scholarly journals Child-Report of Food Insecurity Is Associated with Diet Quality in Children

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):  
Matthew Landry ◽  
Fiona Asigbee ◽  
Sarvenaz Vandyousefi ◽  
Reem Ghaddar ◽  
Matthew Jeans,Amy Hoover ◽  
...  

Abstract Objectives Food insecurity is adversely associated with physical and mental health and wellbeing in children. The mechanism that underlies this association is assumed to be dietary intake; however, evidence linking food insecurity to child dietary intake has been mixed. This study examined the relationship between self-reported food insecurity and dietary intake among low-income 7–12 year old children. Methods Cross-sectional data were used from TX Sprouts, a school-based cooking, gardening, and nutrition intervention in 16 central Texas schools. A sample of 680 children completed two 24-hour dietary recalls (24hDR) and a questionnaire that included an adapted version of the 5-item Child Food Security Assessment (CFSA). Four ordinal groups, High Food Security (HFS), Marginal Food Security (MFS), Low Food Security (LFS), and Very Low Food Security (VLFS), were generated based on summed scores from the CFSA. The Health Eating Index-2015 and dietary components (total energy, macronutrients, and servings of fruits, vegetables, whole grains, and sugar-sweetened beverages (SSBs)) were derived from 24hDR. Multivariate linear regression models were used to examine the associations between food security and dietary outcomes. A priori covariates included sex, age, ethnicity, and daily energy. Results Children in the study were 45% male, 54% Hispanic, and had an average age of 9.3 years. Main effects of food security were significant for added sugar (P < 0.03) and SSBs (P < 0.04). Compared to children with HFS (referent), those who were LFS and VLFS consumed more added sugar (33.2 g vs. 39.9 g and 40.6 g, P < 0.03 and P < 0.003; respectively). Compared to the HFS referent group, those who were MFS and VLFS had higher mean intakes of SSBs (0.6 vs. 0.8 and 0.9 servings, P < 0.03 and P < 0.01; respectively). There were no significant associations between food security and other dietary outcomes. Conclusions Self-reported food insecurity among children (7–12 years of age) was associated with higher added sugar and SSB intake. Future research should assess if the positive association between food insecurity and added sugar and SSB intake contributes to adverse health outcomes. Funding Sources This study was supported by funding from the National Institutes of Health, National Heart, Lung, and Blood Institute (NHLBI).


2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Matthew J Landry ◽  
Alexandra E van den Berg ◽  
Fiona M Asigbee ◽  
Sarvenaz Vandyousefi ◽  
Reem Ghaddar ◽  
...  

ABSTRACT Background There is a need to directly and accurately conceptualize and measure food insecurity in children as part of surveillance and public health efforts. Objective The aim of this study was to compare parent and child perceptions of child-level food security status via questionnaires within a large, ethnically diverse population. Methods Cross-sectional baseline data from a cluster-randomized controlled trial involving primarily low-income, Hispanic third- to fifth-grade students and their parents were used for analysis. The sample consisted of 2408 dyadic (parent and child) pairs. Parents completed the 8-item child-referenced Household Food Security Survey Module and their responses were compared with an adaption of the 5-item Child Food Security Assessment completed by their child. Levels of association between child and parent perceptions within dyads were calculated using Goodman and Kruskal's γ statistic. A mixed-effects binomial logistic regression model was used to model discordance as a function of child, parent, and household sociodemographic characteristics. Results The child sample was 53% girls, mean age of 9 y, and 63% were Hispanic. The parent sample was 86% women and 65% Hispanic. Child and parent perceptions of child-level food security agreed only 21.7% of the time. There was a weak positive association between child and parent perceptions of child-level food security (γ = 0.162, P < 0.001). Children perceived themselves as less food secure than their parents’ perception 70.1% of the time. Household receipt of Supplemental Nutrition Assistance Program benefits was associated with greater odds of discordant food security perceptions, whereas female children, older children, and parents not working were characteristics associated with lower odds of discordant perceptions. Conclusions Results, in combination with the existing literature, suggest that parent perceptions of child-level food insecurity may underestimate child-level food insecurity experiences. Inaccurate estimations or underestimations of the true prevalence of child-level food insecurity could be detrimental to maternal and child health efforts. This trial was registered at clinicaltrials.gov as NCT02668744.


2016 ◽  
Vol 31 (5) ◽  
pp. 413-416 ◽  
Author(s):  
Matthew C. Farrelly ◽  
Paul R. Shafer

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.


