scholarly journals Infant Food Security in New Zealand: A Multidimensional Index Developed from Cohort Data

Author(s):  
Deborah Schlichting ◽  
Ladan Hashemi ◽  
Cameron Grant

Food security (FS) during infancy is associated with lifelong outcomes. New Zealand is a developed economy that reports poor childhood nutrition-related health statistics, particularly among minority children, yet has no measure of FS applicable to infancy. The objective was to develop an FS index for New Zealand infants and examine its association with demographic covariates and health outcomes. Within a large (n = 6853) nationally representative cohort, variables describing infant food consumption, breastfeeding, and maternal food-related coping methods were collected from mothers during late infancy. An FS index was derived using confirmatory factor analysis. Associations were assessed by logistic regressions and described using odds ratios (OR) and ≥95% confidence intervals (CI). Fifteen percent of the cohort was highly FS, 43% tenuously food insecure (FIS), and 16% highly food insecure (FIS). Infants from minority ethnic groups had lower odds of being food secure, as did those born to the youngest mothers, mothers who smoked, or those who lived in low-income households. FIS infants had higher odds of morbidity. Interventions to improve infant FS should focus on improving dietary quality, and should give particular consideration to minority infants. We identified that FIS shows wide ethnic and socioeconomic inequity, and is associated with poorer health. The most important driving factors of FIS included poor quality weaning diets, as well as poverty and its proxies. Any interventions to improve infant FS should focus on increasing fruit and vegetable consumption to recommended intake levels, and should give particular consideration to minority infants.

Author(s):  
Deborah Schlichting ◽  
Ladan Hashemi ◽  
Cameron Grant

Food security (FS) during infancy is associated with lifelong outcomes.  New Zealand is a developed economy that reports poor childhood nutrition-related health statistics, particularly among minority children, yet has no measure of FS applicable to infancy. The objective was to develop a FS index for New Zealand infants and examine its association with demographic covariates and health outcomes.  Within a large (n=6853) nationally representative cohort, variables describing infant food consumption, breastfeeding, and maternal food-related coping methods were collected from mothers during late infancy.  A FS index was derived using confirmatory factor analysis.  Associations were assessed by logistic regressions and described using odds ratios (OR) and ≥95% confidence intervals (CI).  15% of the cohort was highly FS, 43% tenuously food insecure (FIS), and 16% highly food insecure (FIS).  Infants from minority ethnic groups had lower odds of being food secure, as did those born to the youngest mothers, mothers who smoked, or lived in low-income households.  FIS infants had higher odds of morbidity.  Interventions to improve infant FS should focus on improving dietary quality, and give particular consideration to minority infants.  We identified that FIS shows wide ethnic and socioeconomic inequity, and is associated with poorer health.  The most important driving factors of FIS included poor quality weaning diets, and poverty and its proxies. Any interventions to improve infant FS should focus on increasing fruit and vegetable consumption to recommended intake levels, and give particular consideration to minority infants.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1423 ◽  
Author(s):  
Amy Saxe-Custack ◽  
Jenny LaChance ◽  
Mona Hanna-Attisha ◽  
Tiffany Ceja

Though fruit and vegetable consumption is essential for disease prevention and health maintenance, intake among children fails to meet dietary recommendations. Limited access to and the affordability of fresh produce, particularly among low-income youth, are barriers to adequate intake. To address these challenges, researchers and pediatricians in Flint, Michigan, expanded a successful fruit and vegetable prescription program that provides one $15 prescription for fresh fruits and vegetables to every child at every office visit. Vendors include the downtown farmers’ market and a local mobile market. This study describes baseline characteristics, dietary patterns, food access, and food security among 261 caregiver–child dyads enrolled August 2018–March 2019. The child-reported mean daily intake of vegetables (0.72 cups ± 0.77), dairy products (1.33 cups ± 1.22), and whole grains (0.51 ounces ± 0.49) were well below recommendations. Furthermore, 53% of children and 49% of caregivers who completed the food security module indicated low or very low food security. However, there were no statistically significant differences in the child consumption of fruits and vegetables between households that reported high versus low food security (p > 0.05). Results validate and raise deep concerns about poor dietary patterns and food insecurity issues facing Flint children, many of whom continue to battle with an ongoing drinking water crisis. Additional poverty-mitigating efforts, such as fruit and vegetable prescription programs, are necessary to address these gaps.


