scholarly journals Moderate and Severe Level of Food Insecurity Is Associated with High Calorie-Dense Food Consumption of Filipino Households

2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Imelda Angeles-Agdeppa ◽  
Marvin B. Toledo ◽  
Jezreel Ann T. Zamora

Food insecurity is often deeply rooted in poverty. Hence, accessibility and the quality of foods consumed may affect the dietary pattern. The study aims to assess the relationship between food insecurity and dietary consumption. This investigation analyzed the data from the 2015 Updating of Nutritional Nutrition Survey. The Household Food Insecurity Access Scale (HFIAS) was used to determine household food security status and the prevalence of food insecurity. Food weighing, food inventory, and food recall were the methods used to collect food consumption data of sampled households. The study revealed poor nutrient quality and a greater likelihood of inadequacy of nutrients among moderate and severe food insecure households. Mild, moderate, and severe levels of food insecurity were found to affect 12%, 32%, and 22% of the population, respectively. The test showed that both moderate and severe food insecure families have significantly lower mean consumption of meat, milk, and fats and oils in contrast to food secure households. In comparison with food secure households, moderate and severe food insecure households consume higher amounts of cereals and cereal products, rice, and vegetables. Moderate and severe food insecure households have higher consumption of total carbohydrates but have significantly lower average intake of vitamin A, riboflavin, niacin, and total fat related to food stable households. Moreover, the results of the multiple logistic regression revealed that food insecure households have a higher likelihood to be deficient in energy, protein, calcium, vitamin A, thiamin, riboflavin, niacin, and vitamin C intakes, but except for iron ( p value <0.05). Indeed, household food insecurity was associated with the higher consumption of calorie-dense food among Filipino households. This explains a lower nutrient quality and a higher likelihood of inadequacy of nutrients among moderate and severe food insecure households.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sara Benjamin-Neelon ◽  
Carter Allen ◽  
Brian Neelon

Abstract Objectives Infancy represents a critical period for growth and development, and food insecurity during this time may impact later health. Few previous studies have assessed food insecurity and obesity in young children in the US, and even fewer have targeted infants. Moreover, the ability of federal food assistance programs to affect this relation remains unclear. Methods We examined 666 infants in the US-based Nurture birth cohort. We conducted home visits when infants were 3, 6, 9, and 12 months. We measured household food insecurity via maternal report using the US Household Food Security Survey Module: Six-Item Short Form. We categorized infants as living in full, marginal, low, or very low food security households. We calculated infant body mass index (BMI) z-score from measured lengths and weights using World Health Organization reference standards. We documented participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Supplemental Nutrition Assistance Program (SNAP) at each home visit. We used repeated-measures linear regression models with imputed data to examine covariate-adjusted associations between household food security and BMI z-score throughout infancy. Results Nearly 70% of infants were black and 49% were female. At 3 months, 32.8% of infants were from households with low or very low food security. Infant BMI increased from months 3 to 12 in all food security groups (Figure). However, after adjustment for potential confounders, low household food insecurity (0.18; 95% CI 0.05, 0.32; P = 0.01) and very low household food insecurity (0.22; 95% CI 0.05, 0.38; P = 0.01) were associated with higher infant BMI z-score throughout infancy but marginal household food security was not (0.001; 95% CI −0.13, 0.13; P = 0.99). There was no evidence of effect modification by participation in either WIC (P = 0.36) or SNAP (P = 0.67). Conclusions Infants from food insecure households had higher BMIs throughout infancy, and this association was not attenuated by WIC or SNAP participation. About one-third of infants in this cohort were living in food insecure households, which raises substantial concern from both a public health and obesity prevention perspective. Funding Sources NIDDK, National Institutes of Health. Supporting Tables, Images and/or Graphs


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Ji-Yun Hwang ◽  
Seoungwoo John Lee ◽  
Mi Nae Yang

