scholarly journals The Psychological Distress of Food Insecurity: A Qualitative Study of the Experiences of Low-Income Parents and Their Coping Strategies

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 224-224
Author(s):  
Cindy Leung

Abstract Objectives Food insecurity increases the risks of numerous chronic disease and mental health outcomes in low-income adults; however, the mechanisms underlying these associations have not been clearly identified. Chronic, psychological stress may represent an important pathway between food insecurity and health. Using in-depth interviews, the objective of this qualitative study was to obtain a better understanding of psychological distress specific to food insecurity among adults. Methods We conducted one-on-one, semi-structured interviews with 48 parents recruited from the San Francisco Bay Area. Eligibility criteria included any experience of household food insecurity over the past 12 months, having a child in the family, and the ability to speak English fluently. An interview guide was developed by an interdisciplinary research team to specifically delve into the psychological experience of adult food insecurity. Interviews were audio-recorded, transcribed, and analyzed for thematic content using the constant comparative method. Results Parents discussed six themes related to the psychological distress of food insecurity: 1) anxiety about not having enough food to meet the needs of all family members, 2) frustration over the high costs of healthful foods (e.g., fruits and vegetables), 3) embarrassment about using community food assistance, 4) fear of running out of money for food and other necessities, 5) sadness about their cyclical and chronic food situation, and 6) guilt over the inability to adequately provide for their children. Strategies that parents used to cope with food insecurity included seeking help from family and friends, relying on their faith, distracting themselves from their current situation (e.g., sleeping, cleaning, drinking), and becoming increasingly tolerant of their food situation. Conclusions Food insecurity is a source of psychological distress among parents. Psychological distress may represent a pathway by which food insecurity influences physical and mental health outcomes. Funding Sources This study was supported by a grant from the Eunice Kennedy Shriver National Center for Child Health and Human Development.

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Sai Kodukula ◽  
Amy Han

Objective:   To examine the impact of the COVID-19 shutdowns on food insecurity and mental health outcomes among low income, minority communities in Northwest Indiana.    Methods:   Surveys were distributed to 160 households during the Northwest Indiana food bank distribution hours to assess food security mental health status. The survey assessed participant food security through questions adapted from the USDA food security survey module. Participant anxiety, depression, and stress scores were aggregated from questions adapted from the PHQ-4. A multiple logit regression model was utilized to estimate the risk associated with food security status and the surveyed variables. Anecdotal evidence was also collected to understand pandemic specific factors impacting participant food security.     Results:   Food insecurity was linked to significantly increased risk of anxiety, depression and stress. Those who identify to be food insecure have an 811 % increased risk of anxiety, 411% increased risk of depression, and 535% increased risk of stress compared to those who are food secure. In addition, a significant correlation exists between median household income and poor mental health. Anecdotal evidence identifies poor job security, food distributions, and support networks as exacerbating factors towards participant’s declining mental health.     Conclusions:   Our findings highlights the exacerbated impact the pandemic has had on the food security and mental health of vulnerable populations. In the light of these results and anecdotal feedback, public health measures must focus on getting increased funding towards local food banks to increase the frequency of mobile distribution markets coupled with direct subsidies to allow for food purchases, especially for those households with children. Given its impact on mental health, food insecurity status should regularly be screened by physicians access to the right resources must be provided for those screening as high risk.   


2015 ◽  
Vol 22 (5) ◽  
pp. 572-581 ◽  
Author(s):  
Katherine E Darling ◽  
Amy J Fahrenkamp ◽  
Shana M Wilson ◽  
Alexandra L D’Auria ◽  
Amy F Sato

2021 ◽  
pp. 1-22
Author(s):  
Rebekah J. Walker ◽  
Aprill Z. Dawson ◽  
Jennifer A. Campbell ◽  
Leonard E. Egede

Abstract Objective: Understanding food insecurity and its health consequences is important for identifying strategies to best target support for individuals and communities. Given the limited information that exists for Indigenous groups in Latin America, this study aimed to understand the association between food insecurity and mental health in an Indigenous population in Panama. Design: Cross-sectional data were collected using a survey conducted with Kuna Indians residing off the coast of Panama. Data sources included measures from the Panamanian Prevalence of Risk Factors Associated with Cardiovascular Disease Survey, and validated measures for psychosocial factors and standardized health outcome measures. Regression models with each of the mental health outcomes (depression, serious psychological distress, perceived stress) were used to examine the association between food insecurity and mental health outcomes. Setting: Indigenous Kuna community residing on the San Blas Islands of Panama Participants: 209 adults Results: Food insecurity was reported by 83% of the participants. Across demographic categories, the only significant difference was by age with higher prevalence in younger ages. After adjusting for demographics, higher food insecurity was significantly associated with higher number of depressive symptoms and more serious psychological distress, but not with levels of perceived stress. Conclusions: Based on these findings, treatment for mental health in the Kuna community may need to account for social determinants of health and be tailored to meet the needs of younger age groups in this population. In addition, interventions designed to decrease food insecurity should be considered as a possible means for improving mental health.


