Empowerment as a key mechanism for supporting changes in eating behaviors among disadvantaged immigrant women living with diabetes, obesity or hypertension: a realistic evaluation DOI Creative Commons
Julia Eïd,

Oriane Canu,

Almoustapha Issiaka Maïga

et al.

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: April 3, 2025

While interventions aimed at improving the food habits of people living with diabetes, obesity or hypertension have been implemented and proven effective, we know little about how they produce effects. To develop meaningful programs, it is essential to identify elements that favor prohibit successful outcomes mechanisms work. Using a realist approach evaluation, this study assess diet support program offered by community-based organization in Greater Paris Region disadvantaged women hypertension. We carried out qualitative using observations semistructured interviews (n = 12) supported organization. The data were analyzed thematically then cross-sectionally. intervention-context-actor-mechanism-effect (ICAMO) configuration was used structure analysis interactions between various components. identified three different types effects: awareness importance balanced (cognitive change), initiation changes eating behavior, significant habits. led these based on empowerment (strengthening knowledge skills, self-esteem, participation, critical awareness). also individual contextual factors either limited behavior (lack financial resources, culinary habits) facilitated them (having experienced health event, access kitchen). This contributes better understanding programs for change work can overcome constraints faced populations chronic disease. exploration ICAMO configurations enables us intervention's key characteristics will be relevant consider when replicating other contexts territories.

Language: Английский

Food insecurity and mental health problems among a community sample of young adults DOI
Laura Pryor, Sandrine Lioret, Judith van der Waerden

et al.

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2016, Volume and Issue: 51(8), P. 1073 - 1081

Published: June 13, 2016

Language: Английский

Citations

139

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

‘Eating to survive’: A qualitative analysis of factors influencing food choice and eating behaviour in a food-insecure population DOI
Jo‐Anne Puddephatt, Gregory S. Keenan, Amy Fielden

et al.

Appetite, Journal Year: 2019, Volume and Issue: 147, P. 104547 - 104547

Published: Dec. 5, 2019

Language: Английский

Citations

95

Food Insecurity and Behavioral Characteristics for Academic Success in Young Adults Attending an Appalachian University DOI Open Access
Rebecca L. Hagedorn, Melissa D. Olfert

Nutrients, Journal Year: 2018, Volume and Issue: 10(3), P. 361 - 361

Published: March 16, 2018

In order to investigate the impact of food insecurity on college students in a highly health disparate region we (1) assessed prevalence among young adults at large, rural university Appalachia, and (2) investigated relationship between behavioral characteristics including academic performance, coping strategies, money expenditure. A cross-sectional design was used capture representative sample attending central Appalachian Fall 2016. The United States Department Agriculture (USDA) Adult Food Security Survey measure insecurity. Independent variables include expenditure (MES), strategies (CSS), performance (APS), demographic, health, economic culinary variables. Participant responses (n = 692) showed one third (36.6%) respondents were food-insecure. Students with higher scores for MES CSS had significantly odds being food-insecure (odds ratio (OR) 2.07; 95% confidence interval (CI) 1.81 2.38 OR 1.20; CI 1.16 1.23, respectively). high APS (OR 0.79; 0.73 0.86) inversely related Results logistic regression MES, CSS, school year remained significant predictor students. These findings suggest differences terms expenditure, progress can be identify target at-risk promote student security well-being.

Language: Английский

Citations

87

Adverse Childhood Experiences and Household Food Insecurity: Findings From the 2016 National Survey of Children's Health DOI
Dylan B. Jackson, Mariana Chilton,

Kecia R. Johnson

et al.

American Journal of Preventive Medicine, Journal Year: 2019, Volume and Issue: 57(5), P. 667 - 674

Published: Sept. 13, 2019

Language: Английский

Citations

83

Food Insecurity in Advanced Capitalist Nations: A Review DOI Open Access
Michael A. Long, Lara Gonçalves, Paul B. Stretesky

et al.

