Association of Household Food Insecurity with the Mental and Physical Health of Low-Income Urban Ecuadorian Women with Children DOI Creative Commons
M. Margaret Weigel, Rodrigo X. Armijos,

Marcia Racines

et al.

Journal of Environmental and Public Health, Journal Year: 2016, Volume and Issue: 2016, P. 1 - 14

Published: Jan. 1, 2016

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease US Canadian women but it is uncertain if same true low- middle-income Latin American countries epidemiologic transition. We conducted survey investigate association HFI with 794 children living low-income Quito, Ecuador, neighborhoods. Data were collected on indicators including self-reported (SF-1), (MHI-5), blood pressure, complaints. Fasting glucose lipids measured subsample. The multivariate analyses revealed that was associated poorer self-rated health, low MHI-5 scores, complaints stress, depression, ethnospecific illnesses. It also chest tightness/discomfort/pain, dental disease, gastrointestinal illness not other conditions. findings suggest improving security households may help reduce burden distress children. hypothesized link diabetes hypertension become more apparent as Ecuador moves further along

Language: Английский

Food Insecurity and Psychological Distress: a Review of the Recent Literature DOI
Candice A. Myers

Current Nutrition Reports, Journal Year: 2020, Volume and Issue: 9(2), P. 107 - 118

Published: April 2, 2020

Language: Английский

Citations

168
Extracting social determinants of health from electronic health records using natural language processing: a systematic review DOI Creative Commons
Braja Gopal Patra, Mohit Sharma, Veer Vekaria

et al.

Journal of the American Medical Informatics Association, Journal Year: 2021, Volume and Issue: 28(12), P. 2716 - 2727

Published: Aug. 5, 2021

Social determinants of health (SDoH) are nonclinical dispositions that impact patient risks and clinical outcomes. Leveraging SDoH in decision-making can potentially improve diagnosis, treatment planning, Despite increased interest capturing electronic records (EHRs), such information is typically locked unstructured notes. Natural language processing (NLP) the key technology to extract from text expand its utility care research. This article presents a systematic review state-of-the-art NLP approaches tools focus on identifying extracting data EHRs.

Language: Английский

Citations

158
Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States DOI Open Access

David H. Holben,

Michelle Marshall

Journal of the Academy of Nutrition and Dietetics, Journal Year: 2017, Volume and Issue: 117(12), P. 1991 - 2002

Published: Nov. 21, 2017

Language: Английский

Citations

133
Equity as both a means and an end: Lessons for resilient food systems from COVID-19 DOI Open Access
Susanna Klassen,

Sophia Murphy

World Development, Journal Year: 2020, Volume and Issue: 136, P. 105104 - 105104

Published: Aug. 4, 2020

Language: Английский

Citations

132
Food Insecurity in Older Adults: Results From the Epidemiology of Chronic Diseases Cohort Study 3 DOI Creative Commons

Simone G. Fernandes,

Ana Maria Rodrigues, Carla Nunes

et al.

Frontiers in Medicine, Journal Year: 2018, Volume and Issue: 5

Published: July 12, 2018

Introduction: The public health problem food insecurity also affects the elderly population. This study aimed to estimate prevalence of household and its associations with chronic disease health-related quality life characteristics in individuals ≥65 years age living community Portugal. Methods: data were collected from Epidemiology Chronic Diseases Cohort Study 3 (EpiDoC3) - Promoting Food Security (2015–2016), which was third evaluation wave EpiDoC represented Portuguese adult assessed using a psychometric scale adapted Brazilian Insecurity Scale. on sociodemographic variables, disease, management self-reported. Health-related European Quality Life Survey (version validated for population). Logistic regression models used determine crude adjusted odds ratios (for group, gender, region education). dependent variable perceived level security. Results: Among older adults, 23% food-insecure household. higher 70–74 group (odds ratio (OR)=1.405, 95% confidence interval (CI) 1.392–1.417), females (OR=1.545, CI 1.534–1.556), those less education (OR=3.355, 3.306–3.404), low income (OR=4,150, 4.091–4.210), reporting it very difficult live current (OR=16.665, 16.482–16.851). having greater among households: diabetes mellitus (OR=1.832, 1.818–1.846), pulmonary diseases (OR=1.628, 1.606–1.651), cardiac (OR=1.329, 1.319–1.340), obesity (OR=1.493, 1.477–1.508), who reduced their frequency medical visits (OR=4.381, 4.334–4.428), stopped taking medication due economic difficulties (OR=5.477, 5.422–5.532). Older adults households had lower (OR= 0.212, 0.210–0.214). Conclusions: Our findings indicated that significantly associated factors, values diseases, poor decreased community.

