽  
Alina Engelman ◽  
Juleen Lam ◽  
...  
Keyword(s):  
College Students ◽  
Food Security ◽  
Quantitative Research ◽  
Academic Motivation ◽  
Physical Symptoms ◽  
Healthy Food ◽  
High Food ◽  
Structured Interviews ◽  
Future Health ◽  
Food Security Status

Abstract Objective: Food security status is a continuum ranging from high to very low food security. While marginal food security falls next to high food security on the spectrum, new quantitative research indicates marginal food security status is associated with negative health outcomes and poor academic performance among college students. Qualitative research focusing on college students experiencing marginal food security has not been conducted. This study aims to qualitatively explore experiences of college students with marginal food security and to identify themes to better understand and provide context regarding how marginal food security impacts students. Design: Students were recruited for semi-structured interviews with questions designed to study the challenges associated with students’ food situations. All interviews were recorded and transcribed with themes identified via an inductive approach. Setting: A large public university on the US west coast. Participants: Thirty college students. Results: Key themes that emerged: purchasing cheap unhealthy foods; insufficient time to prepare and eat meals on a regular basis; stress and anxiety around the inability to eat healthy food and future health issues; self-perception of health when eating poorly along with physical symptoms; and low academic motivation by not fully participating in their courses due to few healthy food options or missing meals. Conclusion: Marginal food security can potentially diminish students’ health and their capacity to learn and succeed in their coursework. The results emphasize that students experiencing marginal food security should not be grouped with students experiencing high food security.

scholarly journals Soup kitchen users' social representations of healthy eating associated with their household food security status

2016 ◽  
Vol 29 (2) ◽  
pp. 229-240
Author(s):  
Isabel Cristina BENTO ◽  
Fernanda Martins SOBRINHO ◽  
Mery Natali Silva ABREU ◽  
Maria Flávia GAZZINELLI ◽  
Simone Cardoso Lisboa PEREIRA
Keyword(s):  
Food Security ◽  
Healthy Eating ◽  
Low Income ◽  
Univariate Analysis ◽  
Social Representation ◽  
Household Food Security ◽  
Household Food ◽  
Food Security Status ◽  
Food And Nutrition ◽  
Belo Horizonte

Objective: To verify whether what users of soup kitchens in Belo Horizonte, Minas Gerais, Brazil, think about a healthy diet and the challenges they face to eat healthy are associated with their household food security status. Methods: This cross-sectional study included 1,656 users of soup kitchens in Belo Horizonte. Socioeconomic and household food security data, and healthy-eating discourses were collected by a semi-structured questionnaire. The data were submitted to descriptive analyses for constructing frequency distribution tables, and to univariate analysis. Discourse analysis was based on the social representation theory. Results: To cut, reduce, avoid, not eat, eat less, and decrease carbohydrates, salt, meats, various beverages, and other foods are the most frequent changes (71.4%) that food-secure users have made or intend to make. Food-insecure users intended to eat more fruits, non-starchy vegetables, and other foods (34.4%). The main obstacles food-secure and food-insecure users face to adopt a healthier diet are lack of time (82.9%) and low income (53.5%), respectively (p<0.001). Conclusion: What users of soup kitchens in Belo Horizonte think about food and the obstacles they face to adopt a healthier diet are related to their household food security status. The results provide valuable data for effective proposals of food and nutrition education, which should act on the producers of subjectivity in this group and consider this group's food and nutrition security status.

scholarly journals Quality of diet related to food insecurity and food stamps use among older people

2011 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Maria F Montoya ◽  
Andre W Hite ◽  
Patricia Rohrbeck ◽  
Binky Bawa ◽  
Oladayo O Akinwolemiwa ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Food Stamps ◽  
Older Individuals ◽  
Cross Sectional Survey ◽  
Food Security Status