Sustainability, Journal Year: 2020, Volume and Issue: 12(9), P. 3654 - 3654

Published: May 1, 2020

Food insecurity is a substantial problem in nearly every advanced capitalist nation, with sizable portions of residents many affluent countries struggling to eat healthily day. Over time, very large literature has developed that documents food insecurity, evaluates programs meant reduce and proposes solutions attenuate the problem. The purpose current review provide broad overview literature, including definitions, measurement, areas study, impacts on health. Importantly, this suggests there are two major causes nations: economic inequality neoliberalism. diminished government responsibility nations corresponds an increase feeding run by non-profit charitable organizations. This concludes suggesting that, while massive amount research currently exists, more still needed address gaps when it comes significant events, coping strategies disadvantaged populations.

Language: Английский

Citations

70

Tendência e fatores associados à insegurança alimentar no Brasil: Pesquisa Nacional por Amostra de Domicílios 2004, 2009 e 2013 DOI Creative Commons

Taíse Gama dos Santos,

Jonas Augusto Cardoso da Silveira, Giovana Longo‐Silva

et al.

Cadernos de Saúde Pública, Journal Year: 2018, Volume and Issue: 34(4)

Published: March 28, 2018

The aim of this study was to analyze trends and factors associated with food insecurity in Brazil 2004, 2009, 2013, using microdata from the National Household Sample Survey (PNAD). Food assessed Brazilian Insecurity Scale. Independent variables were selected a conceptual model determination insecurity, which also used elaboration multiple generalized linear models. results show downward trend prevalence 2004 especially for moderate severe 17% (95%CI: 15.7-18.4) 7.9% 2013 7.2-8.7). Despite important decreases regardless level determination, population strata lowest showed largest relative reduction. As they remained same ten years covered by PNAD survey, namely: North Northeast regions, urban areas inadequate sanitation, household density > 2 persons per bedroom, ≤ 4 durable consumer goods, households headed females, individuals < 60 years, non-whites, schooling, being unemployed. From dropped half, but perspective equity advances occurred unequally lower greater social, economic, demographic vulnerability.O objetivo deste estudo foi analisar tendência e fatores associados à insegurança alimentar no Brasil nos anos de 2009 utilizando microdados da Pesquisa Nacional por Amostra Domicílios A avaliada meio Escala Brasileira Insegurança Alimentar. variáveis independentes foram selecionadas partir modelo conceitual determinação alimentar, sendo esse também utilizado para elaboração dos modelos lineares generalizados múltiplos. Os resultados descrevem redução na prevalência entre 2004-2013, especialmente, quanto moderada grave que passou (IC95%: 15,7-18,4) em 7,9% 7,2-8,7) 2013. Por outro lado, apesar das importantes reduções grave, observou-se que, independentemente do nível determinação, os estratos populacionais com menor apresentaram relativa maior magnitude. Quanto aos permaneceram mesmos dez cobertos pela PNAD, eles: as macrorregiões Norte/Nordeste, área urbana (na presença saneamento inadequado), densidade domiciliar pessoas/dormitório, possuir bens consumo pessoa referência domicílio ser sexo feminino, ter idade anos, raça/etnia diferente branca, escolaridade estar desempregada. Entre domicílios brasileiros situação caiu metade; contudo, dentro perspectiva equidade, destaca-se avanços ocorreram modo desigual, menores vulnerabilidade econômica demográfica.El este estudio fue analizar la tendencia y factores asociados inseguridad alimentaria en durante los años microdatos Encuesta Muestra Domicilios La se evaluó mediante Brasileña Inseguridad Alimentaria. Las independientes seleccionaron determinación alimentaria, siendo también elaboración lineales múltiples. Los describen reducción prevalencia cuanto pasó un hasta otro pesar las reducciones observó independientemente del nivel determinación, poblacionales con presentaron una mayor magnitud. En permanecieron mismos diez cubiertos estos: macrorregiones (con presencia saneamiento inadecuado), densidad domiciliaria personas/dormitorio, poseer bienes persona referencia domicilio sea femenino, tener edad años, raza/etnia blanca, escolaridad desempleada. domicilios brasileños situación disminuyó mitad; obstante, equidad, destaca avances produjeron vulnerabilidad económica demográfica.

Citations

70

Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon DOI Creative Commons
Lamis Jomaa, Farah Naja,

Ruba Cheaib

et al.

