Obesity, diabetes, and blood pressure aregreater in food insecure households in rural Appalachian Ohio

Holben, David H.; Pheley, Alfred M.

doi:10.1016/s0002-8223(01)80262-5

Cited by 77 publications

(137 citation statements)

References 10 publications

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“…While little research exists examining the direct associations between food access and each of these significant variables, there are many studies that examine the indirect effects. The positive association of satisfaction with health status and food access is consistent with the results of several studies (11)(12)(13)(14)(15)(16)(17) ; however, the cross-sectional nature of our design makes it difficult to comment on the direction of relationships. Food-secure households may rate their health more favourably because better health may act as an asset which enables households to have better food access through improved productivity and economic growth (18) .…”

Section: Discussionsupporting

confidence: 89%

Determinants of household food access among small farmers in the Andes: examining the path

Leah

Pradel

Cole

et al. 2012

Public Health Nutr.

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Objective: Household food access remains a concern among primarily agricultural households in lower-and middle-income countries. We examined the associations among domains representing livelihood assets (human capital, social capital, natural capital, physical capital and financial capital) and household food access. Design: Cross-sectional survey (two questionnaires) on livelihood assets. Setting: Metropolitan Pillaro, Ecuador; Cochabamba, Bolivia; and Huancayo, Peru. Subjects: Households (n 570) involved in small-scale agricultural production in 2008. Results: Food access, defined as the number of months of adequate food provisioning in the previous year, was relatively good; 41 % of the respondents indicated to have had no difficulty in obtaining food for their household in the past year. Using bivariate analysis, key livelihood assets indicators associated with better household food access were identified as: age of household survey respondent (P 5 0?05), participation in agricultural associations (P 5 0?09), church membership (P 5 0?08), area of irrigated land (P 5 0?08), housing material (P 5 0?06), space within the household residence (P 5 0?02) and satisfaction with health status (P 5 0?02). In path models both direct and indirect effects were observed, underscoring the complexity of the relationships between livelihood assets and household food access. Paths significantly associated with better household food access included: better housing conditions (P 5 0?01), more space within the household residence (P 5 0?001) and greater satisfaction with health status (P 5 0?001). Conclusions: Multiple factors were associated with household food access in these peri-urban agricultural households. Food security intervention programmes focusing on food access need to deal with both agricultural factors and determinants of health to bolster household food security in challenging lower-and middle-income country contexts.

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Section: Discussionsupporting

confidence: 89%

Determinants of household food access among small farmers in the Andes: examining the path

Leah

Pradel

Cole

et al. 2012

Public Health Nutr.

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“…About 9% indicated that in the past year they ate less due to financial insecurity, while roughly 5% reported that they went hungry because they were not able to get out and purchase food. Neighborhood safety had a mean of 6.83 (range, [3][4][5][6][7][8][9][10][11][12]; the mean of neighborhood social cohesion was 12.29 (range, 5-20). The average walkability score among study sample respondents was 5.26 out of 8.0.…”

Section: Respondent Characteristicsmentioning

confidence: 99%

“…1 In addition, studies of elder subpopulations have associated levels of inadequate nutrition with depressive symptomatology 2 and lower cognitive function. 3 More broadly, the salience of food insecurity has been underscored by its links to cardiovascular risk, 4,5 self-rated health, 6 body mass index or obesity, [7][8][9] risk of emergent and overnight care, 10 and non-adherence to pharmaceutical regimes. 10,11 In older adults specifically, food insecurity has been found to predict poor nutritional outcomes, 12 including lower caloric intake, fewer meals per day, and foods lower in nutrients.…”

Section: Introductionmentioning

confidence: 99%

Linking Neighborhood Characteristics to Food Insecurity in Older Adults: The Role of Perceived Safety, Social Cohesion, and Walkability

et al. 2011

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Among the 14.6% of American households experiencing food insecurity, approximately 2 million are occupied by older adults. Food insecurity among older adults has been linked to poor health, lower cognitive function, and poor mental health outcomes. While evidence of the association between individual or household-level factors and food insecurity has been documented, the role of neighborhood-level factors is largely understudied. This study uses data from a representative sample of 1,870 New York City senior center participants in 2008 to investigate the relationship between three neighborhood-level factors (walkability, safety, and social cohesion) and food insecurity among the elderly. Issues relating to food security were measured by three separate outcome measures: whether the participant had a concern about having enough to eat this past month (concern about food security), whether the participant was unable to afford food during the past year (insufficient food intake related to financial resources), and whether the participant experienced hunger in the past year related to not being able to leave home (mobility-related food insufficiency). Unadjusted and adjusted logistic regression was performed for each measure of food insecurity. Results indicate that neighborhood walkability is an important correlate of mobilityrelated food insufficiency and concern about food insecurity, even after controlling the effects of other relevant factors.

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“…Household and individual food insecurity are related to poor cognitive development, and suboptimal learning and health in children, [5][6][7][8][9] and to poorer nutrient intake and diet-sensitive chronic diseases in adults. 8,[10][11][12][13][14][15][16][17][18] The degree of food insecurity varies between and within groups and is highly prevalent among Indigenous Peoples. 4,19,20 High food insecurity prevalence has been observed among Inuit in the Arctic [21][22][23] : 62% of Inuit households were food insecure in 2007-2008, 21 far above the Canadian national estimate.…”

mentioning

confidence: 99%

Validity of a Single Item Food Security Questionnaire in Arctic Canada

Urke¹,

Cao²,

Egeland³

2014

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Food insecurity is best measured by comprehensive assessments. However, rapid assessments can be useful in certain circumstances, but their validity is not characterized. WHAT THIS STUDY ADDS:Rapid assessment of food insecurity is feasible among Inuit adults and children. abstract OBJECTIVES: Assess sensitivity and specificity of each of the 18 US Department of Agriculture (USDA) Household Food Security Scale Module (HFSSM) questionnaire items to determine whether a rapid assessment of child and adult food insecurity is feasible in an Inuit population. METHODS:Food insecurity prevalence was assessed by the 18-item USDA HFSSM in a randomized sample of Inuit households participating in the Inuit Health Survey and the Nunavut Inuit Child Health Survey. Questions were evaluated for sensitivity, specificity, predictive value (+/2), and total percent accuracy for adult and child food insecurity (yes/no). Child food security items were evaluated for both surveys.RESULTS: For children, the question "In the last 12 months, were there times when it was not possible to feed the children a healthy meal because there was not enough money?" had the best performance in both samples with a sensitivity and specificity of 92.3% and 97.3%, respectively, for the Inuit Health Survey, and 88.5% and 95.4% for the Nunavut Inuit Child Health Survey. For adults, the question "In the last 12 months, were there times when the food for you and your family just did not last and there was no money to buy more?" demonstrated a sensitivity of 93.0% and a specificity of 93.4%.CONCLUSIONS: Rapid assessment of child and adult food insecurity is feasible and may be a useful tool for health care and social service providers. However, as prevalence and severity of food insecurity change over time, rapid assessment techniques should not replace periodic screening by using the full USDA HFSSM questionnaire. Pediatrics 2014;133:e1616-e1623 AUTHORS:

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Obesity, diabetes, and blood pressure aregreater in food insecure households in rural Appalachian Ohio

Cited by 77 publications

References 10 publications

Determinants of household food access among small farmers in the Andes: examining the path

Determinants of household food access among small farmers in the Andes: examining the path

Linking Neighborhood Characteristics to Food Insecurity in Older Adults: The Role of Perceived Safety, Social Cohesion, and Walkability

Validity of a Single Item Food Security Questionnaire in Arctic Canada

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