Comparison of Emergency Preparedness Practices between Food Assistance Program Participants and Non-Participants in the United States

Background: Previous research has suggested many households are meeting the Federal Emergency Management Agency’s 3-day emergency food and water storage recommendations. The impact of limited economic household resources on emergency preparedness practices related to food and water is uncertain. The purpose of this study was to compare emergency preparedness practices in households participating in United States’ food assistance programs with households not participating in these programs. Methods: A convenience sample of adults (n = 572) completed an online Qualtrics survey. Descriptive statistics, chi-square statistics, and independent t-tests were used to measure differences between households participating in food assistance programs vs. non-participating households. Results: Most households participating in food assistance programs felt prepared to provide household members with food and water during an emergency, which did not significantly differ from non-participating households. Households using food assistance programs had less accessible cash but had similar foods on-hand for an emergency compared to non-participating households. However, they more frequently reported having baby formula/food and less frequently reported having vitamin/mineral supplements compared to non-participating households. Conclusions: Food assistance programs may be effective in providing enough food and water to help low-income families be prepared for an emergency.

The Nutritional Content of Rescued Food Conveyed by a Food Aid Organization

Background: The number of food-insecure families in the European Union has increased, resulting in an increasing number of households depending on food assistance programs. The aim in this study was to evaluate the nutrient content of food rescued by a food aid organization that rescues and redistributes fresh or freshly cooked food to low-income households. Methods: To determine the nutritional content of food hampers provided by our case study organization, we weighed all items of food hampers in three weighing rounds over a period of four months. The Food Insecurity Experience Scale (FIES) was applied to measure households’ food insecurity. Results: Our results show that, at our case study food aid organization, food donations substantially contribute to energy, macro, and micronutrient dietary recommendation intake (DRI). Conclusions: When evaluating how these nutrients contribute to alleviating food insecurity of the beneficiary households, we found that the perception of food insecurity is independent of the amount of nutrients served. To the best of our knowledge, this is the first study measuring the nutritional content of fresh or freshly cooked rescued food conveyed by a food aid organization.

Patient Perspectives: Valuable Food Insecurity Interventions

Introduction: Food insecurity (FI), defined as “limited or uncertain availability of nutritionally adequate and safe foods, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways,” affects over 12% of US households. Embarrassment persists for patients with FI, and due to the potential consequences of FI, including increased utilization of the health care system, it is important to find causes and potential interventions for FI. The purpose of this project was to better understand FI from the patient perspective, including contributing factors, perceived health effects, and helpful interventions. Methods: Interviews (N=21) were conducted with suburban community residency clinic patients who screened positive for FI in the last 12 months. Six open-ended questions and a ranking question examined contributors to FI, effects of FI, perceptions of clinic intervention helpfulness, and ideas for novel interventions. Results: Patients identified lack of income (85.7%) as the primary issue they faced. Secondary identified issues were lack of transportation (38.1%), too much debt (33.3%), and food assistance programs not providing for all needs (33.3%). FI effects on patients’ health included difficulty adhering to specialized diets and the need to modify eating patterns due to lack of food. Surprisingly, 28.6% perceived no FI related-health effects. Patients felt that the most valuable clinic intervention was provision of urgent need food boxes, followed by FI screening and referrals to community food resources. Conclusions: Frequent FI screening is in itself useful to patients. Screening paired with community food resource referrals and urgent-need food boxes are the most helpful interventions according to patients.

Gardening for change: Community giving gardens and senior food insecurity

An estimated 5.3 million seniors in the United States are currently food insecure (Ziliak & Gunderson, 2020). Over the next few decades, these senior populations are projected to increase dramatically, which will only exacerbate this issue (Mather & Kilduff, 2020). Community giving gardens are an emerging strategy to increase food access and offer a solution to fight food insecurity locally (Chicago Community Gardeners Associa­tion, 2014; Furness & Gallaher 2018; Sutphen, 2018). This research seeks to answer questions related to rural, senior food insecurity through a case study of a long-term community giving garden project in Orono, Maine. Based on survey data and personal interviews, this study analyzes senior participation in the Orono Community Garden (OCG) program, the impact on participants’ food security status, and senior participants’ perceptions of the experience. The results indicate that the OCG program functioned to increase food access by providing fresh food deliveries directly to senior households in need, alongside a constellation of local food assistance programs located in Orono. Participants also viewed the OCG program as a source of destigmatized and socially acceptable food access, in contrast to other food assistance programs. Community giving gardens, like the OCG program, can be an effective tool to combat senior food insecurity by providing nutritionally adequate, destigmatized food access while building local food economies.

Changing Perceptions of the Role of Food Assistance Programs in the Development and Prevention of Obesity in Lima, Peru

Objectives The purpose of this study is to assess the perceived role of food assistance programs (FAPs) in the development and prevention of overweight/obesity (OW/OB) in two low-income districts of Lima, Peru and analyze how these perceptions have changed across time. Methods In 2009, we conducted focus groups with FAP beneficiaries and in-depth interviews with FAP administrators (N = 34) from three common FAPs in two low-income districts of Lima, Peru. These data captured participants’ perceptions of OW/OB and their recommendations to address them. We conducted grounded theory analysis on this dataset to identify dominant themes and structure a second round of data collection. In January-February 2021, we are conducting in-depth interviews with FAP beneficiaries and administrators from the same programs and districts (current N = 16, expected N = 36). We will conduct grounded theory analysis on the second dataset and cross-analyze the two datasets to measure differences and similarities. Results In 2009, nearly all FAP beneficiaries and half of FAP administrators identified OW/OB as a public health problem in their community. They expressed need for more nutrition education, potentially through FAPs. Most FAP administrators and some beneficiaries also recommended offering healthier food in one particular FAP (Community Kitchens). Preliminary results from 2021 reveal that nearly all FAP beneficiaries and administrators perceived OW/OB to be a problem in their community. Educational resources about OW/OB were limited and participants continued to recommend increased outreach, potentially through FAPs. Most beneficiaries of Community Kitchens cited the need for healthier food options. Conclusions From 2009 to 2021, more FAP beneficiaries and administrators perceived OW/OB to be a problem in their communities; however, resources to address this problem remained limited. Our findings suggest the need for increased nutrition education through FAPs and adjustments to foods available in specific FAPs. Funding Sources Tulane University.

Use of Formal and Informal Food Resources by Food Insecure Families in Lima, Peru: A Mixed-Methods Analysis

The goal of this study was to measure food insecurity among families with children in a low-income district of Lima, Peru and to identify the formal and informal food resources available to them that may affect their food security status. In June-July 2019, we collected data from 329 randomly selected households in Villa El Salvador (Lima, Peru). Following a mixed methods approach, we found that the percentage of households using food assistance programs (FAPs) increased with increasing levels of food insecurity, but two FAPs were heavily used by households regardless of food (in)security. The main reasons for using FAPs included financial need, already being signed up in the program, and believing that the food was of nutritional value; the main reasons for non-use were finding the program unnecessary, dislike or poor perceived quality of the food, and not being able to sign up for the program. Similarly, informal food resources, such as buying food on credit or receiving food from someone outside the household, were incrementally used with increased levels of food insecurity. Our study clarifies the relationship between level of household food insecurity and FAP use – FAPs more commonly used by food insecure households were used because of financial need, whereas the FAPs most commonly used by food secure households were those with automatic enrollment. At a programmatic level, our research highlights the need for making nutritious and preferred foods available in FAPs and standardizing the application of enrollment criteria.