BMC Public Health, Journal Year: 2017, Volume and Issue: 17(1)

Published: June 12, 2017

Mixed evidence exists with respect to the association between household food insecurity (HFIS) and obesity in low-to-middle income countries (LMICs), particularly among women. This study aimed measure socioeconomic correlates of HFIS explores its dietary intake odds mothers Lebanon, a middle-income country undergoing nutrition transition. A cross-sectional was conducted representative sample households (n = 378) Beirut, Lebanon. Surveys were completed children <18 years. measured using locally-validated, Arabic-translated Household Food Insecurity Access Scale (HFIAS). Dietary assessed multiple pass 24-h recall method. Associations (food vs insecure) socio-demographic characteristics reported crude adjusted ratios. The consuming <2/3rd Reference Intakes (DRIs) for nutrients from secure insecure explored. In addition, logistic regression analyses explore (BMI ≥ 30 kg/m2) at-risk waist circumference (WC 80 cm) mothers. found 50% inversely associated mother's educational level, even after adjusting other variables (p < 0.01). Mothers significantly less dairy products, fruits, nuts yet more breads sweets; they had higher DRI's key micronutrients (potassium, folate, vitamin C) compared ones. Adjusting correlates, 1.73 (95% CI: 1.02–2.92) High prevalence urban Lebanese households. high risk inadequacy obesity. Adequate evidence-based public health strategies are needed reduce vulnerability LMIC settings alleviate their burden nutrient

Language: Английский

Citations

67

Household Food Insecurity, Diet Quality, and Obesity: An Explanatory Model DOI Creative Commons
Gregory S. Keenan, Paul Christiansen, Charlotte A. Hardman

et al.

Obesity, Journal Year: 2020, Volume and Issue: 29(1), P. 143 - 149

Published: Nov. 1, 2020

Objective Food insecurity (a lack of stable access to nutritious food) is reliably associated with poor diet, malnutrition, and obesity; however, the underlying mechanisms are unclear. In this study, hypothesis that these relations explained by higher levels distress, which due experience food insecurity, unhealthy coping behaviors (eating high‐calorie foods, drinking alcohol) was tested. Methods Adults from United Kingdom ( N = 604), who were recruited online at banks, completed questionnaire measures household physical stress, psychological eating cope, diet quality, self‐reported height weight calculate BMI. Results Structural equation modeling used test hypothesized relationships, including a multilevel structural model controlling for effect income. As predicted, indirectly BMI via greater distress cope. directly poorer but relationship not cope Conclusions Our data provide novel insight into being food‐insecure how maladaptive might play some role in association between obesity.

Language: Английский

Citations

64

Dietary patterns in the French adult population: a study from the second French national cross-sectional dietary survey (INCA2) (2006–2007) DOI Creative Commons
Rozenn Gazan,

Camille Béchaux,

Amélie Crépet

et al.

British Journal Of Nutrition, Journal Year: 2016, Volume and Issue: 116(2), P. 300 - 315

Published: May 18, 2016

Identification and characterisation of dietary patterns are needed to define public health policies promote better food behaviours. The aim this study was identify the major in French adult population determine their main demographic, socio-economic, nutritional environmental characteristics. Dietary were defined from consumption data collected second national cross-sectional survey (2006-2007). Non-negative-matrix factorisation method, followed by a cluster analysis, implemented derive patterns. Logistic regressions then used demographic socio-economic Finally, profiles contaminant exposure levels compared using ANOVA. Seven patterns, with specific behaviours, identified: 'Small eater', 'Health conscious', 'Mediterranean', 'Sweet processed', 'Traditional', 'Snacker' 'Basic consumer'. For instance, Health-conscious pattern characterised high low-fat light products. Individuals belonging likely be older have profile than overall population, but more exposed many contaminants. Conversely, individuals Snacker younger, consumed highly processed foods, had nutrient-poor limited number identified distinct behaviours features. Paradoxically, for potential risks cannot ruled out. Therefore, demonstrated need conduct risk-benefit analysis efficient regarding diet.

Language: Английский

Citations

61