Relationship of food insecurity to women’s dietary outcomes: a systematic review

Johnson, Cassandra; Sharkey, Joseph R.; Lackey, Mellanye; Adair, Linda S.; Aiello, Allison E.; Bowen, Sarah; Fang, Wei; Flax, Valerie L.; Ammerman, Alice S.

doi:10.1093/nutrit/nuy042

Cited by 37 publications

(39 citation statements)

References 59 publications

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“…Socially-and culturally-constructed roles related to food might explain why gender differences were mainly found among adults and not children, and why women were particularly more affected. Men are often allowed to eat first [20], and women, as primary caregivers and food providers, often feed their children and husbands before themselves [11]. However, for some nutrients, the prevalence of insufficient intakes was higher among boys and men, such as for vitamin B1 and B2.…”

Section: Discussionmentioning

confidence: 99%

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Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

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Background: Recognition of discrepancies between men and women in nutritional intake is important to tackle food and nutrition insecurity and the often-double burden of malnutrition. The purpose of this study was to assess nutritional status and dietary intake of the Lao population, with a focus on possible influences of gender.Methods: Dietary intake was assessed in a national cross-sectional study of 1771 randomized participants aged from 1.01 to 89 years, using 24-h dietary recall. Dietary reference intakes were used to assess nutrient insufficiency. Chi-square test was used to evaluate gender differences and multiple univariate logistic regression to examine associations between gender, nutritional status, demographics and nutrient insufficiency. Results: Nutrient insufficiencies were higher among pregnant and lactating women than other adult men and women, especially for protein and micronutrients such as vitamin B3, B1, C and other vitamins. Dietary intake and BMI were similar between men and women; all had insufficient intake of all types of nutrients, except sodium. However, women had lower intake than men for almost all nutrients and age groups. The prevalence of overnutrition was higher among those aged 18 years and over for both sexes. Among adult women (15-49.9 years old) and older adult women (50 years old or above), the proportions were: underweight 8.6% (both groups), overweight 18.4 and 20.5%, and obese 34.2 and 39.1%, respectively. Among pregnant and lactating women, the rates of underweight were 7.5 and 1.4%, of overweight were 17.8 and 27.1%, and obese, 21.9 and 40.0%. Among adult and older men, 3.2 and 8.3% were underweight; 21.0 and 18.6% were overweight and 28.2 and 27.6% were obese. Multiple univariate logistic regressions revealed that the factors rural area, dry season and Northern-Lowland region were associated with inadequate micronutrient intake among children, adolescents and adults of both genders. Conclusions: Dietary intakes were alarmingly micronutrient-insufficient. Macronutrient imbalance and double burden of malnutrition were confirmed in both sexes. Gender differences were limited; men and women had similarly insufficient intakes, but pregnant and lactating women were disproportionately affected. Nutritional interventions should also take men and older people into account to solve nutrition problems.

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Section: Discussionmentioning

confidence: 99%

“…Social and economic inequalities between men and women can negatively influence nutritional intake of Southeast Asian women, when men and boys are given priority to eat more nutritious food [10]. Also, as primary caregivers and food providers, women often feed their children before themselves [11] .…”

Section: Introductionmentioning

confidence: 99%

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Ratsavong¹,

Elsacker

Doungvichit

et al. 2020

Nutr J

View full text Add to dashboard Cite

show abstract

“…Such negative experiences could create a stressful environment for food-insecure pregnant women, which has been closely linked with the risk of depression (10). Moreover, food-insecure women have lower diet quality, which is characterized by a lower intake of micronutrients, including vitamins and minerals as well as food sources (12). Such low-quality diets have been positively linked with depressive symptoms during the prenatal period, which may be due to absence of several major nutrients that are involved in mental health, such as folate, vitamin B-6, iron, selenium, zinc, and essential fatty acids (13,14).…”

mentioning

confidence: 99%

The Relationship between Household Food Insecurity and Depressive Symptoms among Pregnant Women: A Cross Sectional Study

