scholarly journals The Enactment of Care: Lessons Learned From a Multisector Coalition Advocating for Those Living in Senior Housing

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 377-378
Author(s):  
Claudia Sanford ◽  
Dennis Archambault ◽  
Michele Waktins ◽  
Zach Kilgore ◽  
Michael Appel ◽  
...  

Abstract This presentation explores how a coalition, Senior Housing Preservation-Detroit, considered and planned for “care” in senior buildings in Detroit, Michigan. Detroit was one of the American cities affected in the early days of the pandemic; the coalition pivoted its work in creative, collaborative ways which included understanding the rapidly changing context for those living in low-income senior buildings. Older minority adults have been shown to be disproportionally affected by COVID-19; the coalition successfully advocated for testing to be brought to senior buildings (and now vaccine distribution) and addressed mask distribution and food insecurity in several senior buildings (see Archambault, Sanford and Perry, 2020). Without the long-established partnerships, “care” could not have been as coordinated, multi-sector and trusted. The presentation will discuss lessons learned that can be applied to future challenges in supporting the well-being of residents as they negotiate their residential spaces.

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.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S583-S583
Author(s):  
Philip A Rozario ◽  
Emily Greenfield ◽  
Nancy Kusmaul

Abstract Social networks provide opportunities for engagement with others and structure the receipt and provision of emotional, instrumental, informational and appraisal support. Indeed scholars in this field have documented the importance of having strong social networks in influencing older adults’ well-being and quality of life. The three papers in this symposium draw on the convoy model of social relations and ecological model to examine and better understand the micro, mezzo, macro contexts that shape and influence how older people engage with and benefit from their networks in three areas: low-income senior housing communities, urban areas specifically targeting older Latinos with dementia, and disaster preparedness in micropolitan counties in eastern Iowa. The first paper, a cross-sectional study focusing on social connections in senior housing communities, examines levels of social networks, engagement, support and loneliness and their relationship with well-being outcomes. The second paper, a community-based participatory research project, reports an intervention that seeks to train natural helpers in a predominantly Latino urban neighborhood to identify and refer older Latinos with dementia to bilingual assessment services. The third paper, synthesizing findings from interventions targeting network building at the individual and state levels as well as a community-based network analysis, presents ways to strengthen networks at the mezzo and macro levels as well as environmental contexts that enable better disaster preparedness for community-based older adults. These papers will consider practice, policy and research implications in strengthening social networks and engagement to optimize older adults’ well-being in various settings.


2021 ◽  
pp. 003335492097466
Author(s):  
Jennifer A. Pooler ◽  
Mithuna Srinivasan ◽  
Zachary Miller ◽  
Paula Mian

Objective Ensuring access to sufficient foods at all times is critical to veterans’ health and well-being. Food insecurity has not been well explored in the veteran population. We examined the prevalence and predictors of food insecurity among low-income veterans, because the highest rates of food insecurity are among low-income households. We also examined rates of Supplemental Nutrition Assistance Program (SNAP) participation among subgroups at the highest risk of food insecurity. Methods We used univariate analyses and 2011-2017 National Health Interview Survey (NHIS) data on veterans aged ≥21 with family incomes <200% of the federal poverty level to estimate the prevalence of food insecurity. We used bivariate analyses to identify correlates of food insecurity and estimate SNAP participation rates among subgroups of low-income veterans. Percentages were weighted using NHIS survey weights. Results Of 5146 low-income veterans, 22.5% reported being food insecure in the previous month. Food insecurity was significantly associated with being aged <65 (33.0% aged 45-64 and 29.7% aged 21-44) compared with 15.0% and 6.4% among veterans aged 65-74 and ≥75, respectively ( P < .001); unemployed compared with employed or not in the labor force (39.4%, 22.7%, and 20.2%, respectively; P < .001); in fair or poor health compared with good, very good, or excellent heath (31.8% vs 18.2%; P < .001); and having experienced serious psychological distress in the past month (56.3%) compared with not having experienced such distress (19.7%; P < .001). Although overall SNAP participation among low-income veterans was estimated to be 27.0%, participation rates were highest among veterans who had experienced serious psychological distress (44.1%), were unemployed (39.2%), and were renting their home (39.0%). Conclusions Some low-income veterans are at greater risk of food insecurity than other veterans. Postseparation programs, civilian support services, and veterans’ health providers should be aware of the characteristics that place veterans at highest risk of food insecurity.