AbstractIntroductionLao PDR is one of the poorest countries in the world, ranked the 138th of 188 developing countries. Although household food insecurity has been prevalent in Northern Rao PDR, no valid measurement of household food insecurity exists. Therefore, the study was to develop a household food insecurity questionnaire and verify the validity of the questionnaire in the rural areas of Lao PDR.Materials and MethodsUsing a multistage-sampling cross-sectional study, the sample included 373 households with children under 5 years of age living in Xieng Khouang, Lao PDR. The questionnaire was composed of 18 items based on the US household Food Security Survey Module and partially modified to local circumstances. Internal consistency of questions measured with Cronbach's α was adequate, result of 0.746. External validity was evaluated through comparison analyses between food insecurity levels and household socioeconomic indicators.Results and discussionAmong 373 households, 42.7% were food-insecure and 4.3% were food-insecure with hunger. There were more food-insecure households in those with lower maternal education levels (P < 0.001), greater number of household members (P < 0.001), longer travel time to farmland (P = 0.003), and lower household asset scores (P < 0.001). Households with the residence made of natural material for walls (P < 0.001), roofs (P < 0.001) and floors (P < 0.001) as well as without electricity (P < 0.001), pipe to supply drinking water (P < 0.001), and income other than agriculture (P < 0.001) had higher food insecurity than their counterparts. In addition, inadequate maternal prenatal care and education, child health care, and vaccinations increased household food insecurity. Mothers and children in food-insecure households had lower intakes of various food groups including protein-source foods. This study would provide a valid instrument to assess food insecurity and be used in the future as an evaluation tool for the improvement of nutritional deficiencies as well as a tool for selection of target subjects in Northern Rao PDR.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 213-213
Author(s):  
Lamis Jomaa ◽  
Muzi Na ◽  
Sally Eagleton ◽  
Marwa Diab El Harake ◽  
Jennifer Savage

Abstract Objectives To examine the associations between food resource management (FRM) self-confidence and behaviors that help maximize the use of food dollars by household food insecurity (HFI) status. Methods Cross-sectional survey on SNAP-Ed eligible Head Start families in Pennsylvania, US (n = 366). HFI status was assessed using the 18-item USDA Household Food Security Module. FRM self-confidence was measured using 5-questions (e.g., “How confident are you that you can buy healthy foods for your family on a budget?”) and FRM behaviors were assessed using 6-questions (e.g., “How often do you plan meals before shopping for groceries?”). The associations between FRM self-confidence and behavior by HFI status were explored using chi-square and simple logistic regression analyses. Results The average FRM self-confidence score of respondents was 3.02(SD: 0.71) and FRM behavior score was 3.7(SD: 0.8). Participants with high FRM self-confidence had lower odds of HFI (OR = 0.36, 95% CI: 0.23, 0.56, P &lt; 0.001), yet the association between FRM behaviors with HFI status was not found to be statistically significant (P = 0.91). When individual FRM questions were explored, results showed that all FRM self-confidence questions significantly differed by HFI status (highest p-value &lt; 0.046); e.g., a higher proportion of food secure households were moderately confident or very confident to buy healthy foods on a budget compared to food insecure households (75% vs 58%, P &lt; 0.001). For individual FRM behaviors, one of the 6 behaviors differed by HFI status; food insecure households were more likely to report never or rarely using a shopping list when grocery shopping vs their food secure counterparts (12% vs 9%, P = 0.016). Conclusions Higher confidence in FRM skills may protect against food insecurity among SNAP-Ed eligible households. Nutrition education programs designed to assist low-income households in stretching their food dollars need to target self-confidence in FRM skills, and address what factors may affect their FRM behaviors, in an attempt to alleviate food insecurity. Funding Sources This material was funded by USDA's Supplemental Nutrition Assistance Program (SNAP) through the PA Department of Human Services (DHS). This institution is an equal opportunity provider.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Joy Hutchinson ◽  
Valerie Tarasuk

