scholarly journals Relationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e054903
Author(s):  
Lila A Sheira ◽  
Edward A Frongillo ◽  
Judith Hahn ◽  
Kartika Palar ◽  
Elise D Riley ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cohort Study ◽  
Food Security ◽  
Cigarette Smoking ◽  
Food Insecurity ◽  
Low Income ◽  
Smoking Status ◽  
Food Security Status ◽  
The Usa ◽  
Living With Hiv

ObjectivesPeople living with HIV (PLHIV) in the USA, particularly women, have a higher prevalence of food insecurity than the general population. Cigarette smoking among PLHIV is common (42%), and PLHIV are 6–13 times more likely to die from lung cancer than AIDS-related causes. This study sought to investigate the associations between food security status and smoking status and severity among a cohort of predominantly low-income women of colour living with and without HIV in the USA.DesignWomen enrolled in an ongoing longitudinal cohort study from 2013 to 2015.SettingNine participating sites across the USA.Participants2553 participants enrolled in the Food Insecurity Sub-Study of the Women’s Interagency HIV Study, a multisite cohort study of US women living with HIV and demographically similar HIV-seronegative women.OutcomesCurrent cigarette smoking status and intensity were self-reported. We used cross-sectional and longitudinal logistic and Tobit regressions to assess associations of food security status and changes in food security status with smoking status and intensity.ResultsThe median age was 48. Most respondents were African-American/black (72%) and living with HIV (71%). Over half had annual incomes ≤US$12 000 (52%). Food insecurity (44%) and cigarette smoking (42%) were prevalent. In analyses adjusting for common sociodemographic characteristics, all categories of food insecurity were associated with greater odds of current smoking compared with food-secure women. Changes in food insecurity were also associated with increased odds of smoking. Any food insecurity was associated with higher smoking intensity.ConclusionsFood insecurity over time was associated with smoking in this cohort of predominantly low-income women of colour living with or at risk of HIV. Integrating alleviation of food insecurity into smoking cessation programmes may be an effective method to reduce the smoking prevalence and disproportionate lung cancer mortality rate particularly among PLHIV.

scholarly journals Characteristics associated with changes in food security status among college students during the COVID-19 pandemic

2020 ◽  
Author(s):  
Jessica Soldavini ◽  
Hazael Andrew ◽  
Maureen Berner
Keyword(s):  
College Students ◽  
Food Security ◽  
Food Insecurity ◽  
Online Survey ◽  
Individual Characteristics ◽  
Cross Sectional ◽  
Food Security Status ◽  
The Usa ◽  
Security Module ◽  
Adult Food

Abstract The prevalence of food insecurity in the USA has increased since the start of the COVID-19 pandemic; however, past studies have not examined how the food security status of college students has been impacted. The purpose of this study was to examine changes in the prevalence of food insecurity; determine the proportion of students experiencing a change in food security status; and identify characteristics associated with changes in food security status from before to during the COVID-19 pandemic among a sample of college students. We administered a cross-sectional online survey to students from a large public university in the Southeastern USA. The 10-item U.S. Adult Food Security Module was used to assess food security status during the spring 2020 semester both before and during the COVID-19 pandemic, and students self-reported a variety of individual characteristics. The overall prevalence of food insecurity increased by approximately one-third during the spring 2020 semester from before to during the COVID-19 pandemic. When examining the types of changes in food security status experienced by students, 12% improved, 68% stayed the same, and 20% worsened. A variety of characteristics were associated with an improvement or worsening of food security status category from before to during the pandemic. Similar to what is seen in other reports, we found that the overall proportion of college students in our sample experiencing food insecurity increased during the COVID-19 pandemic; however, some students showed improvements in food security status. Approaches for addressing food insecurity during and beyond the pandemic are needed.

scholarly journals Food insecurity, acculturation and diagnosis of CHD and related health outcomes among immigrant adults in the USA

2019 ◽  
Vol 23 (3) ◽  
pp. 416-431 ◽  
Author(s):  
Michael D Smith ◽  
Alisha Coleman-Jensen
Keyword(s):  
Angina Pectoris ◽  
Health Outcomes ◽  
Food Insecurity ◽  
Low Income ◽  
Poor Health ◽  
Cross Sectional ◽  
Food Security Status ◽  
The Usa ◽  
Nationally Representative ◽  
The Relationship