We explore the association between quality of diet and food security status among older persons. Cross-sectional survey of large national samples, from the National Health & Nutrition Examination Surveys (1988-1994 & 2001-2002), in the United States. A total of 5,039 and 2,040 men and women aged 60 and older, respectively. The dependent variable was the healthy eating index (HEI; 2000 and 2005) as a measure of diet quality. The independent variable of interest was food security status and was categorized as food secure, food insecurity receiving food stamps and food insecurity not receiving food stamps. In multivariate analyses, food insecure individuals not receiving food stamps had lower total HEI-2000 scores compared to food secure individuals (b=-3.91, SE=1.81, P=0.0310). Factors independently associated with high HEI (2000 or 2005) scores were female gender, being married, highly educated or wealthy, with very good/ excellent perceived health, or without functional limitations. Food secure individuals had better quality of diet than food insecure individuals. Among food insecure individuals, receiving food stamps was not associated with diet quality. Food insecure families with older individuals may need new methods of dissemination of food and nutrition programs – methods that yield positive and promising changes in the health status of this special population group.

scholarly journals Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1209
Author(s):  
Jennifer R. McAtee ◽  
Meng-Hua Tao ◽  
Christian King ◽  
Weiwen Chai
Keyword(s):  
Food Availability ◽  
The United States ◽  
Healthy Food ◽  
Inverse Association ◽  
Healthy Foods ◽  
Low Fat ◽  
Health And Nutrition ◽  
Healthy Food Availability ◽  
Home Food ◽  
Home Food Availability

This study examined associations of home food availabilities with prediabetes and diabetes among 8929 adults (20–70 years) participating in 2007–2010 National Health and Nutrition Examination Surveys. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated by logistic regression. Relative to non-diabetic participants (individuals without diabetes or prediabetes), prediabetes participants were associated with lower availabilities of green vegetables (OR = 0.82; 95% CI = 0.73–0.91; p = 0.0006) and fat-free/low-fat milk (OR = 0.80, 95% CI = 0.65–0.89; p = 0.001) and higher sugary drink availability (OR = 1.24, 95% CI = 1.04–1.48; p = 0.02), adjusting for age, sex, and ethnicity (Model 1). The associations remained significant for vegetables (p = 0.005) and fat-free/low-fat milk (p = 0.02) adjusting for additional confounders (body mass index, education, Model 2). Adjusting for dietary components did not change the above results (in model 2) significantly. Participants with high healthy food availability scores had approximately 31% reduction (p = 0.003) in odds of prediabetes compared to those with low scores in Model 1. No associations were detected for diabetes except for fat-free/low-fat milk availability, for which an inverse association was observed in Model 1 (OR = 0.80, 95% CI = 0.65–0.99; p = 0.04). The results show prediabetes participants had lower availability of healthy foods and higher availability of unhealthy foods, suggesting the need to improve healthy food availability at home for this population.

A Rural Small Food Store Pilot Intervention Creates Trends Toward Improved Healthy Food Availability

2015 ◽  
Vol 10 (2) ◽  
pp. 259-270 ◽  
Author(s):  
Elizabeth Anderson Steeves ◽  
Erin Penniston ◽  
Megan Rowan ◽  
Jeremy Steeves ◽  
Joel Gittelsohn
Keyword(s):  
Food Availability ◽  
Healthy Food ◽  
Food Store ◽  
Healthy Food Availability ◽  
Pilot Intervention

scholarly journals Consumers' Perceptions of Healthy Food Availability in Online Food Delivery Applications (OFD Apps) and Its Association With Food Choices Among Public University Students in Malaysia

2021 ◽  
Vol 8 ◽  
Author(s):  
Elisa Zhen Rong Eu ◽  
Mohd Jamil Sameeha
Keyword(s):  
University Students ◽  
Food Availability ◽  
Food Environment ◽  
Food Choice ◽  
Food Choices ◽  
Public University ◽  
Food Delivery ◽  
Healthy Food ◽  
Healthy Food Availability ◽  
Significant Difference