Language: Английский

Citations

123
Social Determinants of Health, Cost-related Nonadherence, and Cost-reducing Behaviors Among Adults With Diabetes DOI
Minal Patel, John D. Piette, Ken Resnicow

et al.

Medical Care, Journal Year: 2016, Volume and Issue: 54(8), P. 796 - 803

Published: May 25, 2016

Cost-related nonadherence (CRN) is prevalent among individuals with diabetes and can have significant negative health consequences. We examined health-related non-health-related pressures the use of cost-reducing strategies US adult population without that may impact CRN.Data from 2013 wave National Health Interview Survey (n=34,557) were used to identify independent perceived financial stress, insecurity care, food insecurity, on CRN.Overall, 11% (n=4158) adults reported diabetes; 14% CRN, compared 7% diabetes. Greater stress [prevalence ratio (PR)=1.07; 95% confidence interval (CI), 1.05-1.09], care (PR=1.6; CI, 1.5-1.67), (PR=1.30; 1.2-1.4) all associated a greater likelihood CRN. Asking doctor for lower cost medication was CRN (PR=0.2; 0.2-0.3), 27% this. Other behavioral (using alternative therapies, buying prescriptions overseas) CRN.Half one fifth insecurity. Talking provider about low-cost options be protective against in some situations. Improving screening communication increase transparency patients are pursuing help safeguard consequences cutting back treatment.

Language: Английский

Citations

116
The Next Generation of Diabetes Translation: A Path to Health Equity DOI Open Access
Debra Haire‐Joshu, Felicia Hill‐Briggs

Annual Review of Public Health, Journal Year: 2019, Volume and Issue: 40(1), P. 391 - 410

Published: Jan. 2, 2019

Disparities in diabetes burden exist large part because of the social determinants health (SDOH). Translation research and practice addressing equity have generally focused on changing individual behavior or providing supportive approaches to compensate for, rather than directly target, SDOH. The purpose this article is propose a pathway for SDOH as root causes disparities an essential target next generation interventions needed achieve prevention treatment. This review describes ( a) current disparities, b) influence c) gaps implications translation research, d) achieving translation.

Language: Английский

Citations

98
Association between household food insecurity and mortality in Canada: a population-based retrospective cohort study DOI Creative Commons
F. K. Men, Craig Gundersen, Marcelo L. Urquía

et al.

Canadian Medical Association Journal, Journal Year: 2020, Volume and Issue: 192(3), P. E53 - E60

Published: Jan. 19, 2020

Food insecurity affects 1 in 8 households Canada, with serious health consequences. We investigated the association between household food and all-cause cause-specific mortality.We assessed status of Canadian adults using Community Health Survey 2005-2017 identified premature deaths among survey respondents Vital Statistics Database 2005-2017. Applying Cox survival analyses to linked data sets, we compared adults' mortality hazard by their status.Of 510 010 sampled (3 390 500 person-years), 25 460 died prematurely 2017. Death rates food-secure counterparts experiencing marginal, moderate severe were 736, 752, 834 1124 per 100 000 person-years, respectively. The adjusted ratios (HRs) for 1.10 (95% confidence interval [CI] 1.03-1.18), 1.11 CI 1.05-1.18) 1.37 1.27-1.47), Among who prematurely, those on average 9 years earlier than (age 59.5 v. 68.9 yr). Severe was consistently associated higher across all causes death except cancers; particularly pronounced infectious-parasitic diseases (adjusted HR 2.24, 95% 1.42-3.55), unintentional injuries 2.69, 2.04-3.56) suicides 2.21, 1.50-3.24).Canadian from food-insecure more likely die counterparts. Efforts reduce should consider as a relevant social determinant.