2021 ◽  
Vol 37 ◽  
pp. 00079
Author(s):  
Rafail Mukhametzyanov ◽  
Maria Romanyuk ◽  
Tatiana Ostapchuk ◽  
Natalya Ivantsova

The article describes in detail two key elements of Russian food security: self-sufficiency and the potential of the domestic food market. It is these two factors that are regulated at the state level through the standards included in their composition. The article shows how the state policy of the Russian Federation for the regulation of food markets changed from the reform period to the present. Our studies have shown that the strengthening of measures for import substitution after 2014 has not yet allowed us to achieve complete self-sufficiency in all types of food. This is partly due to objective restrictions (for vegetables and fruits) and insufficient efforts to develop the industry (dairy and meat cattle breeding). In addition, by those types of food, according to which the thresholds of self-sufficiency are made, the dependence on imports is shifted to the area of industries that provide means of production (seeds, technique, etc.). A detailed analysis of food imports showed that after 2014 its volume decreased (as a result of a reduction in the effective demand and growth in agricultural production), while its commodity structure has practically changed. Analysis of the capacity and structure of the food market of the Russian Federation showed that the Russian population in long-term dynamics due to low income is not balanced. In addition, the reduction of disposable income over the past 6 years leads to a change in the structure of consumption towards an increase in the share of cheap poor-quality products. Thus, the issue of ensuring food security remains relevant and paramountable at the state level.


2019 ◽  
Vol 9 (5) ◽  
pp. 823-826 ◽  
Author(s):  
Eric E Calloway ◽  
Courtney A Parks ◽  
Deborah J Bowen ◽  
Amy L Yaroch

People who live in low-income communities face many social, environmental, and economic barriers that make it difficult for them to access enough healthful foods on a regular basis.


Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1574 ◽  
Author(s):  
Matthew J. Landry ◽  
Alexandra E. van den Berg ◽  
Fiona M. Asigbee ◽  
Sarvenaz Vandyousefi ◽  
Reem Ghaddar ◽  
...  

Food insecurity (FI) is adversely associated with physical and mental wellbeing in children. The mechanism underlying this association is assumed to be dietary intake; however, evidence has been mixed. This study examined the relationship between self-reported FI and dietary quality among low-income children. Cross-sectional data were used from TX Sprouts, a school-based cooking, gardening, and nutrition intervention. A sample of 598 children completed two 24-h dietary recalls and a questionnaire including an adapted version of the 5-item Child Food Security Assessment (CFSA). Food security was categorized as food secure or FI based on summed CFSA scores. Dietary quality was assessed using the Health Eating Index-2015 (HEI-2015). Mixed effects linear regression models examined associations between FI and dietary quality. Children were 64% Hispanic, 55% female, and were 9.2 years old on average. Adjusting for sociodemographic characteristics, BMI percentile, and energy intake, FI was associated with lower HEI-2015 total scores (β = −3.17; 95% CI = −5.28, −1.06; p = 0.003). Compared to food secure children, FI children had lower greens and beans (2.3 vs. 1.9, p = 0.016), seafood and plant protein (2.0 vs. 1.6, p = 0.006), and added sugar (7.4 vs. 8.0, p = 0.002) component scores. Interventions targeting low-income and FI children should investigate ways to improve dietary quality.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sunitha Jasti ◽  
Melissa Owens

Abstract Objectives To estimate the prevalence of food insecurity and to examine its correlates among students at an urban commuter-college. Methods Cross-sectional survey of 450 students enrolled at an urban commuter-college. Chi-square test was used to assess differences in socio-demographics characteristics, overweight/obesity status, fruit and vegetable consumption and perceived stress by food security level. Results Among students surveyed, 25.6% were food insecure with 12.2% having low food security and 13.3% having very low food security. The rate of food insecurity was significantly higher in black (55.6%) and Hispanic (52.7%) students compared to white (17.7%) and Asian (28.2%) students (P < 0.01). Older students (25–40 y) were also more likely to be food insecure than younger (≤ 25 y) students (42.5% vs. 28.1%; P = 0.02). There were no significant differences in fruit and vegetable consumption, overweight/obese status or perceived stress among food secure and food insecure students. Conclusions Food insecurity was found to be a prevalent problem in this sample, particularly in older, Black and Hispanic students. Colleges and universities must provide options and resources for low-income students to help increase access to and affordability of nutritious foods. Funding Sources “This material is based upon work that is supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, under award number ____________. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the U.S. Department of Agriculture.”


