SNAP Participation Moderates the Association Between Household Food Insecurity and A1c Among Cambodian Americans With Depression

Abstract Objectives We tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) moderated the relation between household food security status and HbA1c, the gold standard measure of glycemic control, among Cambodian Americans with depression enrolled in a diabetes prevention trial. Methods Participants had elevated risk factors for type 2 diabetes and elevated depressive symptoms; recruits were excluded for extant diabetes. Community health workers assessed household food security status and SNAP participation via in-person interview. HbA1c levels from venous blood samples were ascertained using direct enzymatic assay. Results Among respondents (n = 189), 19% were food insecure, 41% received SNAP benefits, and mean HbA1c = 5.5%. There was a significant interaction between SNAP and food insecurity. HbA1c was highest among participants without SNAP who were food insecure. Simple effects analysis revealed a significant difference within the no SNAP group [Mean (SD) HbA1c: Secure = 5.38 (0.38), Insecure = 5.78 (0.36)] and no difference within the SNAP group [Secure = 5.61(0.44), Insecure = 5.61(0.55)]. Differences remained significant after controlling for demographic, socioeconomic, and clinical indicators. Conclusions SNAP may protect against the deleterious association between household food insecurity and elevated HbA1c. Funding Sources R01-DK103663 to Dr. Julie Wagner.

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Household Food Insecurity in Southeastern Iran: Severity and Related Factors

International Journal of Food Science ◽

10.1155/2017/7536024 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Zinat Mortazavi ◽

Ahmad Reza Dorosty ◽

Mohammad Reza Eshraghian ◽

Mohtasham Ghaffari ◽

Alireza Ansari-Moghaddam ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Cross Sectional Study ◽

Household Food Security ◽

Household Food Insecurity ◽

Healthy Foods ◽

Related Factors ◽

Cross Sectional ◽

Household Food ◽

Food Security Status

Background.Today, more than one billion people globally suffer from poverty and food insecurity. This study aimed to determine the severity of and factors related to household food insecurity in Zahedan, Southeastern Iran.Methods.This cross-sectional study was conducted on a total of 2,160 households between November 2014 and December 2015. Demographic and socioeconomic data were collected through interviewing the household mothers. Household food security status was assessed through the USDA 18-item questionnaire. The data were analyzed using chi-square test, one-way ANOVA, and logistic regression model.Results.Total food insecurity in the households investigated was 58.8%. There were significant associations (P<0.001) between household food insecurity status and the socioeconomic status of the households, ethnicity, education, age, and employment status of the head of the household and the mother of the household.Discussion.The results showed that more than half of the households examined suffer from food insecurity. Interventions to improve the food security status of people should be designed and implemented to improve people’s knowledge, skills, and attitudes related to healthy eating and food preparation. People’s access to healthy foods and knowledge of how to select healthy foods (especially on a limited budget) should also be improved.

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Household food insecurity and associated socio-economic factors among recent Syrian refugees in two Canadian cities

BORDER CROSSING ◽

10.33182/bc.v10i2.1161 ◽

2020 ◽

Vol 10 (2) ◽

pp. 203-214

Author(s):

Lina Al-Kharabsheh ◽

Samer Al-Bazz ◽

Mustafa Koc ◽

Joe Garcia ◽

Ginny Lane ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Low Income ◽

Household Food Security ◽

Household Food Insecurity ◽

Inverse Association ◽

Security Model ◽

Syrian Refugees ◽

Household Food ◽

Significant Difference

In Canada, the prevalence of food insecurity is high among low-income households, particularly recent refugees. We evaluated the prevalence of food security among recent Syrian refugees and the associated factors in two Canadian cities, Toronto and Saskatoon. We collected data using the Household Food ‎Security Model, sociodemographic and socioeconomic questionnaires from 151 families. 84% of the Syrian households were food insecure, with no significant difference in prevalence between Saskatoon and Toronto. The risk of food insecurity was four ‎times higher for households with the annual income below $40,000. Households with educated woman (high school or higher) had four times higher risk of household food insecurity compared to families with less-educated women. ‎Our findings indicate the high prevalence of food insecurity among recently resettled Syrian refugees in Canada. Higher-income directly associated with food security. The inverse association between education and food security in households with highly educated women warrants further investigation.