Language: Английский

Citations

92
<p>Diabetes Self-Management Education (DSME) – Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial</p> DOI Creative Commons
Fikadu Balcha Hailu, Anne Moen, Per Hjortdahl

et al.

Diabetes Metabolic Syndrome and Obesity, Journal Year: 2019, Volume and Issue: Volume 12, P. 2489 - 2499

Published: Nov. 1, 2019

Purpose: Diabetes patients must be equipped with the necessary knowledge to confidently undertake appropriate self-care activities. We prepared a diabetes self-management education (DSME) intervention and assessed how it affected patients' self-reported levels of knowledge, behaviors, self-efficacy. Patients methods: A before-and-after, two-group study was conducted at Jimma University Medical Centre among adult type 2 diabetes. At baseline, we randomly assigned 116 participants DSME 104 comparison group. Six interactive sessions supported by an illustrative handbook fliers, experience-sharing, take-home activities were administered group two nurses during six-month period. self-efficacy measured baseline nine months following commencement (endpoint) in both groups. Results: endpoint, data from 78 64 included final analysis. The difference mean Knowledge Scale scores before after significantly greater (p = 0.044). behaviors diet, exercise, glucose self-monitoring, footcare, smoking, alcohol consumption, khat chewing. number days per week on which followed general dietary recommendations increased endpoint 0.027). specific 0.019) performed footcare 0.009) for days. There no significant differences within or between groups other behavior regimens Conclusion: Our found improvements participants' their adherence recommendations. This demonstrates that our may clinical importance developing countries such as Ethiopia. Trial registration: ClinicalTrials.gov, Identifier NCT03185689, retrospectively registered June 14, 2017: https://clinicaltrials.gov/ct2/show/NCT03185689 . Keywords: nurse-led DSME, behavior,

Language: Английский

Citations

82
The Longitudinal Influence of Social Determinants of Health on Glycemic Control in Elderly Adults With Diabetes DOI Open Access
Rebekah J. Walker, Emma Garacci, Anna Palatnik

et al.

Diabetes Care, Journal Year: 2020, Volume and Issue: 43(4), P. 759 - 766

Published: Feb. 6, 2020

OBJECTIVE This study aimed to understand the longitudinal relationship between financial, psychosocial, and neighborhood social determinants glycemic control (HbA1c) in older adults with diabetes. RESEARCH DESIGN AND METHODS Data from 2,662 individuals self-reported diabetes who participated Health Retirement Study (HRS) were used. Participants followed 2006 through 2014. Financial hardship, neighborhood-level determinant factors based on validated surveys biennial core interview RAND data sets. All measurements of HbA1c time period used treated as varying analyses. SAS PROC GLIMMIX was fit a series hierarchical linear mixed models. Models controlled for nonindependence among repeated observations using random intercept treating each individual participant factor. Survey methods apply HRS weighting. RESULTS Before adjustment demographics, difficulty paying bills (β = 0.18 [95% CI 0.02, 0.24]) medication cost nonadherence (0.15 [0.01, 0.29]) independently associated increasing over time, cohesion (−0.05 [−0.10, −0.001]) decreasing time. After adjusting both demographics comorbidity count, (0.13 [0.03, religiosity (0.04 [0.001, 0.08]) CONCLUSIONS Using cohort diabetes, this found that financial hardship factors, such bills, more consistently worsening than psychosocial factors.

Language: Английский

Citations

82