This retrospective cross-sectional study was conducted to study consumers' perceptions of healthy food availability in online food delivery applications (OFD apps) among public university students in Malaysia and its association with their food choices. A total of 290 subjects aged 19–29 years old were recruited from 20 public universities in Malaysia via snowball sampling. Data was collected through an online questionnaire which consisted of socio-demographic status, use of OFD apps (most frequently used brand, usage frequency, food choice, and expenditure per transaction), factors affecting food choice in OFD apps, consumers' perceptions of healthy food availability in OFD apps and recommendation for improvements. The most frequently used apps among the subjects was Food Panda (46.6%), however, majority of the subjects in this study (41.4%) rarely used OFD apps. Also, most of the subjects ordered unhealthy food (77.6%) and spent up to RM15–RM19 for each transaction (43.1%). There was no significant difference between the use of OFD apps and gender (p &gt; 0.05). Among the five food choice motives, “price and convenience” motive was the most influencing food choice factor in OFD apps. Majority of the subjects (76.9%) had a negative perception of healthy food availability (variety, price, and quality of healthy food) in OFD apps. No significant association was found between consumers' perceptions of healthy food availability in OFD apps and their food choices made in OFD apps among the subjects in this study (p &gt; 0.05). Also, majority (85.9%) responded they are keen to purchase healthy foods through OFD apps if they are given an option. However, most Malaysian public university students perceived that there were not much variety of healthy food, of good quality and affordable price, available in OFD apps. This finding suggests that the online food environment in Malaysia are perceived as unhealthy. Future studies can explore the online food environment particularly its impact on community health and well-being. Public health professionals and policymakers need to address the online food environment issues as part of the obesogenic food environment in Malaysia especially when OFD is one of the most convenient service in this country.

scholarly journals Exploring the Relationship Between Attendance at USDA Summer Food Service Program Sites and Baseline Household Food Security Status: Results from the Project SWEAT Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 204-204
Author(s):  
Laura Hopkins ◽  
Cara Pannell ◽  
Carolyn Gunther
Keyword(s):  
Food Security ◽  
Low Income ◽  
Food Service ◽  
Text Messages ◽  
Household Food Security ◽  
Service Program ◽  
Household Food ◽  
Food Security Status ◽  
Significant Difference ◽  
The Relationship

Abstract Objectives Explore the relationship between attendance at USDA Summer Food Service Program (SFSP) sites and baseline household food security status. Methods Two elementary schools in low-income urban neighborhoods of Columbus, OH were recruited. Families with children at these schools in grades pre-kindergarten through fifth were invited to participate. Caregivers completed a demographic survey at the end of school year 1 (baseline [t0]). Household food security was assessed at t0 using the USDA 6-item Short Form Food Security Module and based on responses participants were categorized as living in high marginal food security (HMFS), low food security (LFS), or very low food security (VLFS) households. Child attendance at USDA SFSP sites was collected via weekly text messages to caregivers using the online TextIt© platform. ANOVA was conducted to determine differences in attendance level by household food security status. Results 113 children representing 78 families enrolled. Mean age was 7.10 ± 0.21 yr, 79.65% were African American, 72.73% were low-income, and mean annual income was $28,222. Approximately 27% of families (n = 21) reported living in LFS (n = 10, 14.82%) or VLFS (n = 11, 12.10%) households. Overall mean attendance at summer programming was 10.40 ± 1.43 days (out of 50 possible days) and attendance by household food security status was 10.51 ± 1.61 (HMFS), 19.00 ± 6.15 (LFS), and 5.70 ± 2.85 (VLFS) days with a significant difference (P = 0.04) between LFS and VLFS households. Conclusions Children in VLFS (vs HMFS and LFS) households, who are at increased risk for hunger during the summertime window of risk, are attending sites offering the USDA SFSP least frequently. Future research and programmatic efforts should be targeted at children from the most vulnerable households to ensure food security during the summertime window of risk. Funding Sources USDA NC-NECE.

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