AbstractObjective:To deepen understanding of the relationship between food insecurity, acculturation, and diagnosis of CHD and related health outcomes among immigrant adults.Design:Using cross-sectional, nationally representative data from the National Health Interview Survey 2011 to 2015, we address two research questions. First, what is the relationship of household food insecurity and acculturation with: CHD, angina pectoris, heart attack, self-rated poor health and obesity? Second, what is the association of food insecurity with these health outcomes over years of living in the USA? We estimate multivariate logistic regressions without (question 1) and with (question 2) an interaction term between food insecurity and acculturation for CHD and related health outcomes.Setting:USA.Participants:Low-income immigrant adults.Results:Food insecurity and acculturation are both associated with diagnosis of CHD and related health outcomes among immigrant adults. Food insecurity and acculturation are associated with the health of female immigrants more than males. Also, the differences by food security status in the probability of having several poor health outcomes (self-rated heath, obesity, women’s angina pectoris) are largest for those in the USA for less than 5 years, decrease for those who have lived in the USA for 5–14 years, and are larger again for those in the USA for 15 or more years.Conclusions:Recent and long-term food-insecure immigrants are more vulnerable to CHD and related health outcomes than those in the USA for 5–14 years. Further research is needed to understand why.

Comparing Trends Between Food Insecurity and Cigarette Smoking Among Adults in the United States, 1998 to 2011

2016 ◽  
Vol 31 (5) ◽  
pp. 413-416 ◽  
Author(s):  
Matthew C. Farrelly ◽  
Paul R. Shafer
Keyword(s):  
Food Security ◽  
Cigarette Smoking ◽  
Food Insecurity ◽  
Low Income ◽  
Economic Recession ◽  
Population Level ◽  
The United States ◽  
Current Smoker ◽  
Cross Sectional ◽  
Current Smoking

Purpose: Previous studies have shown that cigarette smoking is associated with higher rates and severity of food insecurity but do not address how population-level smoking rates change in response to changes in food security. Design: Trend analysis of serial cross-sectional data. Setting: Data from a representative survey of US households. Participants: Adults within households participating in both the Food Security Supplement and Tobacco Use Supplement of the Current Population Survey during 5 overlapping administrations from 1998 to 2011. Measures: A “current smoker” is defined as someone who indicated that they currently smoke on “some days” or “every day.” A household’s food security is coded as “secure” or “insecure,” according to responses to a food security scale, interpreted using a US Department of Agriculture standard. Analysis: Descriptive comparison of the roughly triennial trends in the prevalence of food insecurity and current smoking from 1998 to 2011. Results: The prevalence of food insecurity increased by 30% among adults overall versus 54% among current smokers, with most of the changes occurring following the economic recession of 2008 and 2009. Over this same period, the prevalence of current smoking declined by 33% among food-secure adults and only 14% among food-insecure adults. Conclusion: Food insecurity increased more markedly among adult smokers than nonsmokers, and the prevalence of smoking declined more slowly in food-insecure households, indicating that more low-income smokers are facing hunger, which may at least partly be due to buying cigarettes.

Food Security Status and Hair Cortisol among Low-income Mother-Child Dyads

2019 ◽  
Vol 41 (12) ◽  
pp. 1813-1828 ◽  
Author(s):  
Jiying Ling ◽  
Lorraine B. Robbins ◽  
Dongjuan Xu
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Low Income ◽  
Cross Sectional Study ◽  
Hair Cortisol ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Food Security Status ◽  
Mother And Child ◽  
Low Income Families

This cross-sectional study among low-income mother-child dyads examined the relationship between food security status and hair cortisol concentration (HCC), and how mother and child food security status was interactively related to mothers’ perceived distress and coping. Data from 32 dyads were analyzed. Approximately 46.9% had household food insecurity, 37.5% children had food insecurity, and 34.4% mothers had food insecurity. Children with food insecurity had significantly higher HCC than those with food security. A significant interaction effect occurred between child food security status and race on children’s HCC, with White children’s HCC being more likely to be influenced by food security status. Mother food security and child food security status together explained about 6% of the variance in mothers’ HCC, 27% in perceived distress, and 18% in perceived coping. These findings indicate that assisting low-income families with food insecurity to get enough food can benefit both children’s and mothers’ mental health.

scholarly journals Food Insecurity and Psychological Distress Among Former and Current Smokers With Low Income