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Household Food Insecurity Narrows the Sex Gap in Five Adverse Mental Health Outcomes among Canadian Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16030319 ◽

2019 ◽

Vol 16 (3) ◽

pp. 319 ◽

Cited By ~ 3

Author(s):

Geneviève Jessiman-Perreault ◽

Lynn McIntyre

Keyword(s):

Mental Health ◽

Food Security ◽

Health Outcomes ◽

Food Insecurity ◽

Poor Mental Health ◽

Mental Health Outcomes ◽

Household Food Security ◽

Household Food Insecurity ◽

Household Food ◽

Significant Difference

The sex gap (i.e., the significant difference in an outcome between men and women) in the occurrence of a variety of mental health conditions has been well documented. Household food insecurity has also repeatedly been found to be associated with a variety of poor mental health outcomes. Although both sex and household food insecurity have received attention individually, rarely have they been examined together to explore whether or how these indicators of two social locations interact to impact common mental health outcomes. Using a pooled sample (N = 302,683) of the Canadian Community Health Survey (2005–2012), we test whether sex modifies the relationship between household food insecurity assessed by the Household Food Security Survey Module and five adverse mental health outcomes, controlling for confounding covariates. Although the sex gap was observed among food secure men versus women, males and females reporting any level of food insecurity were equally likely to report adverse mental health outcomes, compared with those reporting food security. Therefore, household food insecurity seems to narrow the sex gap on five adverse mental health outcomes.

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Nutritional Status and Household Food Insecurity Among Elderly in Mugu Karmarong Rural Municipality of Western Nepal

Current Developments in Nutrition ◽

10.1093/cdn/nzab035_014 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 106-106

Author(s):

Hemanta Bhandari ◽

Per Ole Iversen ◽

Heidi Fjeld

Keyword(s):

At Risk ◽

Food Security ◽

Nutritional Status ◽

Food Insecurity ◽

The Elderly ◽

Household Food Security ◽

Household Food Insecurity ◽

Rural Municipality ◽

Household Food ◽

Food Security Status

Abstract Objectives Little is known about the nutritional status of elderly in Nepal, in particular among indigenous communities in high altitude areas. The main objective of this study was therefore to determine the nutritional status of elderly and their household food security status on the Nepal-China border. Methods The study was conducted in Mugu Karmarong rural municipality, as part of Mugu district that habitats mostly indigenous Tibetan-speaking communities. We used a descriptive cross-sectional design and a total of 128 participants were identified using purposive sampling. Anthropometry and the Mini Nutritional Assessment Short Form (MNA-SF) were used to determine nutritional status and the Household Food Insecurity Access Scale (HFIAS) was used to categorize households according to a food insecurity scale. Results The mean (range) age of participants was 69 (60–84) years. The majority (81%) of the 128 participants had no any education, they were mostly (86%) Buddhist and 72% were married. Based on the MNA-SF scores, 30.5% had a normal nutritional status, 40.6% were at risk for malnutrition while 28.9% were malnourished. In somewhat contrast, our BMI measurements (using the cut-off values from a national survey) suggested that the majority (79.7%) had BMI values within the normal reference range. Based on the HFIAS, only 30.4% of the households were scored as food secure whereas 29% of the households belonged to the severe food insecurity category followed by 26% being moderately food insecure and 11% being mildly food insecure. Our findings revealed that type of the household, use of iodized salt, seasonal migration and household food security status, were all significantly associated with nutritional status of the elderly. Those living in severely food insecure households were 3.2 times more likely to be malnourished than those from food secured households while those living in moderately insecure household was 1.8 times more at risk of malnutrition than those from food secure households. Conclusions We found that about 2/3 of the elderly were either at risk of malnutrition or were malnourished. Only 1/3 of the surveyed households were food secure. Hence, there are alarming risks of malnutrition and food insecurity among elderly in this remote, mountainous region. Funding Sources This study was partly sponsored by the University of Oslo.

