scholarly journals Community supported agriculture plus nutrition education improves skills, self-efficacy, and eating behaviors among low-income caregivers but not their children: a randomized controlled trial

Author(s):  
Rebecca A. Seguin-Fowler ◽  
Karla L. Hanson ◽  
Stephanie B. Jilcott Pitts ◽  
Jane Kolodinsky ◽  
Marilyn Sitaker ◽  
...  

Abstract Background Adults and children in the U.S. consume inadequate quantities of fruit and vegetables (FV), in part, due to poor access among households with lower socioeconomic status. One approach to improving access to FV is community supported agriculture (CSA) in which households purchase a ‘share’ of local farm produce throughout the growing season. This study examined the effects of cost-offset (half-price) CSA plus tailored nutrition education for low-income households with children. Methods The Farm Fresh Foods for Healthy Kids (F3HK) randomized controlled trial in New York, North Carolina, Vermont, and Washington (2016–2018) assigned caregiver-child dyads (n = 305) into cost-offset CSA plus education intervention or control (delayed intervention) groups. Following one growing season of CSA participation, changes in children’s diet quality, body mass index (BMI), and physical activity; caregivers’ nutrition knowledge, attitudes, behaviors, and diet quality; and household food access and security were examined using multiple linear or logistic regression, with adjustment for baseline value within an intent-to-treat (ITT) framework in which missing data were multiply imputed. Results No significant net effects on children’s dietary intake, BMI, or physical activity were observed. Statistically significant net improvements were observed after one growing season for caregivers’ cooking attitudes, skills, and self-efficacy; FV intake and skin carotenoid levels; and household food security. Changes in attitudes and self-efficacy remained one-year after baseline, but improvements in caregiver diet and household food security did not. The number of weeks that participants picked up a CSA share (but not number of education sessions attended) was associated with improvements in caregiver FV intake and household food security. Conclusions Cost-offset CSA plus tailored nutrition education for low-income households improved important caregiver and household outcomes within just one season of participation; most notably, both self-reported and objectively measured caregiver FV intake and household food security improved. Households that picked up more shares also reported larger improvements. However, these changes were not maintained after the CSA season ended. These results suggest that cost-offset CSA is a viable approach to improving adult, but not child, FV intake and household food security for low-income families, but the seasonality of most CSAs may limit their potential to improve year-round dietary behavior and food security. Trial registration ClinicalTrials.gov. NCT02770196. Registered 5 April 2016. Retrospectively registered.

2016 ◽  
Vol 29 (2) ◽  
pp. 229-240
Author(s):  
Isabel Cristina BENTO ◽  
Fernanda Martins SOBRINHO ◽  
Mery Natali Silva ABREU ◽  
Maria Flávia GAZZINELLI ◽  
Simone Cardoso Lisboa PEREIRA

Objective: To verify whether what users of soup kitchens in Belo Horizonte, Minas Gerais, Brazil, think about a healthy diet and the challenges they face to eat healthy are associated with their household food security status. Methods: This cross-sectional study included 1,656 users of soup kitchens in Belo Horizonte. Socioeconomic and household food security data, and healthy-eating discourses were collected by a semi-structured questionnaire. The data were submitted to descriptive analyses for constructing frequency distribution tables, and to univariate analysis. Discourse analysis was based on the social representation theory. Results: To cut, reduce, avoid, not eat, eat less, and decrease carbohydrates, salt, meats, various beverages, and other foods are the most frequent changes (71.4%) that food-secure users have made or intend to make. Food-insecure users intended to eat more fruits, non-starchy vegetables, and other foods (34.4%). The main obstacles food-secure and food-insecure users face to adopt a healthier diet are lack of time (82.9%) and low income (53.5%), respectively (p<0.001). Conclusion: What users of soup kitchens in Belo Horizonte think about food and the obstacles they face to adopt a healthier diet are related to their household food security status. The results provide valuable data for effective proposals of food and nutrition education, which should act on the producers of subjectivity in this group and consider this group's food and nutrition security status.


2020 ◽  
Vol 24 (4) ◽  
pp. 100-112
Author(s):  
Remigius. I. Ozioko ◽  
Blessing. C. Nwigwe ◽  
Anthonia. N. Asadu ◽  
Miracle. I. Nwafor ◽  
Onyinyechi. I. Nnadi ◽  
...  

The study examined food security situation of female-headed households in Enugu State, Nigeria. The study identified livelihood activities of respondents, ascertained the food security situation, examined constraints to food security, and examined coping strategies of respondents. Multi-stage sampling procedure, snow ball and simple random techniques were used to select 72 female-headed households. Data were analyzed using mean score and factor analysis. Results showed that respondents livelihood activities included crop production (77.8%), processing and sale of palm produce (43.1%) and processing of farm produce (38.9%). Household food security situations included food secure to moderately food-insecure. Major constraints to food security of the respondents were poverty ( x̄ =2.52), lack of education and skill ( x̄ =2.50), poor rural infrastructure ( x̄ =2.50) and poor nutrition education ( x̄ =2.54). Coping strategies included restriction of food consumption of adults ( x̄ =2.21) reducing food consumption per day ( x̄ =2.00) and staying hungry ( x̄ =2.04). The study concludes that the households in the area were grossly food insecure as they spent more of their meager earning only on food. There was poor nutrition education and lack of productive skills. Poverty was found to be a major cause of food insecurity in the area as it robs people the option of fine choices. Hence, government and other development agencies should provide policies and efforts that assist Female headed households in capacity building like providing them with productive resources which will expand their scope of livelihood choices. Keywords: Food security, female headed household, food situation, poverty


