Food insecurity among adults residing in disadvantaged urban areas: potential health and dietary consequences

Ramsey, Rebecca; Giskes, Katrina; Turrell, Gavin; Gallegos, Danielle

doi:10.1017/s1368980011001996

Cited by 165 publications

(199 citation statements)

References 65 publications

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“…These findings are in accordance with previous studies (2,7,13,17) , which found that food insufficiency or food insecurity was associated with poor general health, increased health-care utilisation and depression. Ding et al (17) reported an association between food insecurity and poor sleep in US adults.…”

Section: Discussionsupporting

confidence: 93%

Household food insufficiency is associated with dietary intake in Korean adults

Lee¹,

Song²,

Kim³

et al. 2015

Public Health Nutr.

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Objective: To examine the association of food insufficiency with dietary intake and eating and health behaviours. Design: A cross-sectional study. Setting: Data were obtained from a secondary source, the Fifth Korea National Health and Nutrition Examination Survey (2010)(2011)(2012). Subjects: The sample size consisted of 15 603 adults over 19 years of age (8898 households). Results: Significant differences in socio-economic factors were observed according to food insufficiency level (P < 0·05), but BMI was similar among groups. Regarding macronutrients, lower protein intake and higher carbohydrate intake were found in the severely food-insufficient group, but we found no association with fat intake. Regarding micronutrients, Ca, Fe, vitamin A, thiamin, riboflavin niacin and vitamin C intakes were negatively associated with food insufficiency level (P trend < 0·05). Consumption of different food groups, such as meat, fish, eggs and beans, vegetables and fruits, was significantly lower as food insufficiency level decreased after controlling for all possible variables; food group consumption also differed by sex. Overall eating and health behaviours were poorer in the mildly and severely food-insufficient groups, who received more food assistance but less nutritional education. Conclusions: Our results showed that dietary intake as well as eating and health behaviours are adversely associated with food insufficiency. These findings suggest that specific strategies to help food-insufficient individuals should be developed in order to improve their dietary quality and health status.

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Section: Discussionsupporting

confidence: 93%

Household food insufficiency is associated with dietary intake in Korean adults

Lee¹,

Song²,

Kim³

et al. 2015

Public Health Nutr.

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Section: Daily Not Dailysupporting

confidence: 89%

“…Consistent with other studies 26,30 , the elderly who reported regular, poor, or very poor health were more likely to be food insecure. According to Ramsey et al 26 , the physiological and psychological changes caused by nutritional deficiencies and the concern caused by restricted access to food may explain the association between food insecurity and many diseases. A study conducted in Canada in 1996 with 153 women found that those who had experienced food insecurity in the past twelve months, including the past thirty days, were twice as likely to report activity limitations due to disease or disability 30 .…”

Section: Daily Not Dailysupporting

confidence: 89%

“…According to PNAD/2004, the prevalence of food insecurity in a sample of 23,877 Brazilian households headed by elderly individuals was 29.8%, and the prevalences of severe food insecurity differed significantly between income strata (2.8% for those receiving insecurity, possibly because the retirement pension increases the family income 25 . A study conducted in 2009 in Australia found a frequency of food insecurity among adults of 25.0%, and those who reported lower incomes were approximately nine times more likely to be food insecure (OR=8.96; 95%CI=4.41-12.21) 26 . In Texas, USA, city data of 2006 showed that 18.6% of adults and elderly aged ≥50 years were food insecure, especially women and those below the poverty line; moreover, the prevalence of food insecurity decreased as the education level and age increased (p<0.000) 27 .…”

Section: Daily Not Dailymentioning

confidence: 99%

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Food insecurity among the elderly: cross-sectional study with soup kitchen users

Souza

Marín-León

2013

Rev. Nutr.

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OBJECTIVE: To investigate whether food insecurity is associated with the demographic, socioeconomic, lifestyle, and health conditions of the elderly. METHODS: This cross-sectional study included 427 elderly (³60 years) from Campinas, São Paulo; half were users of a government-run soup kitchen and the others, their neighbors of the same sex. Food insecurity was measured by the Brazilian Food Insecurity Scale. Univariate multinomial logistic regression was used for calculating the odds ratio and 95% confidence interval to measure the association between the independent variables and food insecurity. Variables with p<0.20 were included in a multinomial model, and only those with p<0.05 remained. RESULTS: Most respondents (63.2%) were males; 15.2% and 6.6% were experiencing mild and moderate/severe food insecurity, respectively. The final model, adjusted for sex and age, showed that elderly with a total family income ≤2 minimum salaries (OR=3.41, 95%CI=1.27-9.14), who did not have a job (OR=2.95, 95%CI=1.23-7.06), and who were obese (OR=2.01, 95%CI=1.04-3.87) were more likely to be mildly food insecure. Elderly with cancer (OR=4.13, 95%CI=1.21-14.0) and those hospitalized in the past year (OR=3.16, 95%CI=1.23-8.11) were more likely to be moderately/severely food insecure. Finally, elderly living in unfinished houses (OR=2.71; and OR=2.92) and who did not consume fruits (OR=2.95 and OR=4.11) or meats daily (OR=2.04 and OR=3.83) were more likely to be mildly and moderately/severely food insecure. CONCLUSION: Food insecure elderly are more likely to have chronic diseases, poor nutritional status, and poor socioeconomic condition. Therefore, the welfare programs should expand the number of soup kitchens and develop other strategies to assure adequate nutrition to these elderly.