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Is Household Food Insecurity Associated with Overweight/Obesity Among Adults in CALABARZON Region, Philippines?

Current Developments in Nutrition ◽

10.1093/cdn/nzaa063_030 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1632-1632

Author(s):

John Oliver Estadilla ◽

Ernani Bullecer

Keyword(s):

Food Security ◽

Food Insecurity ◽

The Philippines ◽

Household Food Security ◽

Household Food Insecurity ◽

Prevalence Rates ◽

Local Data ◽

Household Food ◽

Nutrition Research ◽

Food Security Status

Abstract Objectives The aims of this study were to estimate the prevalence of overweight/obesity among food secure and food insecure households; and measure the association of household food insecurity with overweight/obesity among the adults of CALABARZON Region, Philippines. Methods This cross-sectional study analyzed the 8th National Nutrition Survey of the Philippines conducted in 2013 by the Food and Nutrition Research Institute. The included dataset for this study covered only all the non-pregnant, non-lactating adult respondents aged 20 years old and over who were able to complete the survey. Anthropometric measurements such as height and weight were obtained and body mass index was calculated. Two-day non-consecutive 24-hour diet recalls were completed. Household Food Security status was measured using the Household Food Insecurity Access Scale. Logistic Regression was used to measure the association of food insecurity and overweight/obesity. Results The prevalence of overweight/obesity in the Region was estimated at 36.87% (95%CI: 30.40–43.85) and 47.59% (95%CI: 40.06–55.23) among adults belonging to food insecure and food secure households, respectively. After controlling for the confounding effects of household size and wealth quintile index, it was revealed that food insecurity is not a predictor of overweight/obesity with a significant adjusted odds ratio of 0.7385 (95%CI: 0.4934–1.2441). Conclusions At present, there is no current local data presenting the prevalence rates of overweight/obesity according to household food security status. With this as one of the objectives of this paper, the study was able to generate the prevalence rates of household food security and insecurity in the CALABARZON Region according to overweight/obesity status. Despite the co-existence of overweight/obesity and food insecurity in the Region, household food insecurity was not statistically associated with overweight/obesity even after adjusting for various confounding factors. Funding Sources The primary author would like to thank the following institutions for providing financial grants to support the implementation of this study: Department of Science and Technology - Science Education Institute (DOST-SEI), University of the Philippines Manila - National Graduate Office for the Health Sciences (UPM-NGOHS) and Neys-Van Hoogstraten Foundation (NHF).

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HOUSEHOLD FOOD INSECURITY IS ASSOCIATED WITH BINGE EATING DISORDER AMONG ADOLESCENT IN SEMAMPIR DISTRICT, SURABAYA, INDONESIA

Media Gizi Indonesia ◽

10.20473/mgi.v16i1.26-32 ◽

2021 ◽

Vol 16 (1) ◽

pp. 26

Author(s):

Dian Puteri Andani ◽

Annis Catur Adi

Keyword(s):

Eating Disorder ◽

Food Security ◽

Binge Eating ◽

Food Insecurity ◽

Binge Eating Disorder ◽

Psychosocial Development ◽

Household Food Security ◽

Household Food Insecurity ◽

Household Food ◽

Food Security Status

Teenage phase is a critical period of psychosocial development. Adolescent eating patterns are formed in this phase. Household food security is among factors which may infl uence eating pattern. Adolescent who are exposed to food insecure condition tend to experience stress, which one of the coping mechanisms is overeating and may develop binge eating disorder. The purpose of this study is to analyze association between household food security status and binge eating disorder in adolescent. This case control study involved 74 adolescents aged 16-18 years and their parents in Semampir District, Surabaya, Indonesia who were selected randomly using simple random sampling. Household food security was assessed by using the Household Food Insecurity Access Scale (HFIAS) and binge eating disorder is assessed by using Eating Disorder Diagnostic Scale (EDDS). The association between household food security and binge eating disorder was analyzed by Spearman’s correlation test. There was an association between food security status (p = 0,001) and binge eating disorder. Further analysis showed that adolescents at risk of food insecurity were 5,625 times more likely to experience a binge eating disorder. This study recommends to increase food security through economic empowerment of housewives and socialization about coping strategy for both parent and adolescent.