2009 ◽  
Vol 4 (1) ◽  
pp. 62-80 ◽  
Author(s):  
Amber Hromi-Fiedler ◽  
Angela Bermúdez-Millán ◽  
Sofia Segura-Pérez ◽  
Grace Damio ◽  
Rafael Pérez-Escamilla

2016 ◽  
Vol 116 (11) ◽  
pp. 1760-1766 ◽  
Author(s):  
Elizabeth Metallinos-Katsaras ◽  
Rachel Colchamiro ◽  
Sari Edelstein ◽  
Elizabeth Siu

2010 ◽  
Vol 13 (7) ◽  
pp. 1139-1148 ◽  
Author(s):  
Sharon I Kirkpatrick ◽  
Valerie Tarasuk

AbstractObjectiveAlthough the sociodemographic characteristics of food-insecure households have been well documented, there has been little examination of neighbourhood characteristics in relation to this problem. In the present study we examined the association between household food security and neighbourhood features including geographic food access and perceived neighbourhood social capital.DesignCross-sectional survey and mapping of discount supermarkets and community food programmes.SettingTwelve high-poverty neighbourhoods in Toronto, Ontario, Canada.SubjectsRespondents from 484 low-income families who had children and who lived in rental accommodations.ResultsFood insecurity was pervasive, affecting two-thirds of families with about a quarter categorized as severely food insecure, indicative of food deprivation. Food insecurity was associated with household factors including income and income source. However, food security did not appear to be mitigated by proximity to food retail or community food programmes, and high rates of food insecurity were observed in neighbourhoods with good geographic food access. While low perceived neighbourhood social capital was associated with higher odds of food insecurity, this effect did not persist once we accounted for household sociodemographic factors.ConclusionsOur findings raise questions about the extent to which neighbourhood-level interventions to improve factors such as food access or social cohesion can mitigate problems of food insecurity that are rooted in resource constraints. In contrast, the results reinforce the importance of household-level characteristics and highlight the need for interventions to address the financial constraints that underlie problems of food insecurity.


2019 ◽  
Vol 1 (3) ◽  
pp. 115-123
Author(s):  
Febriyani Sitanaya ◽  
Utma Aspatria ◽  
Daniela L. A. Boeky

 The success of the development is influenced by several aspects, one of them is food security. Food security can be a reflection of the quality of a nation. A nation with low food security can influence its physical and human development. GFSI states that Indonesia occupies 69 positions in World Food security. Food security can not only be seen in terms of global area but also in terms of households. Greengrocer is the person who works in the informal sector and generally has low income. This research aims to see the relationship between income, family largeness, education, and nutritional knowledge of mothers toward greengrocers’ household food security in Oeba Market. This research is a qualitative research type that uses the cross-sectional approach. The research was conducted in Oeba Marketon 74 greengrocers as the sample. The data were analyzed using univariate and bivariate analysis with chi-square statistical tests. The results showed that the income variable (p=0.016) was the variable that affected food security, while the variable that had no effect was family size (p=0.964), education (p=0.552), and nutritional knowledge (p=0.749). Household income is a source of meeting food and non-food needs. Household income is also able to influence the quality and quantity of food purchased. To achieve household food security, family empowerment needs to be given special attention because food shortages both in quantity and quality can inhibit the fulfillment of family nutrition which will result in poor nutritional status in family members.


2017 ◽  
Vol 2 (2) ◽  
pp. 214-224
Author(s):  
Muhammad Ichsan ◽  
Sofyan Sofyan ◽  
Zakiah Zakiah