2014 ◽  
Vol 35 (4) ◽  
pp. S395-S402 ◽  
Author(s):  
Luísa Álvares ◽  
Teresa F. Amaral

Background The burden of food insecurity in Portugal, and the socioeconomic and demographic factors that are related to this condition, are unknown. Objective To evaluate the frequency of food insecurity and to identify its associated characteristics in the Portuguese population. Methods Data from 3,552 heads of family respondents of the 2005/06 Portuguese National Health Survey were analyzed in a cross-sectional study. Food insecurity was evaluated with the use of the US Department of Agriculture Household Food Security Survey Module 6-Item Short Form. Chi-square tests and multivariate logistic regression models were conducted. Significance was indicated at p < .05. Results Among the respondents, 16.5% were food insecure and 3.5% had very low food security. The odds of being food insecure were highest for women (OR, 1.51; 95% CI, 1.20 to 1.91), smokers (OR, 1.56; 95% CI, 1.20 to 2.02), younger people (OR, 2.54; 95% CI, 1.69 to 3.80), unemployed people (OR, 3.04; 95% CI, 2.01 to 4.60), those with lower education (OR, 7.98; 95% CI, 4.73 to 13.49), and those with lower income (OR, 6.27; 95% CI, 4.23 to 9.30). Conclusions The present study explored for the first time the burden of food insecurity in Portugal, revealing that it was highly prevalent, affecting one in six Portuguese citizens. Low education and low income were the main factors associated with food insecurity.


2010 ◽  
Vol 14 (4) ◽  
pp. 645-652 ◽  
Author(s):  
Cindy W Leung ◽  
Eduardo Villamor

AbstractObjectivePublic assistance programmes may increase risk of obesity among adults. The current study assessed whether participation in the Supplemental Nutrition Assistance Program (SNAP; formerly the Food Stamp Program), Supplemental Security Income (SSI) or California Work Opportunities and Responsibilities to Kids (CalWorks) was associated with obesity, independent of socio-economic status and food insecurity.DesignA cross-sectional analysis of the 2007 Adult California Health Interview Survey. Outcome measures included BMI and obesity. Distribution of BMI and prevalence of obesity were compared by participation in each programme, using weighted linear and binomial regression models in which BMI or obesity was the outcome, respectively, and programme participation was the predictor.SettingA population survey of various health measures.SubjectsNon-institutionalized adults (n 7741) whose household income was ≤130 % of the federal poverty level.ResultsThe prevalence of obesity was 27·4 %. After adjusting for sociodemographic characteristics, food insecurity and participation in other programmes, the prevalence of obesity was 30 % higher in SNAP participants (95 % CI 6 %, 59 %; P = 0·01) than in non-participants. This association was more pronounced among men than women. SSI participation was related to an adjusted 50 % higher prevalence of obesity (95 % CI 27 %, 77 %; P < 0·0001) compared with no participation. SNAP and SSI participants also reported higher soda consumption than non-participants of any programme. CalWorks participation was not associated with obesity after multivariable adjustment.ConclusionsParticipation in SNAP or SSI was associated with obesity independent of food insecurity or socio-economic status. The suggestion that these associations may be mediated by dietary quality warrants further investigation among low-income populations.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Terragni ◽  
C Arnold ◽  
S Henjum

Abstract Background Food insecurity has a high prevalence among asylum seekers living in Western countries. Previous studies suggest that food skills can protect against food insecurity. This study investigates the impact of food skills on food security and dietary diversity among refugees living in Norwegian reception centers. Methods The study has a cross-sectional research design. Eight asylum reception centers where selected and 205 asylum seekers (131 men and 74 women) were recruited through convenience sampling among the largest asylum seeking groups. We measured food skills by adopting questions from the Canadian Community Health Survey 2013 Rapid Response on Food Skills. Food skills were divided into cooking skills (ability to prepare meals) and shopping skills (ability to plan meals and budgeting). Food security was measured with the 10-item version of the Radimer/Cornell Hunger and Food Insecurity Scale. Dietary data was collected via a 24-hour recall, and the Food and Agriculture Organization of the United Nations (FAO) dietary diversity score was calculated to assess dietary quality. Data were analyzed with bivariate logistic analysis. Results Cooking skills and shopping skills contribute differently to food security and dietary diversity. Higher cooking skills were associated with higher dietary diversity but not with food security. Shopping skills were not associated with either food security or dietary diversity. Women had better cooking skills then men, but there were no gender differences in shopping skills. Married asylum seekers had better shopping skills than those who were not married. Conclusions Cooking skills have an impact on dietary diversity, initiatives promoting cooking skills should be encouraged. Further research is needed on what kind of purchasing skills can be useful for asylum seekers coping. Despite high food skills the level of food insecurity remained high. Initiatives addressing the multiple causes of food insecurity are needed. Key messages Food skills alone do not protect from food insecurity. Cooking skills are easier to transfer in a new food environment than shopping skills.