Abstract Objectives Household food insecurity is a persistent public health issue in Canada. Analyses of dietary intake data from the 2004 Canadian Community Health Survey (CCHS) showed heightened nutritional vulnerability among adults and, to a lesser degree, children in food-insecure households. Given the rise in food prices since 2004, people in food-insecure households may now be at heightened nutritional risk. The objective of this study is to determine how nutritional vulnerability associated with household food insecurity has changed between 2004 and 2015. Methods Dietary intake was assessed on the 2004 CCHS Nutrition (n = 35,107) and 2015 CCHS Nutrition (n = 20,487) using 24-hour recalls, with household food insecurity assessed using the Household Food Security Survey Module. The National Cancer Institute method was used to estimate usual intakes of nutrients of public health concern (calcium, magnesium, vitamin A, vitamin C, folate, zinc, potassium) for food-insecure participants, by survey year, considering children 1–8 years (yr) and 9–18 yr and male and female adults, 19–64 yr. Prevalence of nutrient inadequacy was assessed using the EAR cut-point approach. Differences in usual intake and prevalence of inadequacy between surveys were assessed using t-tests. Weighted bootstrap technique was utilised to generate variance estimates. Results In 2004 and 2015, 8.4% of individuals lived in moderately or severely food-insecure households. Mean usual intakes were lower and prevalence of nutrient inadequacy were higher across groups in 2015 than 2004, but not all differences were statistically significant. Differences in mean potassium and vitamin C intakes were significant in all groups; differences for folate and magnesium were significant in all groups except older children. Calcium was significantly lower in all groups except adult males, and vitamin A was significantly lower in all groups except young children. Young children had significantly lower intakes of zinc. Older children and male adults had significantly higher prevalence of inadequacy for vitamin C. Conclusions Nutritional vulnerability associated with household food insecurity has worsened over time in Canada and remains an area in need of intervention. Funding Sources Ontario Graduate Scholarship, Canada Graduate Scholarship-Masters, Canadian Institutes of Health Research.


Author(s):  
Zinat Mortazavi ◽  
Ahmad Reza Dorosty ◽  
Mohammad Reza Eshraghian ◽  
Mohtasham Ghaffari ◽  
Alireza Ansari-Moghaddam

Background: Food insecurity can affect health directly or indirectly through its impact on nutritional status. We aimed at determining the effects of nutrition education intervention on household food insecurity in Zahedan, southeast Iran. Methods: The study was conducted using multi-stage sampling method. The first stage was a cross-sectional investigation whereby 2,160 households were studied in Zahedan in 2015. The prevalence of food insecurity was determined and food-insecure households were identified. Household food security status was assessed through the 18-item US Household Food Security Survey Module. In the second stage, based on the determined sample size of 150 households in each group, eligible households were randomly divided into the intervention and control groups. Before the educational intervention, questionnaires including demographic and socioeconomic information were completed for both groups. Then, data analysis was performed and the intervention was conducted on the intervention group. Six months post-intervention, a final assessment was made by interviewing the two groups to complete demographic, socioeconomic, and household food security questionnaires. Results: The prevalence of food insecurity in the 2,160 households was 58.8%. After the intervention, the number of food-insecure households diminished by 22% in the intervention group, and these households were assigned to the food secure category. After controlling the confounding variables, the educational intervention was significantly effective in reducing food insecurity score (P<0.001). Conclusion: The findings demonstrated the beneficial role of nutritional education and the skills of resource management in modifying nutritional behaviors and improving food security in the study population.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 945
Author(s):  
Norhasmah Sulaiman ◽  
Heather Yeatman ◽  
Joanna Russell ◽  
Leh Shii Law

Living free from hunger is a basic human right. However, some communities still experience household food insecurity. This systematic literature review explored different aspects of household food insecurity in Malaysia including vulnerable groups, prevalence, risk factors, coping strategies, and the consequences of food insecurity. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Thirty-three relevant articles were selected from scientific databases such as CINAHL, Pubmed and Google Scholar, scrutiny of reference lists, and personal communication with experts in the field. The prevalence of household food insecurity in Malaysia was unexpectedly reported as high, with affected groups including Orang Asli, low-income household/welfare-recipient households, university students, and the elderly. Demographic risk factors and socioeconomic characteristics included larger household, living in poverty, and low education. Coping strategies were practices to increase the accessibility of food in their households. Consequences of household food insecurity included psychological, dietary (macro- and micronutrient intakes), nutritional status, and health impacts. In conclusion, this review confirmed that household food insecurity in Malaysia continues to exist. Nevertheless, extensive and active investigations are encouraged to obtain a more holistic and comprehensive picture pertaining to household food security in Malaysia.