2018 ◽  
Vol 33 (2) ◽  
pp. 199-207 ◽  
Author(s):  
Jin E. Kim-Mozeleski ◽  
Janice Y. Tsoh
Keyword(s):  
Food Security ◽  
Psychological Distress ◽  
Food Insecurity ◽  
Low Income ◽  
Smoking Status ◽  
Short Form ◽  
Multiple Logistic Regression Analysis ◽  
California Health Interview Survey ◽  
Cross Sectional ◽  
Distress Scale

Purpose: To examine how food insecurity and psychological distress interact in its association with smoking and to explore how food insecurity and psychological distress are associated with quitting smoking using quit ratio estimates. Design: Cross-sectional study. Setting: Data from the 2015 California Health Interview Survey. Participants: A total of 3007 lower income adults who have ever smoked. Measures: Ever smoking was defined as smoking 100+ cigarettes in the entire lifetime, with current smoking defined as smoking “every day” or “some days” and former smoking defined as smoking “not at all.” Psychological distress and food insecurity were measured by the 6-item K6 Psychological Distress Scale and the 6-item Food Security Survey Short Form, respectively. Analysis: Multiple logistic regression analysis was used to examine correlates of smoking status. Quit ratios (percentage of ever smokers who have quit) were calculated across study variables. Results: Reporting food insecurity with psychological distress was independently associated with lower odds of being a former smoker, compared to reporting food security without psychological distress. The quit ratio was lower among ever smokers reporting food insecurity with distress (41%) compared to ever smokers reporting food security without distress (63%). Conclusions: Specific conditions of impoverishment, such as food insecurity, interact with psychological distress in its association with continued smoking. Interventions to reduce socioeconomic disparities in smoking should consider the interacting role of food insecurity and psychological distress.

scholarly journals Lung cancer death rates by smoking status: Comparison of the Three-Prefecture Cohort study in Japan to the Cancer Prevention Study II in the USA

2005 ◽  
Vol 96 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Tomomi Marugame ◽  
Tomotaka Sobue ◽  
Hiroshi Satoh ◽  
Shoko Komatsu ◽  
Yoshikazu Nishino ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cohort Study ◽  
Cancer Prevention ◽  
Smoking Status ◽  
Cancer Death ◽  
Prevention Study ◽  
Lung Cancer Death ◽  
Death Rates ◽  
The Usa

Prevalence and Correlates of Food Insecurity among Students Attending a Small, Rural Canadian University

2018 ◽  
Vol 79 (3) ◽  
pp. 125-128 ◽  
Author(s):  
Erica Reynolds ◽  
Christine Johnson ◽  
Jennifer A. Jamieson ◽  
Hannah Mawhinney
Keyword(s):  
Food Security ◽  
University Students ◽  
Food Insecurity ◽  
Low Income ◽  
Household Food Security ◽  
Potential Health ◽  
Web Based ◽  
Household Food ◽  
Food Security Status ◽  
Academic Implications

Purpose: University students may be at risk for food insecurity (FI) due to low income coupled with rising tuition, housing, and food costs. This study aimed to determine the prevalence of FI and potential correlates among students at a small, rural Canadian university. Methods: Health Canada’s 10-item household food security survey module (HFSSM) was adapted to assess food security status within the postsecondary student population. An additional 11 items measured food access and demographics. The validated, web-based survey was distributed by email and completed by 218 students (15.6% response rate). Participants were classified as food secure, moderately food insecure, or severely food insecure using the HFSSM Adult scale. Results: An overall FI rate of 37.2% was observed. This included 25.7% moderately food insecure and 11.5% severely food insecure. Students in higher years of study and who lived off campus had higher rates of FI. Conclusions: FI appears to be a significant concern for university students and has potential health and academic implications. Further research is needed to clarify the determinants and extent of FI for postsecondary students and to develop strategies to mitigate the prevalence and effects of food insecurity in these young adults.

scholarly journals Hunger in Higher Education: Experiences and Correlates of Food Insecurity among Wisconsin Undergraduates from Low-Income Families

2018 ◽  
Vol 7 (10) ◽  
pp. 179 ◽  
Author(s):  
Katharine Broton ◽  
Kari Weaver ◽  
Minhtuyen Mai
Keyword(s):  
Higher Education ◽  
Food Security ◽  
Food Insecurity ◽  
Low Income ◽  
Safety Net ◽  
Background Characteristics ◽  
Food Security Status ◽  
Low Income Families ◽  
Public Colleges And Universities ◽  
Higher Education Experiences