2019 ◽  
Vol 41 (12) ◽  
pp. 1813-1828 ◽  
Author(s):  
Jiying Ling ◽  
Lorraine B. Robbins ◽  
Dongjuan Xu

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.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Atefeh Ahmadi Dehrashid ◽  
Masoud Bijani ◽  
Naser Valizadeh ◽  
Hossein Ahmadi Dehrashid ◽  
Bahram Nasrollahizadeh ◽  
...  

Abstract Background Food security is considered a pivotal factor for the sustainable development of communities and focus on this issue in rural areas. More specifically, it is of paramount importance in developing countries. Accordingly, this descriptive-analytical study aimed to evaluate the status of food security in rural areas of Iran. The main originality of the present study is to assess the strategic future-oriented vision for food security in addition to the evaluation of the current status of the studied area. Methodology Data were collected using the standard questionnaire of U.S. Department of Agriculture (USDA) and a researcher-made close-ended questionnaire. The validity and reliability of the research instrument were confirmed by a panel of specialists and Cronbach’s alpha coefficients, respectively. In addition, data analysis was performed using SPSS24 (to analyze the descriptive statistics) and Fuzzy Technique for Order Preference by Similarity to Ideal Situation (FTOPSIS). Results According to the results, 80% of the villagers suffered from food insecurity (25% in low food insecurity situation, 42% in moderate food insecurity situation, and 13% in severe food insecurity situation). Evaluation of the factors affecting food insecurity demonstrated that economic (standardized weight of 0.566), stability (standardized weight of 0.559), and availability (standardized weight of 0.558) were the most important components affecting food insecurity. Moreover, in a systemic approach, the growth of migration from rural to urban areas, pressure on water and soil resources, and the occurrence of environmental hazards are of the most significant consequences of food insecurity. In addition, due to the excessive use of underground water for cucurbits, which is the dominant cultivation pattern in this region, the groundwater level has dropped sharply in some villages farther from the city which can be alarming for exacerbating food insecurity in the near future. Conclusion Since the low-income level of villagers, lack of job diversity, and lack of access to adequate food are the main reasons for food insecurity, in this respect, it is suggested that more attention be paid to the development of occupations and job diversity in these regions by decision-makers and policy-makers.


2018 ◽  
Vol 33 (2) ◽  
pp. 199-207 ◽  
Author(s):  
Jin E. Kim-Mozeleski ◽  
Janice Y. Tsoh

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.


2021 ◽  
Vol 34 ◽  
Author(s):  
Amanda Tayná Tavares de FIGUEIREDO ◽  
Fernanda Cristina de Lima Pinto TAVARES ◽  
Thalita Milena Araújo Xavier de AMORIM ◽  
Juliana Souza OLIVEIRA ◽  
Vanessa Sá LEAL ◽  
...  

ABSTRACT Objective Between 2010 and 2017, it was registered one of the most intense droughts in the Brazilian Northeastern Semiarid region, when the rainfall was below the historical level for the region. This context was related to water scarcity for human consumption and productive activities in this territory, where the semiarid backlands of the state of Pernambuco are located. The objective of this study was to assess the condition of food security and its associated factors in areas affected by drought in the semiarid zone of Pernambuco, Brazil. Methods It was a cross-sectional study on a populational base. Data were collected by socioeconomic and demographic surveys, and the Brazilian Food Insecurity Scale, which were applied to 252 households, from September to October 2015. The data was analyzed by socioeconomic and demographic characterization of the households, and the identification of the food insecurity prevalence and its associated factors, by Poisson regression. Results The prevalence of food insecurity was high (74.6%). Among those, 9,1% were on starvation, which means severe insecurity. Food insecurity was statistically associated to sanitation, per capita income, and the number of household residents. Lack of money was the main self-reported cause to food insecurity. Conclusion The high prevalence of food insecurity being associated to indicators of great social vulnerability shows the role of social and economic inequities on the inadequate access to food amongst families in the semiarid zone on a nearly generalized low-income context. These findings corroborate to the evident need of expanding and reinforcing public policies, as well sustainable development models to prioritize and promote social inclusion of communities at greater vulnerabilities in the Brazilian semiarid area. Thus, the need of these economic and social public strategies is highlighted by the worsening of historical vulnerable conditions due to the cycles of droughts on this region.


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