The Overlooked Burden of Food Insecurity among Asian Americans: Results from the California Health Interview Survey

Becerra, Monideepa B.; Mshigeni, Salome; Becerra, Benjamin J.

doi:10.3390/ijerph15081684

Cited by 27 publications

(32 citation statements)

References 37 publications

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“…Maternal time in the US was an ordinal variable with five levels: < 5 years, 5-14 years, 15-24 years, ≥ 25 years, and US-born. US nativity and increasing time in the US served as proxies for acculturation, similar to larger studies in Asian American populations [5,6,[33][34][35][36] in which acculturation questionnaires were not administered.…”

Section: Methodsmentioning

confidence: 87%

“…While Asian Americans are the highest earning racial/ethnic group, they are the most economically divided, partly due to different sociopolitical histories and immigration policies that shape their experiences [44]. Furthermore, low acculturation is associated with food insecurity in most Asian American subgroups [35], and participation in the Supplemental Nutrition Assistance Program (SNAP) is low in this population [35]. Providing financial assistance to low income, less acculturated families and addressing barriers to SNAP participation may help reduce obesity in Asian American children.…”

Section: Discussionmentioning

confidence: 99%

“…Acculturation is a complex process that affects beliefs, attitudes, and behaviors [21] and can manifest in multiple dimensions of life [20] in varying ways. Smaller studies have used multi-item acculturation questionnaires [19][20][21][22]25], but nativity and time in the US have been used as proxies in larger studies in Asian American populations in which detailed acculturation scales were not administered [5,6,[33][34][35][36]. Finally, we used data from 2013-2016, which may not be representative of the current population.…”

Section: Discussionmentioning

confidence: 99%

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Obesity and Obesogenic Behaviors in Asian American Children with Immigrant and US-Born Mothers

Argueza

Sokal-Gutierrez

Madsen

2020

IJERPH

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Child obesity is understudied in Asian Americans, which include a growing population of recent immigrants. We examined the relationship between maternal nativity and time in the US, and obesity and obesogenic behaviors among Asian American children. We analyzed public-use data from the 2013–2016 California Health Interview Survey for Asian American children ages 2 to 11 years. We used logistic regression to determine the odds of obesity and obesogenic behaviors associated with maternal nativity and time in the US. This study included n = 609 children. Children of US-born mothers had lower odds of obesity (adjusted odds ratio, AOR, 0.12; 95% CI 0.02 to 0.91) and lower fruit intake (AOR 0.15, 95% CI 0.03 to 0.81) than children of recent immigrants (< 5 years in the US). Asian American children with recent immigrant mothers are more likely to be obese and eat less fruit than children with US-born mothers. Efforts to prevent obesity and increase fruit consumption are particularly important for this vulnerable population of children of recent immigrants.

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Section: Methodsmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Obesity and Obesogenic Behaviors in Asian American Children with Immigrant and US-Born Mothers

Argueza

Sokal-Gutierrez

Madsen

2020

IJERPH

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“…Fourth, due to the limitation of the HPS data, we were unable to disaggregate Asian and Hispanic categories into subgroups based on country of origin (e.g., Chinese, Vietnamese, Mexican, Cuban), which might mask substantial diversity that exists within Asian and Hispanic populations and conceal disparate food insecurity risks experienced by particular subgroups. For example, a previous study found the highest prevalence of food insecurity among Vietnamese Americans and the lowest prevalence among Japanese Americans [63]. Fifth, based on previous research and existing evidence, we provided explanations on why Asian and Hispanic households might be afraid to leave their homes to buy food.…”

Section: Study Limitations and Avenues For Further Researchmentioning

confidence: 87%

Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study

Morales

Beltran

2020

J. Racial and Ethnic Health Disparities

201

150

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Previous research has demonstrated that the burden of household food insecurity is disproportionately high among racial/ethnic minority groups, yet no peer-reviewed studies have systematically examined racial/ethnic disparities in household food insecurity in the context of the COVID-19 pandemic. This cross-sectional study on household food insecurity during COVID-19 used data from a nationally representative sample of US households through the 2020 Household Pulse Survey (HPS) (including all 50 states and the District of Columbia, n = 74,413 households). Six generalized estimating equation (GEE) models were estimated, and the results indicated that households headed by Blacks, Asians, Hispanics, or other racial/ethnic minorities were not significantly more food insecure than White households during the pandemic. However, among food-insecure households, Black households were more likely to report that they could not afford to buy more food; Asian and Hispanic households were more likely to be afraid to go out to buy food; Asian households were more likely to face transportation issues when purchasing food; while White households were more likely to report that stores did not have the food they wanted. Moreover, racial/ethnic minorities were significantly less confident about their household food security for the next 4 weeks than Whites. The coronavirus pandemic crisis has exposed and exacerbated the food injustice in American society. Policymakers and local officials should take concerted actions to improve the capacity of food supply and ensure food equality across all racial/ethnic groups.

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“…Further, approximately 30% of our sample had 'moderate' concerns around food insecurity. When the California Health Interview Survey (CHIS) was used to assess the prevalence of food insecurity among Asian Americans [34], the highest prevalence of food insecurity was found among Vietnamese Americans (16.42%). Factors predicting food insecurity were low acculturation and speaking a language other than English at home.…”

Section: Discussionmentioning

confidence: 99%

Addressing the Social Vulnerability of Mississippi Gulf Coast Vietnamese Community through the Development of Community Health Advisors

Mayfield-Johnson

Fastring

et al. 2020

Sustainability

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Background: Resiliency is the ability to prepare for, recover from, and adapt to stressors from adverse events. Social vulnerabilities (limited access to resources, political power, and representation; lack of social capital; aspects of the built environment; health inequities; and being in certain demographic categories) can impact resiliency. The Vietnamese population living along the Mississippi Gulf Coast is a community that has unique social vulnerabilities that impact their ability to be resilient to adverse events. Objectives: The purpose of this project was to address social vulnerability by implementing and evaluating a volunteer Community Health Advisor (CHA) project to enhance community resiliency in this community. Methods: A program implemented over eight three-hour sessions was adapted from the Community Health Advisor Network curriculum that focused on healthy eating, preventing chronic conditions (hyperlipidemia, diabetes, hypertension, cancer, and poor mental health). Topics also included leadership and capacity development skills. Results: Participants (n = 22) ranged from 35 to 84 years of age. Most were female (63.6%), married (45.5%), unemployed (63.6%), had annual incomes of <$10,000, and had high school diplomas (68.2%). Community concerns were crime (50.0%), volunteerism (40.0%), language barriers (35.0%), and food insecurity (30.0%). Approximately 75% had experienced war trauma and/or refugee camps, and 10% had experienced domestic violence. Scores on the Community Health Advisor Core Competency Assessment increased from pre-test to post-test (t = −5.962, df = 11, p < 0.0001), as did SF-8 scores (t = 5.759, df = 17, p < 0.0001). Conclusions: Strategies to reduce vulnerabilities in the Vietnamese community should include developing interventions that address health risks and strengths and focus on root causes of vulnerability.

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The Overlooked Burden of Food Insecurity among Asian Americans: Results from the California Health Interview Survey

Cited by 27 publications

References 37 publications

Obesity and Obesogenic Behaviors in Asian American Children with Immigrant and US-Born Mothers

Obesity and Obesogenic Behaviors in Asian American Children with Immigrant and US-Born Mothers

Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study

Addressing the Social Vulnerability of Mississippi Gulf Coast Vietnamese Community through the Development of Community Health Advisors

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