There is growing awareness that a substantial share of undergraduates are food insecure, potentially undermining investments in higher education and hindering upward social mobility. This mixed-methods paper uses survey and interview data from low-income students at 42 public colleges and universities in Wisconsin to illuminate the day-to-day experiences of food insecurity and examine how food security status varies across background characteristics. Results indicate that students who grew up in food insecure homes, self-identify as a racial/ethnic minority, live off-campus, and attend college in an urban area are significantly more likely to report the lowest level of food security, often associated with hunger. Students explain that challenges stemming from the interrelationship of lack of time and inadequate money are their biggest barriers to food security. Most rely on friends or family for support, but few students draw on the social safety net, in part due to eligibility restrictions. In recognition of the diversity of students’ experiences, we discuss the need for a multi-faceted response to promote food security and student success.

scholarly journals Very low food security in the USA is linked with exposure to violence

2013 ◽  
Vol 17 (1) ◽  
pp. 73-82 ◽  
Author(s):  
Mariana M Chilton ◽  
Jenny R Rabinowich ◽  
Nicholas H Woolf
Keyword(s):  
Food Security ◽  
Low Income ◽  
Security Policy ◽  
Public Assistance ◽  
Exposure To Violence ◽  
Living Wages ◽  
Food Security Status ◽  
The Usa ◽  
Low Income Families ◽  
Female Headed Households

AbstractObjectiveTo investigate characteristics of exposure to violence in relation to food security status among female-headed households.DesignOngoing mixed-method participatory action study. Questions addressed food insecurity, public assistance, and maternal and child health. Grounded theory analysis of qualitative themes related to violence was performed. These themes were then categorized by food security status.SettingHomes of low-income families in Philadelphia, PA, USA.SubjectsForty-four mothers of children under 3 years of age participating in public assistance programmes.ResultsForty women described exposure to violence ranging from fear of violence to personal experiences with rape. Exposure to violence affected mental health, ability to continue school and obtain work with living wages, and subsequently the ability to afford food. Exposure to violence during childhood and being a perpetrator of violence were both linked to very low food security status and depressive symptoms. Ten of seventeen (59 %) participants reporting very low food security described life-changing violence, compared with three of fifteen (20 %) participants reporting low food security and four of twelve (33 %) reporting food security. Examples of violent experiences among the very low food secure group included exposure to child abuse, neglect and rape that suggest exposure to violence is an important factor in the experience of very low food security.ConclusionsDescriptions of childhood trauma and life-changing violence are linked with severe food security. Policy makers and clinicians should incorporate violence prevention efforts when addressing hunger.

scholarly journals Food security status in households of people living with HIV/AIDS (PLWHA) in a Ugandan urban setting

2007 ◽  
Vol 98 (1) ◽  
pp. 211-217 ◽  
Author(s):  
John Bukusuba ◽  
Joyce K. Kikafunda ◽  
Roger G. Whitehead
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Cross Sectional Study ◽  
Coping Mechanisms ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Food Security Status ◽  
Living With Hiv ◽  
Hiv Aids

Because HIV/AIDS negatively impacts on the food security status of households, it is crucial to identify how households respond to these impacts, in order to identify positive food security entry points and design strategies that can effectively alleviate food insecurity among the households of people living with HIV/AIDS (PLWHA). A cross-sectional study was thus undertaken to establish how HIV affected households in an urban Ugandan setting in terms of response to food shortages and the interrelations between the practice of agriculture by PLWHA households within and around town, food security, access to food aid and dietary diversity among these households. Data for this cross-sectional study were collected using quantitative methods from 144 randomly recruited households of PLWHA (aged 15–49 years) residing in Jinja town in Eastern Uganda. The study showed that the HIV/AIDS pandemic has increased the inability of affected households in the study area to put enough food on the table, possibly because of the continued decreased productivity in these households and the high expenditure on medical costs. Various coping mechanisms identified in the households of PLWHA may contribute to poor adherence to antiretroviral regimes and poor quality of life for all household members. However, the practice of agriculture by PLWHA households was one of the positive coping mechanisms to alleviate food insecurity.

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