scholarly journals High food insecurity in Latinx families and associated COVID-19 infection in the Greater Bay Area, California

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Milagro Escobar ◽  
Andrea DeCastro Mendez ◽  
Maria Romero Encinas ◽  
Sofia Villagomez ◽  
Janet M. Wojcicki
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
San Francisco ◽  
Employment Status ◽  
The United States ◽  
Household Food Security ◽  
Bay Area ◽  
Household Food ◽  
History Of ◽  
The Impact

Abstract Background Food insecurity impacts nearly one-in-four Latinx households in the United States and has been exacerbated by the novel coronavirus or COVID-19 pandemic. Methods We examined the impact of COVID-19 on household and child food security in three preexisting, longitudinal, Latinx urban cohorts in the San Francisco Bay Area (N = 375 households, 1875 individuals). Households were initially recruited during pregnancy and postpartum at Zuckerberg San Francisco General Hospital (ZSFG) and UCSF Benioff prior to the COVID-19 pandemic. For this COVID-19 sub-study, participants responded to a 15-min telephonic interview. Participants answered 18 questions from the US Food Security Food Module (US HFSSM) and questions on types of food consumption, housing and employment status, and history of COVID-19 infection as per community or hospital-based testing. Food security and insecurity levels were compared with prior year metrics. Results We found low levels of household food security in Latinx families (by cohort: 29.2%; 34.2%; 60.0%) and child food security (56.9%, 54.1%, 78.0%) with differences between cohorts explained by self-reported levels of education and employment status. Food security levels were much lower than those reported previously in two cohorts where data had been recorded from prior years. Reported history of COVID-19 infection in households was 4.8% (95% Confidence Interval (CI); 1.5–14.3%); 7.2% (95%CI, 3.6–13.9%) and 3.5% (95%CI, 1.7–7.2%) by cohort and was associated with food insecurity in the two larger cohorts (p = 0.03; p = 0.01 respectively). Conclusions Latinx families in the Bay Area with children are experiencing a sharp rise in food insecurity levels during the COVID-19 epidemic. Food insecurity, similar to other indices of poverty, is associated with increased risk for COVID-19 infection. Comprehensive interventions are needed to address food insecurity in Latinx populations and further studies are needed to better assess independent associations between household food insecurity, poor nutritional health and risk of COVID-19 infection.

scholarly journals High Food Insecurity in Latinx Families and Associated COVID-19 Infection in the Greater Bay Area, California

2020 ◽  
Author(s):  
Milagro Escobar ◽  
Andrea DeCastro Mendez ◽  
Maria Romero Encinas ◽  
Janet M Wojcicki
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
San Francisco ◽  
Employment Status ◽  
The United States ◽  
Household Food Security ◽  
Bay Area ◽  
Household Food ◽  
History Of ◽  
The Impact

AbstractBackgroundFood insecurity impacts nearly one-in-four Latinx households in the United States and has been exacerbated by the novel coronavirus or COVID-19 pandemic.MethodsWe examined the impact of COVID-19 on household and child food security in three preexisting, longitudinal, Latinx urban cohorts in the San Francisco Bay Area (N=375 households, 1,875 individuals). Households were initially recruited during pregnancy and postpartum at Zuckerberg San Francisco General Hospital (ZSFG) and UCSF Benioff prior to the COVID-19 pandemic. For this COVID sub-study, participants responded to a 15-minute telephonic interview. Participants answered 18 questions from the US Food Security Food Module (US HFSSM), described food consumption, housing and employment status, and history of COVID-19 infection as per community or hospital-based testing. Food security and insecurity levels were compared with prior year metrics.ResultsWe found low levels of household food security in Latinx families (by cohort: 29.2%; 34.2%; 60.0%) and child food security (56.9%; 54.1%; 78.0%) with differences between cohorts explained by self-reported levels of education and employment status. Food security levels were much lower than those reported previously in two cohorts where data had been recorded from prior years. Reported history of COVID-19 infection in households was 4.8% (95% Confidence Interval (CI); 1.5-14.3%); 7.2% (95%CI; 3.6-13.9%) and 3.5% (95%CI; 1.7-7.2%) by cohort and was associated with food insecurity in the two larger cohorts (p=0.03; p=0.01 respectively).ConclusionsLatinx families in the Bay Area with children are experiencing a sharp rise in food insecurity levels during the COVID-19 epidemic. Food insecurity, similar to other indices of poverty, is associated with increased risk for COVID-19 infection. Comprehensive interventions are needed to address food insecurity in Latinx populations and further studies are needed to better assess independent associations between household food insecurity, poor nutritional health and risk of COVID-19 infection.