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“…For example, the question regarding fruit was as follows: 'How many pieces of fruit do you usually eat per day? (count 1/2 cup of tinned fruit or 1 cup of fresh fruit/berries/grapes or 1/3 cup of dried fruit or 1/2 cup of juice as 1 piece)', with responses as 'don't eat fruit', 'less than 1 piece per day', '1 piece per day', '2 pieces per day', '3 pieces per day' and '4 or more pieces per day'.Survey responses were compared with responses from three other surveyed groups: a (i) representative sample of the Australian population (29) ; (ii) a sample of socioeconomically disadvantaged Brisbane residents (28) ; and Samoans' dietary habits in Australia 789(iii) a migrant Pacific Island population in New Zealand (30) . All four samples were population-based.…”

mentioning

confidence: 99%

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

Perkins

Ware

Tautalasoo³

et al. 2015

Public Health Nutr.

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Objective: To describe key characteristics of the dietary habits of Samoans residing in Logan, Queensland and to compare these characteristics with comparable populations. Design: Dietary intake was measured using a self-administered structured questionnaire between December 2012 and March 2013. Demographic characteristics included age and sex. Questionnaire results were compared with data from samples of Brisbane residents of similar social and economic characteristics and Pacific Islanders in New Zealand. The association between demographic characteristics and diet was investigated. Setting: Logan, Queensland, Australia. Subjects: Samoans aged 16 years and older. Results: A total of 207 Samoans participated, ninety-six (46 %) of whom were male. Of the participants, seventy-nine (38 %) were aged 16-29 years, sixty-three (30 %) were aged 30-49 years and sixty-five (31 %) were aged ≥50 years. Younger adults were significantly more likely to eat hamburgers, pizza, cakes, savoury pastries, potato crisps, sweets and soft drinks (all variables P < 0·001). Among Samoans, 44·7 % consumed two or more pieces of fruit daily, compared with 43·8 % of comparable Brisbane residents (relative risk = 1·0; 95 % CI 0·8, 1·2). Three or more servings of vegetables each day were consumed by 9·2 % of Samoans compared with 36·6 % of comparable Brisbane residents (relative risk = 3·8; 95 % CI 2·5, 6·0). Conclusions: Samoans are consuming significantly fewer vegetables and more discretionary foods than other populations. Socio-economic factors, length of stay in Australia and cultural practices may impact upon Samoans' diets. Further comprehensive studies on Samoans' dietary habits in Australia are recommended. Keywords Migrant health Pacific IslandersDietary intake Acculturation Nutritional inequalitiesPartially as a consequence of the adoption of Westernstyle diets (1)(2)(3) , rates of chronic disease, particularly obesity and type 2 diabetes mellitus, have increased dramatically in recent years among migrant Polynesian communities. The increased risk of chronic disease is amplified by an apparent genetic predisposition to obesity, diabetes, heart disease and hypertension (4,5) . The present paper considers key dietary characteristics of a population who identify with Samoan ancestry and reside in Logan, which is part of the Greater Brisbane region of South East Queensland. Henceforth, this population will be referred to as Samoans. Samoans are more susceptible to poor levels of population health as a result of various determinants underpinning their attitudes, access and knowledge of health care, such as socio-cultural issues, low socio-economic status and low health literacy (6,7) . Consequently, Samoans suffer disproportionate rates of non-communicable diseases and avoidable hospital admissions (7)(8)(9) . Queensland has a large Polynesian population of approximately 40 000, 38 % of whom identify with Samoan ancestry (10,11) . Little has been done to address the poor state of health of Samoan people in Australia.Diet qualit...

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Food insecurity among adults residing in disadvantaged urban areas: potential health and dietary consequences

Cited by 165 publications

References 65 publications

Household food insufficiency is associated with dietary intake in Korean adults

Household food insufficiency is associated with dietary intake in Korean adults

Food insecurity among the elderly: cross-sectional study with soup kitchen users

Dietary habits of Samoan adults in an urban Australian setting: a cross-sectional study

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