Food Insecurity Screening in High-Income Countries, Tool Validity, and Implementation: A Scoping Review

Nutrients, Journal Year: 2024, Volume and Issue: 16(11), P. 1684 - 1684

Published: May 29, 2024

Household food insecurity has significant negative implications across the lifespan. While routine screening is recommended, particularly in healthcare, guidelines are lacking on selection of tools and best-practice implementation different contexts non-stigmatizing ways. The objective this scoping review was to synthesize evidence household tools, including psychometrics, a range settings, experiences carrying out or being screened. Four electronic databases were searched for studies English published from 1990 until June 2023. A total 58 papers included, 21 which focused tool development validation, 37 described perceptions screening. Most USA healthcare settings. There lack regarding settings utilized by Indigenous people. two-item Hunger Vital Sign emerged as most used valid there minimal discomfort associated with screening, rates practice still low. Barriers facilitators identified at setting, system, provider, recipient level mapped onto COM-B model behavior change. This identifies practical strategies optimize disclosure.

Language: Английский

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Complex intertwined association between breastfeeding practices and household food insecurity: Systematic review and meta‐analysis

Maternal and Child Nutrition, Journal Year: 2024, Volume and Issue: 20(4)

Published: July 3, 2024

Abstract Breastfeeding offers ideal food and nutrition for infants; however, structural barriers may amplify breastfeeding inequities. We aimed to identify whether household insecurity (HFI) is associated with exclusive continued (EBF CBF) as recommended by the World Health Organization/United Nations Children's Fund (UNICEF) Following Preferred Reporting Items Systematic Reviews Meta‐Analysis, literature searches using ‘breastfeeding’, ‘food insecurity’ ‘infant’ terms were conducted in PubMed/MEDLINE, Embase, CINAHL, Global LILACS from inception through November 2023, without language restrictions, yielding 1382 publications (PROSPERO:CRD42022329836). Predetermined eligibility criteria yielded 12 included studies (nine cross‐sectional three cohorts). The risk of bias was assessed Effective Public Practice Project. Meta‐analysis performed assessing EBF ( n = 10), metaregression used explore heterogeneity across studies. Prevalence ranged 1.6% 85.3%, a lower prevalence among HFI. pooled effect association between HFI presented an odds ratio (OR) 0.61 (95% CI 0.49–0.76) consistent results marginal (OR 0.72, 95% 0.55–0.94), moderate 0.59, 0.41–0.84) severe 0.49, 0.32–0.76). High found only when dichotomized. CBF 35.4% 78.0%, inconsistent HFI; meta‐analysis not due low number 3). concluded that levels are EBF. Integrating service policy‐level strategies, such screening, referrals, skilled counseling access comprehensive social programs, could reduce inequities promote adherence Organization/UNICEF recommendations food‐insecure families.

Language: Английский

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The Determinants of Food Insecurity Among Hispanic/Latinx Households With Young Children: A Narrative Review

Advances in Nutrition, Journal Year: 2022, Volume and Issue: 14(1), P. 190 - 210

Published: Dec. 24, 2022

Food insecurity has disproportionately impacted Hispanic/Latinx households in the United States, specifically those with young children. Although literature provides evidence of an association between food and adverse health outcomes children, minimal research addressed social determinants related risk factors associated among children under three, a highly vulnerable population. Using Socio-Ecological Model (SEM) as framework, this narrative review identified three. A search was conducted using PubMed four additional engines. Inclusion criteria consisted articles published English from November 1996 to May 2022 that examined Articles were excluded if settings other than US and/or focused on refugees temporary migrant workers. Data extracted (i.e., objective, setting, population, study design, measures insecurity, results) final (n = 27). The strength each article's also evaluated. Results individual intergenerational poverty, education, acculturation, language, etc.), interpersonal household composition, support, cultural customs), organizational interagency collaboration, rules), community environment, stigma, public policy/societal nutrition assistance programs, benefit cliffs, etc.) security status Overall, most classified "medium" or higher quality for evidence, more frequently policy factors. Findings indicate need include focus policy/society factors, well multiple levels SEM considerations how intersect create adapt nutrition-related culturally appropriate interventions improve