Khoshgoo¹,

Eslami²,

al-hosseini³

et al. 2020

IJPS

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Objective: There is growing evidence suggesting that household food insecurity (HFI) is associated with adverse outcomes on mental health; however, limited evidence exists for pregnant women. This study was conducted to determine the relationship between HFI and depressive symptoms among a sample of pregnant women. Method: This cross sectional study was performed on 394 pregnant women referring to the health centers located in Qom, Iran, from October 2017 to March 2019. HFI was evaluated using an 18-item US Household Food Security Survey Module. The Beck Depression Inventory-II questionnaire was applied to determine the severity of depressive symptoms. Logistic regression analysis was used to determine the factors associated with elevated depressive symptoms in the study population. Results: The mean (± standard deviation) age of the study population was 28.59 ± 7.28 years. Almost 48% of participants were food insecure, and 37% experienced elevated levels of depressive symptoms during pregnancy. The prevalence of elevated depressive symptoms was significantly higher in food-insecure (P < 0.001) and unemployed (P = 0.02) women, while it was significantly lower in women with higher education levels (P < 0.001). In the adjusted model, it was revealed that HFI was significantly associated with the higher likelihood of having elevated depressive symptoms (OR = 3.31, 95% CI = 2.07, 5.29), while the higher level of education was negatively associated with the levels of depressive symptoms (OR = 0.40, 95% CI = 0.20, 0.79). Conclusion: HFI was positively associated with the severity of depressive symptoms in a sample of pregnant women. Further studies are needed to confirm this finding. Meanwhile, routine screening of HFI for all pregnant women in the community health centers is recommended.

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“…Household food insecurity is associated with adverse health, educational and social outcomes. Food insecure adults have been found to consume fewer fruits, vegetables and dairy products and have a lower intake of essential vitamins (Hanson & Connor, ; Johnson et al, ) than the general population. These adults are also more likely to report back pain, mood/anxiety disorders and have multiple chronic conditions compared to food secure adults (Tarasuk, Mitchell, McLaren, & McIntyre, ).…”

Section: Introductionmentioning

confidence: 99%

The impact of social enterprise on food insecurity – An Australian case study

Lindberg

McCartan

Stone

et al. 2019

Health Soc Care Community

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Like many high‐income countries, in Australia there are a range of programmes in place, from social security to food banks, to help address food insecurity. So far, they have been unable to adequately alleviate and prevent this growing nutrition challenge. This paper presents an evaluation of a new type of intervention in the food security landscape, the social enterprise. The Community Grocer is a social enterprise that operates weekly fresh fruit and vegetable markets in Melbourne, Australia. The aim of the study was to examine the market's ability to increase access, use and availability of nutritious food in a socially acceptable way, for low socioeconomic status urban‐dwelling individuals. The mixed‐method evaluation included: comparative price audits (n = 27) at local (<1 km) stores; analysis of operational data from sample markets (n = 3); customer surveys (n = 91) and customer interviews (n = 12), collected in two phases (Autumn 2017, Summer 2018). The results found common (n = 10) fruit and vegetables cost, on average, approximately 40% less at the social enterprise, than local stores. Over twenty per cent of customers were food insecure and 80% of households were low income. Thirty‐four different nationalities shopped at the market, and just over half (54%) shopped there weekly. More than 50 types of vegetables and fruit were available to purchase, varying for cultural preferences and seasonality, which supported variety and choice. Overall, this enterprise promotes food security in a localised area through low‐cost, convenient, dignified and nutritious offerings.

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Relationship of food insecurity to women’s dietary outcomes: a systematic review

Cited by 37 publications

References 59 publications

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

Are dietary intake and nutritional status influenced by gender? The pattern of dietary intake in Lao PDR: a developing country

The Relationship between Household Food Insecurity and Depressive Symptoms among Pregnant Women: A Cross Sectional Study

The impact of social enterprise on food insecurity – An Australian case study

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