2021 ◽  
pp. 1-21
Author(s):  
Payge Lindow ◽  
Irene H. Yen ◽  
Mingyu Xiao ◽  
Cindy W. Leung

ABSTRACT Objective: Using an adaption of the Photovoice method, this study explored how food insecurity affected parents’ ability to provide food for their family, their strategies for managing household food insecurity, and the impact of food insecurity on their well-being. Design: Parents submitted photos around their families’ experiences with food insecurity. Afterwards, they completed in-depth, semi-structured interviews about their photos. The interviews were transcribed and analyzed for thematic content using the constant comparative method. Setting: San Francisco Bay Area, California, USA. Subjects: 17 parents (14 mothers and 3 fathers) were recruited from a broader qualitative study on understanding the experiences of food insecurity in low-income families. Results: Four themes were identified from the parents’ photos and interviews. First, parents described multiple aspects of their food environment that promoted unhealthy eating behaviors. Second, parents shared strategies they employed to acquire food with limited resources. Third, parents expressed feelings of shame, guilt, and distress resulting from their experience of food insecurity. And finally, parents described treating their children to special foods to cultivate a sense of normalcy. Conclusions: Parents highlighted the external contributors and internal struggles of their experiences of food insecurity. Additional research to understand the experiences of the food-insecure families may help to improve nutrition interventions targeting this structurally vulnerable population.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042335
Author(s):  
Nexhmedin Morina ◽  
Ahlke Kip ◽  
Thole Hilko Hoppen ◽  
Stefan Priebe ◽  
Thomas Meyer

BackgroundThe imperative for physical distancing (mostly referred to as social distancing) during COVID-19 pandemic may deteriorate physical and mental health. We aimed at summarising the strength of evidence in the published literature on the association of physical and mental health with social connection via social isolation, living alone and loneliness.MethodsWe conducted a systematic search in April 2020 to identify meta-analyses using the Medline, PsycINFO and Web of Science databases. The search strategy included terms of social isolation, loneliness, living alone and meta-analysis. Eligible meta-analyses needed to report any sort of association between an indicator of social connection and any physical or mental health outcome. The findings were summarised in a narrative synthesis.ResultsTwenty-five meta-analyses met our criteria, of which 10 focused on physical health and 15 on mental health outcomes. The results suggest that lack of social connection is associated with chronic physical symptoms, frailty, coronary heart disease, malnutrition, hospital readmission, reduced vaccine uptake, early mortality, depression, social anxiety, psychosis, cognitive impairment in later life and suicidal ideation.ConclusionsThe existing evidence clearly indicates that social connection is associated with a range of poor physical and mental health outcomes. A potential negative impact on these outcomes needs to be considered in future decisions on physical distancing measures.


Author(s):  
Andrés Losada-Baltar ◽  
José Ángel Martínez-Huertas ◽  
Lucía Jiménez-Gonzalo ◽  
María del Sequeros Pedroso-Chaparro ◽  
Laura Gallego-Alberto ◽  
...  

Abstract Objectives To longitudinally analyze the correlates of loneliness and psychological distress in people exposed to the coronavirus disease 2019 (COVID-19) lockdown, exploring the effects of age and self-perceptions of aging (SPA). Methods A longitudinal follow-up of 1,549 participants was carried out at four different time points during the lockdown in Spain. Questions about the risk of COVID-19, age, SPA, family and personal resources, loneliness, and psychological distress were measured. Results Changes in loneliness showed a linear longitudinal trajectory through time, but changes in psychological distress showed a U-shaped relationship with time. Age was a relevant predictor of differences in distress, with older people reporting less psychological distress. Change in both dependent variables was related to change in different predictors like family and personal variables and also to negative SPA. Discussion In a stressful situation such as the COVID-19 pandemic, older adults may be more resilient to adverse mental health outcomes by using more adaptive resources that strengthen their resilience. Support is provided for the importance of stereotyped views of the aging process that, independently of chronological age, may put people at risk of suffering adverse mental health outcomes such as loneliness and psychological distress in times of crisis.


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