Food Insecurity and Mortality in American Adults: Results From the NHANES-Linked Mortality Study

Health Promotion Practice, Journal Year: 2020, Volume and Issue: 22(2), P. 204 - 214

Published: Aug. 4, 2020

Food insecurity is a significant public health problem in the United States leading to substantial social, economic, and care–related burdens. While studies continue estimate prevalence of food insecurity, long-term outcomes are not extensively explored. The purpose this study was assess impact on mortality. We analyzed data adults (≥ 20 years) from 1999–2010 National Health Nutrition Examination Survey, with mortality obtained through 2015. Among total participants (n = 25,247), 17.6% reported insecurity. Food-insecure individuals were more likely be younger age, minorities, poorer, lesser education, obese, smokers, diabetes compared food-secure counterparts. During 10.2-year follow-up, among insecure, 821 died (11%). hazard ratio (HR) for insecure secure, adjustment age gender only, 1.58; 95% confidence interval [CI: 1.25, 2.01]. adjusted HRs all-cause mortality, HR 1.46, CI [1.23, 1.72], p < .001, cardiovascular 1.75, [1.19, 2.57], .01, statistically significantly higher food-insecure individuals, after multiple demographic risk factors. Individuals who have probability death any cause or disease follow-up. Comprehensive interdisciplinary approaches reducing insecurity–related disparities risks should implemented. Including assessments addressing as determinant may contribute lower premature rates.

Language: Английский

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Food Insecurity amid the COVID-19 Pandemic: Food Charity, Government Assistance, and Employment

Canadian Public Policy, Journal Year: 2021, Volume and Issue: 47(2), P. 202 - 230

Published: March 3, 2021

To mitigate the effects of coronavirus disease 2019 (COVID-19) pandemic, federal government has implemented several financial assistance programs, including unprecedented funding to food charities. Using Canadian Perspectives Survey Series 2, we examine demographic, employment, and behavioural characteristics associated with insecurity in April–May 2020. We find that one-quarter job-insecure individuals experienced was strongly pandemic-related disruptions employment income, major hardship, use charity, yet vast majority food-insecure households did not report receiving any charitable assistance. Increased support for low-income would reduce negative repercussions pandemic.

Language: Английский

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The relationship between diet quality and the severity of household food insecurity in Canada

Public Health Nutrition, Journal Year: 2021, Volume and Issue: 25(4), P. 1013 - 1026

Published: Sept. 23, 2021

Abstract Objective: To examine the relationship between dietary quality of Canadian children and adults household food insecurity status. Design: Dietary intake was assessed with one 24-h recall. Households were classified as secure or marginally, moderately severely insecure based on their responses to Household Food Security Survey Module. We applied multivariable analyses variance determine whether % energy from ultra-processed foods, fruit vegetable intake, Healthy Eating Index (HEI) scores, macronutrient composition micronutrient intakes per 1000 kcal differed by status after accounting for income, education region. Analyses run separately 1–8 years 9–18 men women 19–64 age. Setting: Ten provinces in Canada. Participants: Respondents 2015 Community Health Survey-Nutrition, aged 1–64 years, complete data non-zero intakes, N 15 909. Results: Among children, foods strongly related severity insecurity, but no significant trend observed HEI score. Carbohydrate, total sugar, fat saturated intake/1000 did not differ status, there a negative protein/1000 among older positive Na/1000 younger inverse associations several micronutrients/1000 children. Conclusions: With more severe consumption higher, diet generally lower both

Language: Английский

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Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs

Advances in Nutrition, Journal Year: 2022, Volume and Issue: 13(5), P. 1566 - 1583

Published: Jan. 26, 2022

Food insecurity, defined as insufficient access to nutritious foods, is a social determinant of health that may underpin disparities in the US. American Indian and Alaska Native (AI/AN) individuals experience many inequities be related food but no systematic analyses existing evidence have been published. Thus, objective this scoping review was assess literature on insecurity among AI/AN communities, with focus prevalence its relations sociodemographic, nutrition, characteristics. Systematic search data extraction processes were used. Searches conducted PubMed well peer-reviewed journal government websites. Of 3174 identified references, 34 publications describing 30 studies predominantly sample populations included final narrative synthesis. Twenty-two (73%) cross-sectional remaining 8 (27%) described interventions. The weighted average across 45.7%, although estimates varied from 16% 80%. Most used some version USDA Security Survey Modules, supporting validity respondents limited. Based review, recommendations for future research derived, which include fundamental testing, better representation federal or local security reports, consideration cultural contexts when selecting methodological approaches. Advances could yield tangible benefits ongoing initiatives aimed at increasing traditional improving environments reservations homelands, sovereignty.

Language: Английский

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Food Insecurity and Premature Mortality and Life Expectancy in the US

JAMA Internal Medicine, Journal Year: 2024, Volume and Issue: 184(3), P. 301 - 301

Published: Jan. 29, 2024

Food insecurity has been linked to multiple causes of disease and premature mortality; however, its association with mortality by sex across racial ethnic groups remains unknown in the US.