scholarly journals Measuring household food security: the global experience

2008 ◽  
Vol 21 (suppl) ◽  
pp. 27s-37s ◽  
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.

scholarly journals The relationship between childhood adversity and food insecurity: ‘It’s like a bird nesting in your head’

2015 ◽  
Vol 18 (14) ◽  
pp. 2643-2653 ◽  
Author(s):  
Mariana Chilton ◽  
Molly Knowles ◽  
Jenny Rabinowich ◽  
Kimberly T Arnold
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Adverse Childhood Experiences ◽  
Emotional Health ◽  
Childhood Adversity ◽  
Household Food Security ◽  
Childhood Experiences ◽  
Household Food ◽  
Adverse Childhood ◽  
The Impact

AbstractObjectiveAdverse childhood experiences, including abuse, neglect and household instability, affect lifelong health and economic potential. The present study investigates how adverse childhood experiences are associated with food insecurity by exploring caregivers’ perceptions of the impact of their childhood adversity on educational attainment, employment and mental health.DesignSemi-structured audio-recorded in-person interviews that included (i) quantitative measures of maternal and child health, adverse childhood experiences (range: 0–10) and food security using the US Household Food Security Survey Module; and (ii) qualitative audio-recorded investigations of experiences with abuse, neglect, violence and hunger over participants’ lifetimes.SettingHouseholds in Philadelphia, PA, USA.SubjectsThirty-one mothers of children <4 years old who reported low or very low household food security.ResultsTwenty-one caregivers (68 %) reported four or more adverse childhood experiences, and this severity was significantly associated with reports of very low food security (Fisher’s exact P=0·021). Mothers reporting emotional and physical abuse were more likely to report very low food security (Fisher’s exact P=0·032). Qualitatively, participants described the impact of childhood adverse experiences with emotional and physical abuse/neglect, and household substance abuse, on their emotional health, school performance and ability to maintain employment. In turn, these experiences negatively affected their ability to protect their children from food insecurity.ConclusionsThe associations between mothers’ adverse experiences in childhood and reports of current household food security should inspire researchers, advocates and policy makers to comprehensively address family hardship through greater attention to the emotional health of caregivers. Programmes meant to address nutritional deprivation and financial hardship should include trauma-informed approaches that integrate behavioural interventions.

scholarly journals Using Household Fit Indices to Examine the Psychometric Quality of Food Insecurity Measures

2017 ◽  
Vol 78 (6) ◽  
pp. 1089-1107 ◽  
Author(s):  
George Engelhard ◽  
Matthew P. Rabbitt ◽  
Emily M. Engelhard
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
The United States ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Fit Indices ◽  
Household Level ◽  
Household Food ◽  
Psychometric Quality

This study focuses on model–data fit with a particular emphasis on household-level fit within the context of measuring household food insecurity. Household fit indices are used to examine the psychometric quality of household-level measures of food insecurity. In the United States, measures of food insecurity are commonly obtained from the U.S. Household Food Security Survey Module (HFSSM, 18 items) of the Current Population Survey Food Security Supplement (CPS-FSS). These measures, in various forms, are used to inform national programs and policies related to food insecurity. Data for low-income households with children from recent administrations of the HFSSM (2012-2014) are used in this study ( N = 7,324). The results suggest that there are detectable levels of misfit with Infit mean square error (MSE) statistics ranging from 6.73 % to 21.33% and Outfit MSE statistics ranging from 5.31% to 9.68%. The data suggest for Outfit MSE statistics that (a) male respondents, (b) respondents with lower levels of education, and (c) respondents who did not report participating in SNAP (Supplemental Nutrition Assistance Program, formerly the Food Stamp Program) tend to have more misfit. For Infit MSE statistics, lack of homeownership appears to be a predictor of misfit. The implications of this research for future research, theory, and policy related to the measurement of household food insecurity are discussed.

