Food insecurity, food crimes and structural violence: an Australian perspective

Booth, Sue; Pollard, Christina

doi:10.1111/1753-6405.12977

Cited by 18 publications

(24 citation statements)

References 12 publications

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“…8 Poor food security, malnutrition and chronic disease severity are closely associated due to reliance on the consumption of energy-dense, nutrient-poor foods (EDNPF) and a heightened prevalence of obesity. 1,[9][10][11] The consumption of EDNPF increased during the COVID-19 pandemic due to restrictive measures on access to fresh food and staples, food supply chain disruptions and increasing food costs, which drove behaviour towards purchasing a constant supply of cheaper foods that have a long shelf-life. 2 Food literacy is a widely used term with varying definitions.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Nutrition Education and Skills Training programme in vulnerable adults who are at high risk of food insecurity

Kearsey,

West,

Vairinhos

et al. 2023

J Human Nutrition Diet

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BackgroundIn Australia, the prevalence of food insecurity increased by 1.5% between 2014 and 2016 and 2018 and 2020 due to effects of the COVID‐19 pandemic. OzHarvest offers a 6‐week Nutrition Education and Skills Training (NEST) programme to adults at risk of food insecurity. NEST provides 2.5‐h weekly cooking workshops on simple, healthy and affordable meals. This study aimed to determine the immediate (post) and longer‐term (6 months) impacts of participation in NEST.MethodsA quasi‐experimental study with pre–post surveys (n = 258) and 6‐month follow‐up surveys (n = 20) was conducted from June 2019 to July 2022. Survey results were obtained from NEST programme participants (≥18 years) from six major Australian cities.ResultsParticipants demonstrated immediate improvement in nutrition knowledge (p < 0.001), food preparation behaviours (p < 0.001) and confidence and self‐efficacy (n = 222; p < 0.001). Intake of discretionary foods decreased (p < 0.001), whereas fruit, vegetable and water intake increased (p < 0.001). Food security improved from 57% to 68% immediately after the completion of the programme (p < 0.001). Participants demonstrated longer‐term improvements in nutrition knowledge (p < 0.001), cooking confidence (n = 8; p = 0.03), food preparation behaviours (p = 0.003) and increased vegetable (p = 0.03) and fruit intake (p = 0.01).ConclusionsParticipation in OzHarvest's NEST programme results in short‐term improvements in food security levels and dietary behaviours. Over the longer term, these changes were sustained but to a lesser degree, indicating that systemic changes are required to address underlying socio‐economic disadvantages.

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Section: Introductionmentioning

confidence: 99%

Evaluation of a Nutrition Education and Skills Training programme in vulnerable adults who are at high risk of food insecurity

Kearsey,

West,

Vairinhos

et al. 2023

J Human Nutrition Diet

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show abstract

“…Household food insecurity (HFI) as a concept, is internationally recognised as a negative human experience associated with being unable to acquire or consume an adequate quality and quantity of food in socially acceptable ways, and includes the experience of having anxiety and uncertainty of being able to do so [14]. In high income countries, HFI is increasingly considered to be primarily associated with a person or household having inadequate or insecure access to food due to financial constraints and regarded as indication of economic struggle in an increasing number of low-income households in high-income countries [15][16][17][18]. HFI has been shown, in other international contexts, to be associated with an increased risk of serious non-communicable health conditions such as diabetes and cardiovascular disease, and compromised condition management leading to sub-optimal health outcomes [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

2020

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual's health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. Notions of the support they might wish to receive from them. Methods: Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed. Results: Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in) visibility of participants' economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system. Conclusions: This study, the first of its kind in the UK, indicated that participants' health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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“…Household food insecurity (HFI) as a concept, is internationally recognised as a negative human experience associated with being unable to acquire or consume an adequate quality and quantity of food in socially acceptable ways, and includes the experience of having anxiety and uncertainty of being able to do so [14]. In high income countries, HFI is increasingly considered to be primarily associated with a person or household having inadequate or insecure access to food due to nancial constraints and regarded as indication of economic struggle in an increasing number of low-income households in high-income countries [15][16][17][18]. HFI has been shown, in other international contexts, to be associated with an increased risk of serious non-communicable health conditions such as diabetes and cardiovascular disease, and compromised condition management leading to sub-optimal health outcomes [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Methods : Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed.Results : Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions : This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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Food insecurity, food crimes and structural violence: an Australian perspective

Cited by 18 publications

References 12 publications

Evaluation of a Nutrition Education and Skills Training programme in vulnerable adults who are at high risk of food insecurity

Evaluation of a Nutrition Education and Skills Training programme in vulnerable adults who are at high risk of food insecurity

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

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