2011 ◽  
Vol 15 (1) ◽  
pp. 149-157 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Nasrin Omidvar ◽  
Anahita Houshiar-Rad ◽  
Mohammad-Reza Khoshfetrat ◽  
Morteza Abdollahi ◽  
...  

AbstractObjectiveTo assess the validity of a locally adapted Household Food Insecurity Access Scale (HFIAS) in the measurement of household food insecurity (FI) in the city of Tehran.DesignA cross-sectional study.SettingUrban households were selected through a systematic cluster sampling method from six different districts of Tehran. The socio-economic status of households was evaluated using a questionnaire by means of interviews. An adapted HFIAS was used to measure FI. Content validity was assessed by an expert panel, and the questionnaire was then tested among ten households for clarity. Criterion validity was assessed by comparing the measure with a number of determinants and consequences of FI. Internal consistency was evaluated by Cronbach'sαand exploratory factor analysis. For repeatability, the questionnaire was administered twice to twenty-five households at an interval of 20 d and Pearson's correlation coefficient was calculated.SubjectsA total of 416 households.ResultsIn all, 11·8 %, 14·4 % and 17·5 % of the households were severely, moderately and mildly food insecure, respectively. Cronbach'sαwas 0·855. A significant correlation was observed between the two administrations of the questionnaire (r= 0·895,P< 0·001). Factor analysis of HFIAS items revealed two factors: the first five items as factor 1 (mild-to-moderate FI) and the last four as factor 2 (severe FI). Heads of food-secure households had higher education and higher job position compared with heads of food-insecure households (P< 0·001). Income and expenditure were lower in food-insecure households compared with food-secure households.ConclusionsAdapted HFIAS showed acceptable levels of internal consistency, criterion validity and reliability in assessing household FI among Tehranians.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259139
Author(s):  
Elizabeth Opiyo Onyango ◽  
Jonathan Crush ◽  
Samuel Owuor

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.


Author(s):  
Seo-Hee Park ◽  
Byung-Jin Park ◽  
Dong-Hyuk Jung ◽  
Yu-Jin Kwon

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.


2016 ◽  
Vol 20 (4) ◽  
pp. 620-629 ◽  
Author(s):  
Máximo Rossi ◽  
Zuleika Ferre ◽  
María Rosa Curutchet ◽  
Ana Giménez ◽  
Gastón Ares

AbstractObjectiveTo determine the factor structure of the Latin American & Caribbean Household Food Security Scale (ELCSA) and to study the influence of sociodemographic characteristics on each of the identified dimensions in Montevideo, Uruguay.DesignCross-sectional survey with a representative sample of urban households. Household food insecurity was measured using the ELCSA. The percentage of respondents who gave affirmative responses for each of the items of the ELCSA was determined. Exploratory factor analysis was carried out to determine the ELCSA’s factor structure. A probit model was used to determine the impact of some individual and household sociodemographic characteristics on the identified dimensions of food insecurity.SettingMetropolitan area centred on Montevideo, the capital city of Uruguay, April–September 2014.SubjectsAdults aged between 18 and 93 years (n 742).ResultsThe percentage of affirmative responses to the items of the ELCSA ranged from 4·4 to 31·7 %. Two factors were identified in the exploratory factor analysis performed on data from households without children under 18 years old, whereas three factors were identified for households with children. The identified factors were associated with different severity levels of food insecurity. Likelihood of experiencing different levels of food insecurity was affected by individual characteristics of the respondent as well as characteristics of the household.ConclusionsThe influence of sociodemographic variables varied among the ELCSA dimensions. Household income had the largest influence on all dimensions, which indicates a strong relationship between income and food insecurity.


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