2019 ◽  
Vol 7 (5) ◽  
pp. 161-164
Author(s):  
Nur Hidayah Zaini ◽  
Wan Hasmat Wan Hasan ◽  
Afzan Nor Talib ◽  
Dr. Shafinar Ismail

Purpose: “Food security” is one every of major factors of progress and poverty alleviation and has been the goal of many worldwide and countrywide public organizations. The worst food crisis since 1974 broke out in 2007 - 2008 (FAO, 2009). The food crisis directly affects one of the most primary human rights of being free from malnutrition. This paper is about the determinants global food crisis contributes to food insecurity at selected hypermarkets in Malaysia.    Methodology: This research study proposed a framework of the determinant of the global food crisis that contributed to food insecurity. Main Findings: Food insecurity and lack access to healthy food affect the health and well-being of low income in most developing countries especially for those with lower income. When people do not have enough resources to buy food for them to consume, it will give an impact on purchasing power. The increasing number of hunger people could threaten the stability of political for particular country (GFSI, 2016). Hence most of the countries are coming with their own program to assist and to improve the situation. Implications/Applications: This research study proposed a framework of the determinant of the global food crisis that contributed to food insecurity. The findings can be used as a model to develop program to assist and improve quality of food.


2018 ◽  
Vol 5 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Benjamin R. Karney ◽  
Thomas N. Bradbury ◽  
Justin A. Lavner

For the past two decades, policymakers have invested heavily in promoting the quality and stability of intimate relationships in low-income communities. To date, these efforts have emphasized relationship-skills education, but large-scale evaluations of these programs indicate that they have produced negligible benefits. Current policies are limited by their unfounded assumption that low-income couples have needs similar to more affluent couples. In contrast, recent research finds that financially disadvantaged environments confront low-income couples with unique challenges in maintaining intimacy. Rather than skills training, these couples need policies that address the real circumstances that affect their day-to-day well-being. Preliminary evidence from military families and antipoverty programs suggests that providing couples with financial security may have indirect positive effects on their relationships. New policies that promote financial well-being may be more effective at supporting low-income couples than interventions targeting relationships directly.


Childhood ◽  
2018 ◽  
Vol 25 (4) ◽  
pp. 516-529 ◽  
Author(s):  
Hilary Stewart ◽  
Nick Watson ◽  
Mhairi Campbell

School holidays can be stressful periods for children from low-income families. Poor provision of appropriate childcare, limited access to enrichment activities, and food insecurity mean that children’s health and well-being can suffer and their learning stagnate or decline. This article examines and documents the evidence that has emerged on this topic and aims to raise its profile and the impact on children’s lives. It makes the case for further academic scrutiny of this unexamined and neglected subject.


2020 ◽  
Vol 135 (5) ◽  
pp. 565-570
Author(s):  
Catherine C. Slemp ◽  
Sarah Sisco ◽  
Marc C. Jean ◽  
Munerah S. Ahmed ◽  
Norma F. Kanarek ◽  
...  

Community resilience is a community’s ability to maintain functioning (ie, delivery of services) during and after a disaster event. The Composite of Post-Event Well-Being (COPEWELL) is a system dynamics model of community resilience that predicts a community’s disaster-specific functioning over time. We explored COPEWELL’s usefulness as a practice-based tool for understanding community resilience and to engage partners in identifying resilience-strengthening strategies. In 2014, along with academic partners, the New York City Department of Health and Mental Hygiene organized an interdisciplinary work group that used COPEWELL to advance cross-sector engagement, design approaches to understand and strengthen community resilience, and identify local data to explore COPEWELL implementation at neighborhood levels. The authors conducted participant interviews and collected shared experiences to capture information on lessons learned. The COPEWELL model led to an improved understanding of community resilience among agency members and community partners. Integration and enhanced alignment of efforts among preparedness, disaster resilience, and community development emerged. The work group identified strategies to strengthen resilience. Searches of neighborhood-level data sets and mapping helped prioritize communities that are vulnerable to disasters (eg, medically vulnerable, socially isolated, low income). These actions increased understanding of available data, identified data gaps, and generated ideas for future data collection. The COPEWELL model can be used to drive an understanding of resilience, identify key geographic areas at risk during and after a disaster, spur efforts to build on local metrics, and result in innovative interventions that integrate and align efforts among emergency preparedness, community development, and broader public health initiatives.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 165-165
Author(s):  
Muzi Na ◽  
Nan Dou ◽  
Yujie Liao ◽  
Sara Jimenez Rincon ◽  
Lori Francis ◽  
...  