Sustainable agricultural intensification practices and rural food security

2018 ◽  
Vol 120 (2) ◽  
pp. 468-482 ◽  
Author(s):  
Iddrisu Yahaya ◽  
Krishna P. Pokharel ◽  
Abdul-Fatahi Alidu ◽  
Fred Amofa Yamoah
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Training Programme ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Content Type ◽  
Household Food ◽  
Resource Degradation ◽  
Food Insecurity Access ◽  
The Impact

Purpose The purpose of this paper is to understand the impact of participation in sustainable agricultural intensification practices (SAIPs) on household food security status in Northwestern Ghana. Design/methodology/approach The study utilised the Household Food Insecurity Access Scale (HFIAS) indicator for the measurement of food access data from 168 households in ten communities from the Northwestern region of Ghana for the analyses. Households were categorised into participating households (treatment) and non-participating households (control). The endogenous treatment effects model was employed to evaluate the impact of participation in SAIPs training on food insecurity access scale. Findings The results show that participation in SAIPs training lowers, on average, the household food insecurity access by 2.95 points, approximately an 11 per cent reduction in HFIAS score. Other significant factors found to influence household food insecurity access scale are age of household head, experience in farming, total acres owned by household, income level of the household and occupation of the head of the household. Research limitations/implications The training programme of participation in SAIPs has massive implications for food security, rural economy and farmers’ livelihoods. However, due to the unique conditions prevailing in Northwestern Ghana, the findings of this research are limited in terms of their generalisability. Future research direction in the area of SAIPs trainings and impact study replications in all qualifying rural food production areas in Ghana, which are susceptible to household food insecurity, will provide a national picture of the efficacy of SAIPs trainings on household food insecurity. Practical implications A proven means to decrease natural resource degradation, increase crops yields, and increase subsistence farmers’ income, and food security is an important intervention to resolve the seasonal food shortage, which last for five months in a typical year for agro-food-dependent farming communities in Northwestern Ghana. Social implications Ensuring household food security improvement and environmental sustainability will help improve living standards of food producers and reduce the adverse social challenges associated with food insecure communities such as health problems due to food deficiencies, social inequalities, environmental pollution and natural resource degradation in Northwestern Ghana. Originality/value The contribution of this paper is the novel thought and approach to examine the impact of the SAIPs trainings on household food security in Northwestern Ghana using the household food insecurity access scale indicator. The study also examined the factors that affect household food security using the endogenous treatment model, which also evaluates the impact of the training programme on the outcome variable.

scholarly journals Food Insecurity among Senior Citizens in High Out-migration Areas: Evidence from Western Nepal

2019 ◽  
Author(s):  
Devendra Raj Singh ◽  
Saruna Ghimire ◽  
Eva M Jeffers ◽  
Sunita Singh ◽  
Dhirendra Nath ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Senior Citizens ◽  
Senior Citizen ◽  
The United States ◽  
Household Food Security ◽  
United States Department ◽  
Lower Odds ◽  
Household Food ◽  
Food Security Status

Abstract Background: Food insecurity is a critical public health challenge, in particular in low and middle-income countries. Nepal, a low-income country, is undergoing rapid demographic and epidemiological transitions with a growing population of senior citizens. However, the determinants of food security status among Nepali senior citizens are still unknown. This study aims to fill this gap focusing on the elderly populations in the far-western region, one of the poorest regions of the country. The study also aims to assess the potential impact of adult child migration on the food security status of the left behind elderly parents. Methods: A community-based cross-sectional study was conducted among 260 randomly selected senior citizens in the Kanchanpur district in far-western Nepal. The short form of the household food security scale, originally developed by the United States Department of Agriculture, was used to measure household food security. Associations were examined by means of logistic regression. Results: The prevalence of food insecurity, in senior citizens’ households, was 41.1%. Senior citizen households with their adult children’s migration (AOR= 0.49, 95% CI: 0.24- 0.98) had lower odds of being food insecure and households with lower family income (<$100 compared to ≥ $100) (AOR= 2.24, 95% CI: 1.08 - 4.65) had two times higher odds of being food insecure. Also, households owning a cultivable land/farm (AOR= 0.14, 95% CI: 0.05-0.37) and involved in agriculture (AOR= 0.29, 95% CI: 0.09-0.99) or business (AOR= 0.20, 95% CI: 0.05-0.74) had lower odds of being food insecure. Conclusion: The prevalence of food insecurity among households with senior citizen in Kanchanpur district was high and associated with migration status of adult children, household income and ethnicity. This calls for a greater policy response focused specifically on the households with elderly citizens and integration of gerontological evidence into the existing food security and nutrition strategies.