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Measuring household food security: the global experience

Revista de Nutrição ◽

10.1590/s1415-52732008000700004 ◽

2008 ◽

Vol 21 (suppl) ◽

pp. 27s-37s ◽

Cited By ~ 23

Author(s):

Hugo Melgar-Quinonez ◽

Michelle Hackett

Keyword(s):

Food Security ◽

Food Insecurity ◽

The United States ◽

Household Food Security ◽

United States Department ◽

Department Of Agriculture ◽

Governmental Agencies ◽

Household Food ◽

Food Security Status ◽

New Research

Measuring household food insecurity represents a challenge due to the complexity and wide array of factors associated with this phenomenon. For over one decade, researchers and agencies throughout the world have been using and assessing the validity of variations of the United States Department of Agriculture Household Food Security Supplemental Module. Thanks to numerous studies of diverse design, size, and purpose, the Household Food Security Supplemental Module has shown its suitability to directly evaluate the perceptions of individuals on their food security status. In addition, challenges and limitations are becoming clearer and new research questions are emerging as the process advances. The purpose of this article is to describe the development, validation procedures, and use of the Household Food Security Supplemental Module in very diverse settings. The most common Household Food Security Supplemental Module related studies have been conducted using criterion validity, Rasch modeling and Cronbach-Alpha Coefficient. It is critical that researchers, policy makers, governmental and non-governmental agencies intensify their efforts to further develop tools that provide valid and reliable measures of food security in diverse population groups. Additional work is needed to synthesize a universally applicable tool able to capture the global human phenomenon of food insecurity.

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

PLoS ONE ◽

10.1371/journal.pone.0259139 ◽

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.

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Association between Household Food Insecurity and Asthma in Korean Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16122115 ◽

2019 ◽

Vol 16 (12) ◽

pp. 2115 ◽

Cited By ~ 2

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.

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Household food security status and associated factors among high-school students in Esfahan, Iran

Public Health Nutrition ◽

10.1017/s1368980010000467 ◽

2010 ◽

Vol 13 (10) ◽

pp. 1609-1613 ◽

Cited By ~ 21

Author(s):

Assieh Mohammadzadeh ◽

Ahmadreza Dorosty ◽

Mohammadreza Eshraghian

Keyword(s):

High School ◽

High School Students ◽

Food Security ◽

Food Insecurity ◽

High Energy ◽

Household Food Security ◽

School Students ◽

Household Food ◽

Food Security Status ◽

Food Insecure Households

AbstractObjectiveThe present study was designed to determine household food security status and factors associated with food insecurity among high-school students in Esfahan, Iran.DesignCross-sectional surveys.SettingThe present study was conducted in autumn 2008 in Esfahan, Iran. The samples were selected using systematic cluster sampling. Socio-economic questionnaires, food security questionnaires and FFQ were filled out during face-to-face interviews. In addition, data on participants’ weights and heights were collected.SubjectsA total of 580 students (261 boys and 319 girls) aged 14–17 years from forty high schools in Esfahan, Iran, were selected.ResultsThe prevalence of household food insecurity according to the US Department of Agriculture food security questionnaire was 36·6 % (95 % CI 0·33, 0·40). Food insecurity was positively associated with number of members in the household (P < 0·05) and negatively associated with parental education level and job status and household economic status (P < 0·05). Moreover, students living in food-insecure households more frequently consumed bread, macaroni, potato and egg (P < 0·05), while they less frequently consumed rice, red meat, sausage and hamburger, poultry, fish, green vegetables, root and bulb (coloured) vegetables, melons, apples and oranges, milk and yoghurt (P < 0·05).ConclusionsFood insecurity was prevalent among households in Esfahan, Iran, and food security status was associated with socio-economic factors. Students who belonged to food-secure households more frequently consumed healthy foods (except sausage and hamburger), whereas those living in food-insecure households more frequently consumed cheap foods containing high energy per kilogram. The present study suggests that intervention programmes be designed and carried out.

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