Language: Английский

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Food insecurity is associated with mental health problems among Canadian youth

Journal of Epidemiology & Community Health, Journal Year: 2021, Volume and Issue: 75(8), P. 741 - 748

Published: Feb. 12, 2021

Research has linked food insecurity to mental health problems, though little is known about this relationship among Canadian youth. We investigate the association between severity and illnesses in a nationally representative youth sample.We sampled 55 700 12-24 years from recent cycles of Community Health Survey. Household was measured using standard 18-item questionnaire. fitted Poisson regressions on self-rated diagnosed mood anxiety disorders, controlling for sociodemographic confounders. Clinical assessments emotional distress, major depression suicidal ideation were examined subsamples with available data. stratified sample by gender, age survey cycle test potential demographic heterogeneity.One seven lived marginal (5.30%), moderate (8.08%) or severe (1.44%) insecurity. Results showed that associated higher likelihood every problem examined. The graded, more progressively worse health. Notably, marginal, 1.77, 2.44 6.49 times risk thoughts, respectively. corresponding relative disorders 1.57, 2.00 2.89; those 1.41, 1.65 2.58. Moderate closely problems 18-24 year olds than 12-17 olds.Food poorer independent household income other socioeconomic differences. Targeted policy intervention alleviating may improve

Language: Английский

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What is known about the prevalence of household food insecurity in Canada during the COVID-19 pandemic: a systematic review

Health Promotion and Chronic Disease Prevention in Canada, Journal Year: 2022, Volume and Issue: 42(5), P. 177 - 187

Published: March 1, 2022

Household food insecurity (HFI) is a persistent public health issue in Canada that may have disproportionately affected certain subgroups of the population during COVID-19 pandemic. The purpose this systematic review to report on prevalence HFI Canadian general and subpopulations after declaration pandemic March 2020.

Language: Английский

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Food insecurity, environment, institutional quality, and health outcomes: evidence from South Asia

Globalization and Health, Journal Year: 2024, Volume and Issue: 20(1)

Published: March 8, 2024

Abstract Background Food insecurity and environmental degradation pose significant threats to health outcomes in South Asia, necessitating effective policy interventions. Therefore, this study aims examine the impact of food on outcome indicators amidst global inflationary shocks institutional quality arrangements. Additionally, it explore intricate moderating role relationship between insecurity, endogenous variables, external shocks. Method In alignment with study’s objectives, a set panel data spanning from 2000 2021 is compiled for Asia. The introduces novel variable representing shock, crafted through integration inflation datapoints application generalized autoregressive conditional heteroskedasticity model. distinctive aggregate index formulated, drawing six key measures Worldwide Governance indicators. To scrutinize effects degradation, other explanatory employs two-step system method moment technique, offering robust analytical approach uncover complex relationships dynamics region. Results results indicate that prevalence undernourishment, inequality per capita calorie intake, CO 2 emissions significantly reduce life expectancy increase mortality rates. shows kilocalorie supply, GDP, expenditures, urbanization are statistically increasing decreasing findings reveal severely affect factors, exerting further pressure contemporary rebuttal, found have rates, respectively. Furthermore, nexus while also neutralizing negative subject. Conclusion verify triple constraints such as economic vulnerability shocks, which impose severe poor identified hindrance suggest specific implications explicitly discussed.

Language: Английский

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Food Insecurity Is Associated With Higher Health Care Use And Costs Among Canadian Adults

Health Affairs, Journal Year: 2020, Volume and Issue: 39(8), P. 1377 - 1385

Published: Aug. 1, 2020

Food insecurity predicts poorer health, yet how it relates to health care use and costs in Canada remains understudied. Linking data from the Canadian Community Health Survey hospital records expenditure data, we examined association of food with acute hospitalization, same-day surgery, among adults, adjusting for sociodemographic characteristics. Compared fully food-secure marginally, moderately, severely food-insecure adults presented 26 percent, 41 69 percent higher odds admission 15 24 having respectively. Conditional on admission, stayed 1.48 2.08 more days incurred $400–$565 per person-year than their counterparts, this excess cost representing 4.4 total costs. Programs reducing insecurity, such as child benefits public pensions, policies enhancing access outpatient may lower

Language: Английский

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Food insecurity, chronic pain, and use of prescription opioids

SSM - Population Health, Journal Year: 2021, Volume and Issue: 14, P. 100768 - 100768

Published: March 10, 2021

Chronic pain has been on the rise in recent decades Canada. Accordingly, use of prescription opioids (PO) Canada increased drastically between 2005 and 2014, only starting to decrease 2015. Both PO have serious public health repercussions, disproporionately affecting select socially disadvantaged populations. Food insecurity is a strong risk factor for mental disorders suicidal outcomes, yet its relationship chronic largely unknown. Using two cycles from population representative Canadian Community Health Survey (CCHS), we examined association household food status with among Canadians 12 years older, adjusting sociodemographic characteristics. Compared food-secure individuals, marginally, moderately, severely food-insecure individuals had 1.31 (95% confidence interval [CI] 1.15–1.48), 1.89 CI 1.71–2.08), 3.29 2.90–3.74) times higher odds experiencing 1.55 1.30–1.85), 1.77 1.54–2.04), 2.65 2.27–3.09) using past year, respectively. The graded severity was also found severe experience pain-induced activity limitations patients and, less consistently, intensive, excess, alternative acquisition through means other than medical past-year users. much more powerful predictor well-established social determinants like income education. Policies reducing may lower incidence help contain opioid crisis.

Language: Английский

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