2019 ◽  
Vol 51 (3) ◽  
pp. 342-347 ◽  
Author(s):  
Carrie M. Durward ◽  
Mateja Savoie-Roskos ◽  
Abiodun Atoloye ◽  
Patrice Isabella ◽  
Melanie D. Jewkes ◽  
...  

2016 ◽  
Vol 31 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Brian Elbel ◽  
Tod Mijanovich ◽  
Kamila Kiszko ◽  
Courtney Abrams ◽  
Jonathan Cantor ◽  
...  

Purpose. Interest and funding continue to grow for bringing supermarkets to underserved areas, yet little is known about their impact. Design. A quasi-experimental study was used to determine the impact of a new supermarket opening as a result of tax and zoning incentives. Setting. The study took place in the South Bronx, New York City, New York. Subjects: Studied were residents of two South Bronx neighborhoods deemed high need. Measures. Food purchasing and consumption were examined via surveys and 24-hour dietary recalls before and at two points after the supermarket opened (1–5, 13–17 months). Analysis. Data were analyzed using difference-in-difference models controlling for gender, race and ethnicity, age, education, marital status, and self-reported income. Ordinary least squares and logistic regression models were estimated for continuous and binary outcomes, respectively. Results. At baseline, 94% to 97% of consumers shopped at a supermarket. There was a 2% increase in this behavior in the intervention community ( p < .05) not seen in the comparison community. One year later there was a 7% net increase in eating at home ( p < .1) and a 20% decrease in drinking sugary beverages ( p < .05), but no appreciable change in fruit/vegetable consumption or overall dietary quality. Conclusion. The new supermarket did not result in substantial or broad changes in purchasing patterns or nutritional quality of food consumed, though smaller, positive changes were observed over a 1-year period. Future work should examine different contexts and a broader set of outcomes, including economic development.


2013 ◽  
Vol 17 (4) ◽  
pp. 924-931 ◽  
Author(s):  
Sharon I Kirkpatrick ◽  
Jill Reedy ◽  
Lisa L Kahle ◽  
Jennifer L Harris ◽  
Punam Ohri-Vachaspati ◽  
...  

AbstractObjectiveTo evaluate five popular fast-food chains’ menus in relation to dietary guidance.DesignMenus posted on chains’ websites were coded using the Food and Nutrient Database for Dietary Studies and MyPyramid Equivalents Database to enable Healthy Eating Index-2005 (HEI-2005) scores to be assigned. Dollar or value and kids’ menus and sets of items promoted as healthy or nutritious were also assessed.SettingFive popular fast-food chains in the USA.SubjectsNot applicable.ResultsFull menus scored lower than 50 out of 100 possible points on the HEI-2005. Scores for Total Fruit, Whole Grains and Sodium were particularly dismal. Compared with full menus, scores on dollar or value menus were 3 points higher on average, whereas kids’ menus scored 10 points higher on average. Three chains marketed subsets of items as healthy or nutritious; these scored 17 points higher on average compared with the full menus. No menu or subset of menu items received a score higher than 72 out of 100 points.ConclusionsThe poor quality of fast-food menus is a concern in light of increasing away-from-home eating, aggressive marketing to children and minorities, and the tendency for fast-food restaurants to be located in low-income and minority areas. The addition of fruits, vegetables and legumes; replacement of refined with whole grains; and reformulation of offerings high in sodium, solid fats and added sugars are potential strategies to improve fast-food offerings. The HEI may be a useful metric for ongoing monitoring of fast-food menus.


2017 ◽  
Vol 10 (1) ◽  
pp. 61-71
Author(s):  
Taru Lindblom

Numerous studies have shown that social inequality can be reflected through poor food choices. Factors such as low-income, low level of education and low socio-economic position are associated with food consumption behaviours that are considered less beneficial. This study explores the disparities found among income and other socio-economic groups in terms of their food consumption shares. To find out how the food consumption patterns have developed in Finland, a nationally representative Household Budget Survey for the years 1985–2012 is used. Food consumption trends of the income quintiles are analyzed with ANOVA. The shares of food consumption expenditure spent on Meat, Vegetables, Fruit and berries, and Sugars are used as dependent variables; while education, age and household type are used as control variables. The disparities between the income groups have diminished, with meat and sugar consumption being most affected by the studied factors. Low income does not necessarily translate to a household’s less healthy eating habits. Rather, households in the lowest quintile are now depicted by the convergence of their fruit and vegetable consumption with the other income groups.


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