 Abstrak; Kemiskinan dan ketahanan pangan merupakan dua fenomena yang saling berkaitan, bahkan dapat disebut sebagai hubungan sebab akibat. Dengan demikian dapat dikatakan bahwa keadaan ketahanan pangan yang rentan dapat menjadi sumber kemiskinan, sebaliknya kemiskinan dapat menyebabkan seseorang tidak memiliki ketahanan pangan. Tujuan dari penelitian ini adalah untuk mengetahui kondisi ketahanan pangan rumah tangga wanita tani, mengetahui faktor-faktor apa saja yang mempengaruhi ketahanan pangan pada tingkat rumah tangga wanita tani dan mengetahui peran wanita tani terkait pendapatan dan pendidikan dalam ketahanan pangan rumah tangga di Kecamatan Simpang Tiga Kabupaten Aceh Besar. Hasil penelitian menunjukkan bahwa rumah tangga responden dengan kategori kurang pangan sebesar 45% dan rumah tangga kategori rawan pangan sebesar 55%. Nilai PPH rumah tangga respoden adalah 58,6 menunjukkan tidak seimbangnya mutu gizi rumah tangga responden. Peran wanita tani dalam ketahanan pangan rumah tangga kurang terlihat dikarenakan rendahnya pendapatan dan rendahnya tingkat pendidikan wanita tani. Variable yang berpengaruh signifikan terhadap tingkat ketahanan pangan adalah pendapatan kepala keluarga. Sementara faktor lainnya seperti pendidikan wanita tani, pendapatan wanita tani dan jumlah anggota keluarga tidak berpengaruh secara signifikan.Abstract; The Role of Female Farmers on Food Security Poor Households at Simpang Tiga District in Aceh Besar Regency                     Poverty and food security are the two phenomena that are linked each other, it is also called a causal relationship. It can be said that vulnerable food security condition are the source of poverty, in the other hand, poverty could  cause a person does not have a food security.This study aims to determine the condition of household food security of women farmers, to know the factors which influence food security at the women farmers household level and to know the role of women farmers related to income and education in household food security in Simpang Tiga District Aceh Besar Regency. The results show that the household respondents with less food category by 45% and household food insecurity category by 55%. PPH value of household respondents was 58.6, this  indicates an imbalance in the nutritional quality of the respondent's household. The Role of women farmers in household food security is less visible due to low income and low educational levels of women farmers. The head of  households income is significant variable that influence the level of food security is. While the educational factors, income of women farmers, and number of household members is not significant.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sally G. Eagleton ◽  
Jennifer L. Temple ◽  
Kathleen L. Keller ◽  
Michele E. Marini ◽  
Jennifer S. Savage

The relative reinforcing value (RRV) of food measures how hard someone will work for a high-energy-dense (HED) food when an alternative reward is concurrently available. Higher RRV for HED food has been linked to obesity, yet this association has not been examined in low-income preschool-age children. Further, the development of individual differences in the RRV of food in early childhood is poorly understood. This cross-sectional study tested the hypothesis that the RRV of HED (cookies) to low-energy-dense (LED; fruit) food would be greater in children with obesity compared to children without obesity in a sample of 130 low-income 3- to 5-year-olds enrolled in Head Start classrooms in Central Pennsylvania. In addition, we examined individual differences in the RRV of food by child characteristics (i.e., age, sex, and reward sensitivity) and food security status. The RRV of food was measured on concurrent progressive-ratio schedules of reinforcement. RRV outcomes included the last schedule reached (breakpoint) for cookies (cookie Pmax) and fruit (fruit Pmax), the breakpoint for cookies in proportion to the total breakpoint for cookies and fruit combined (RRV cookie), and response rates (responses per minute). Parents completed the 18-item food security module to assess household food security status and the Behavioral Activation System scale to assess reward sensitivity. Pearson’s correlations and mixed models assessed associations between continuous and discrete child characteristics with RRV outcomes, respectively. Two-way mixed effects interaction models examined age and sex as moderators of the association between RRV and Body Mass Index z-scores (BMIZ). Statistical significance was defined as p &lt; 0.05. Children with obesity (17%) had a greater cookie Pmax [F (1, 121) = 4.95, p = 0.03], higher RRV cookie [F (1, 121) = 4.28, p = 0.04], and responded at a faster rate for cookies [F (1, 121) = 17.27, p &lt; 0.001] compared to children without obesity. Children with higher cookie response rates had higher BMIZ (r = 0.26, p &lt; 0.01); and RRV cookie was positively associated with BMIZ for older children (5-year-olds: t = 2.40, p = 0.02) and boys (t = 2.55, p = 0.01), but not younger children or girls. The RRV of food did not differ by household food security status. Low-income children with obesity showed greater motivation to work for cookies than fruit compared to their peers without obesity. The RRV of HED food may be an important contributor to increased weight status in boys and future research is needed to better understand developmental trajectories of the RRV of food across childhood.


2019 ◽  
Author(s):  
Md. Mahmudul Alam ◽  
Chamhuri Siwar ◽  
Basri Talib ◽  
Abu N.M. Wahid

Purpose: Sustainable food security at the household level is one of the emerging issues for all nations. Several factors such as social, economic, political, demographic, natural, and livelihood strategies cause vulnerability in the status of household food security. This study is an attempt to examine the vulnerability of the factors of household food accessibility and its linkage with the climatic changes in Malaysia.Design/methodology/approach: The study is based on primary data collected in the months of July – October, 2012 through a questionnaire survey on 460 low-income households from the East Coast Economic Region (ECER) in Malaysia. The samples were selected from E-Kasih poor household database, based on the cluster random sampling technique. The questionnaire uses a five-point Likert scale, and the data were analyzed using descriptive statistics and ANOVA F statistics for Chi-Square Two Sample Test.Findings: The study finds that the vulnerability of the factors of household food accessibility has increased statistically and significantly over the last five years in Malaysia, whereas the contributions of climatic factors are low on these changes. This study suggests that the food security programs in Malaysia need to be integrated with the climatic change adaptation programs to ensure more effective and sustainable household food security in the future.Originality/value: This study is an original work based on primary data that empirically measures the vulnerability of the factors of household food accessibility, one of the important dimensions of household food security, and its linkage with climatic changes.


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