Abstract Objectives Food insecurity is a dynamic phenomenon within a given month and across seasons. It remains unknown how food insecurity influences low-income adults’ day-to-day affective well-being, which is associated with long-term mental and physical health. In this pilot study, we explored the association between daily food insecurity and affect over a 2-month period (spanning 2 seasons) in a sample of low-income adults in Central Pennsylvania. Methods A total of 22 healthy low-income adults were recruited during the fall months (September, October, or November) in 2019, 18 of whom were also followed in the winter months (February or March) in 2020. Using an ecological momentary assessment framework administered on smart phones over a three-week-long wave (2nd – 4th week) in each survey month, daily food insecurity (once daily), and positive and negative affect (5 times daily) were collected. Time Varying Effect Models were used to estimate the association between levels of daily food insecurity and daily aggregated positive/negative affect as a function of study day, adjusting for gender, race/ethnicity, employment, and poverty status. Results A total of 713 person-days (84.9% of what was possible) of daily-level data was collected. Food insecurity was reported in 42.9% and 36.0% of participants in the fall and winter months, respectively. Greater daily food insecurity was associated with significantly lower positive affect scores in the 3rd week of the fall months (β ranged from −1.40 (95% CI −2.62, −0.18) to −3.17 (95% CI: −5.93, −0.42)) and in the 4th week of the winter months (β ranged from −2.24 (95% CI: −4.08, −0.39) to −2.84 (95% CI: −4.28, −1.40)). No consistent association was identified between daily food insecurity and negative affect. Conclusions Daily food insecurity was associated with lower positive affect in the second half of the months in both fall and winter seasons. Future large observational studies should verify our study findings in order to better identify, target, and intervene in food insecure adults who are at-risk of adverse mental health outcomes. Funding Sources The National Center for Advancing Translational Sciences, National Institutes of Health (UL1TR002014) and the Broadhurst Career Development Professorship for the Study of Health Promotion and Disease Prevention.


2013 ◽  
Vol 10 (2) ◽  
Author(s):  
Chris Blanton

The Government of Canada's recent termination of its Community Access Program eliminated a major source of funding for organizations that connect disadvantaged individuals and communities to the Internet. Nevertheless, inequalities in Internet access and usage continue to exist. In the absence of a coordinated national policy to address digital divides, responsibility for providing Internet access to low-income Canadians devolves primarily onto large civic and regional libraries. This devolution works to the particular disadvantage of remote and rural areas, which tend to have neither an affordable supplier of residential broadband nor the economic base to support library systems large enough to provide community access sites. For communities in this situation, the First Mile paradigm offers some hope. In the broader context, future Internet connectivity initiatives in Canada should look beyond simply providing "access," and link the individual's effective use of information and communication technologies to the well-being of the community in which the individual is situated. 


Author(s):  
Naomi Dachner ◽  
Valerie Tarasuk

Eradicating household food insecurity is essential to the articulated vision of a national food policy that aims to promote healthy living and safe food for families across the country. Household food insecurity refers to the insecure or inadequate access to food due to financial constraints. Despite federal commitments to improve the situation, food insecurity in Canada increased between 2007-08 and 2011-12. It currently affects more than four million Canadians, and is particularly grave in Indigenous communities. Food insecurity takes a toll on individuals’ health and well-being, and it is a burden on our healthcare system. The social epidemiology of household food insecurity shows it to be inextricably linked to the social and economic circumstances of households. Federal and provincial policy interventions that improve the financial circumstances of very low income households have yielded reductions of up to 50 percent in household food insecurity prevalence and severity. Yet, prevalence rates remain high. A national food policy represents an invaluable opportunity to address food insecurity in Canada. To do so, this policy must transcend the conventional boundaries of agriculture and agri-food. Addressing food insecurity requires the integration of policy actions across the three levels of government. In addition, performance targets must be established, and ongoing monitoring and evaluation mechanisms implemented, to ensure that policies and programs meant to address food insecurity actually have a meaningful impact.  


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