A pilot examination of the inter-rater reliability of the 18-item Household Food Security Module between cohabiting mothers and fathers

2020 ◽  
Vol 10 (6) ◽  
pp. 1306-1311
Author(s):  
Jaime S Foster ◽  
Kari Adamsons ◽  
Marlene B Schwartz ◽  
Emily A Taylor ◽  
Amy R Mobley
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
The United States ◽  
Household Food Security ◽  
United States Department ◽  
Rater Reliability ◽  
Mothers And Fathers ◽  
Household Food ◽  
Intraclass Correlations ◽  
Item Level

Abstract Food insecurity, defined as the inability to access sufficient food for an active, healthy life, affects 11.1% of the US population and is primarily assessed using the United States Department of Agriculture’s (USDA) 18-item Household Food Security Survey Module (HFSSM). The HFSSM is a self-report measure presumed to represent all household members, but it is unknown if cohabiting parents report food security differently. This pilot study aimed to determine (i) the inter-rater reliability of the HFSSM; (ii) the direction of any difference between responses to the HFSSM; and (iii) the item-level response similarities and differences among mothers and fathers of young children. Twenty-five pairs of low-income, food-insecure cohabiting parents of 2.5- to 10-year-old children participated in cognitive interviews assessing their level of food security using the USDA’s HFSSM and completed related questionnaires. Intraclass correlations were computed to compare the responses of each dyad on the HFSSM overall and by item. Results revealed that overall report of food security was significantly but weakly correlated (r = .40, p = .02) within dyads. The majority of fathers (60%) reported higher food security scores on the HFSSM than their respective female partners. Furthermore, item-level intraclass correlations revealed that some HFSSM questions had poor reliability between cohabiting parents. This research identifies that a potential shortcoming of the HFSSM is the under-reporting of food insecurity by fathers compared with mothers within the household. These findings have implications for the utility of this measure used in national monitoring of the nation’s food security.

scholarly journals Measuring and Understanding Food Insecurity in Australia: A Systematic Review

2019 ◽  
Vol 16 (3) ◽  
pp. 476 ◽  
Author(s):  
Fiona H. McKay ◽  
Bronte C. Haines ◽  
Matthew Dunn
Keyword(s):  
Systematic Review ◽  
Food Security ◽  
Food Insecurity ◽  
The United States ◽  
Household Food Security ◽  
Measurement Tool ◽  
Clear Understanding ◽  
United States Department ◽  
Household Food ◽  
Wide Range

The number of Australians seeking food aid has increased in recent years; however, the current variability in the measurement of food insecurity means that the prevalence and severity of food insecurity in Australia is likely underreported. This is compounded by infrequent national health surveys that measure food insecurity, resulting in outdated population-level food insecurity data. This review sought to investigate the breadth of food insecurity research conducted in Australia to evaluate how this construct is being measured. A systematic review was conducted to collate the available Australian research. Fifty-seven publications were reviewed. Twenty-two used a single-item measure to examine food security status; 11 used the United States Department of Agriculture (USDA) Household Food Security Survey Module (HFSSM); two used the Radimer/Cornell instrument; one used the Household Food and Nutrition Security Survey (HFNSS); while the remainder used a less rigorous or unidentified method. A wide range in prevalence and severity of food insecurity in the community was reported; food insecurity ranged from 2% to 90%, depending on the measurement tool and population under investigation. Based on the findings of this review, the authors suggest that there needs to be greater consistency in measuring food insecurity, and that work is needed to create a measure of food insecurity tailored for the Australian context. Such a tool will allow researchers to gain a clear understanding of the prevalence of food insecurity in Australia to create better policy and practice responses.

scholarly journals Household food security during Covid-19 pandemic in Daerah Istimewa Yogyakarta, Indonesia

2020 ◽  
Vol 4 (2) ◽  
pp. 132-143
Author(s):  
Nurwulan Purnasari ◽  
Titisari Juwitangtyas ◽  
Iman Sabarisman
Keyword(s):  
Food Security ◽  
Financial Crisis ◽  
Food Insecurity ◽  
Vulnerable Groups ◽  
Household Food Security ◽  
Future Research ◽  
Household Food Insecurity ◽  
Household Food ◽  
The Impact

Household food security in Indonesia depends on many factors. This study aims to describe household food security during the Covid-19 pandemic in Daerah Istimewa Yogyakarta (DIY). This research was conducted using a questionnaire for taking data. This study showed that there was a difference in household food security between the pre-pandemic of Covid-19 and during the pandemic of Covid-19. The hunger scale di DIY at the pre-pandemic of Covid-19 was 6% and increased during the pandemic of Covid-19 to 11%. It is showed that the financial crisis because of Covid-19 also influenced at increasing household food insecurity. As far as future research is concerned, the impact of food insecurity in vulnerable groups within the studied communities needs to be determined.

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