Language: Английский

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Parental Feeding Practices in Families Experiencing Food Insecurity: A Scoping Review

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(9), P. 5604 - 5604

Published: May 5, 2022

Parental feeding practices and styles influence child diet quality growth. The extent to which these factors have been assessed in the context of disadvantage, particularly household food insecurity (HFI), is unknown. This important, as interventions designed increase responsive may not consider unique needs families with HFI. To address this gap, a scoping review studies published from 1990 July 2021 three electronic databases was conducted. A priori inclusion criteria were, population: children aged 0–5 years experiencing and/or disadvantage; concept: parental practices/behaviours/style; context: high income countries. search identified 12,950 papers, 504 full-text articles were screened 131 met criteria. Almost all (91%) conducted United States recruitment via existing programs for on low incomes. Only 27 papers or Of eleven identified, two proportion participants who insecure. More research required outside States, an emphasis comprehensive valid measures HFI practices. Intervention design should be sensitive associated poverty, including insecurity.

Language: Английский

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Food Insecurity in Greece and across the Globe: A Narrative Literature Review

Foods, Journal Year: 2024, Volume and Issue: 13(10), P. 1579 - 1579

Published: May 18, 2024

Food insecurity comprises a major global public health threat, as its effects are detrimental to the mental, physical, and social aspects of well-being those experiencing it. We performed narrative literature review on magnitude food with special emphasis Greece analyzed factors driving insecurity, taking into consideration also effect COVID-19 pandemic. An electronic search international was conducted in three databases. More than 900 million people worldwide experience severe future projections showing increasing trends. Within Europe, Eastern Southern European countries display highest prevalence rates, reporting moderate or ranging between 6.6% 8% for period 2019–2022. Climate change, war, armed conflicts economic crises underlying drivers insecurity. Amidst these drivers, pandemic had profound impact levels around globe, through halting growth, disrupting supply chains unemployment poverty. Tackling addressing key is essential any progress towards succeeding Sustainable Development Goal “Zero Hunger”.

Language: Английский

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Mental health in adolescents: a first study on the prevalence and associated factors of self-injurious thoughts, behaviours, and psychosocial challenges in Paraguay

International Review of Psychiatry, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 12

Published: April 15, 2025

Language: Английский

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Social vulnerability and child food insecurity in developed countries: A systematic review

Advances in Nutrition, Journal Year: 2025, Volume and Issue: unknown, P. 100365 - 100365

Published: Jan. 1, 2025

Food insecurity (FI) is a serious public health concern in economically developed countries, mainly due to unequal resource distribution. Identifying social vulnerability factors (i.e., characteristics of person or group regarding their capacity anticipate, cope with, resist and recover from the effects child food (CFI)) positive negative relationship with CFI important support targeted action scale intensity that proportionate level disadvantage. This review aimed systematically comprehensively identify key contributors countries discuss context socio-ecological model (SEM). Five research databases were searched for observational studies published 2000 assessing related FI children residing countries. Data screening extraction was independently conducted by two reviewers who recorded CFI. The QualSyst tool used assess risk bias. From identified (N=5,689), 49 papers, predominantly United States (U.S.) Canada, met inclusion criteria. associated grouped into five based on SEM: i) individual child; ii) parental; iii) household; iv) community; v) societal factors. most frequently reported income (household factor). Other identified, including child's age, parental depression, household crowdedness, connection, poverty residential instability. lack consistent measures define both diverse population subgroups impeded meaningful pooling interpretation interacting Recommendations future are use comparable estimate extent severity investigating relation between vulnerability, severity, trajectories protocol registered PROSPERO (CRD42022291638).

Language: Английский

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Current trends in household food insecurity, dietary diversity, and stunting among children under five in Asia: a systematic review

Journal of Global Health, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 16, 2025

Household food insecurity (HFI) and poor dietary diversity (DD) are major public health challenges in Asia, greatly contributing to stunting among children under five. While previous research has focussed primarily on African regions, this systematic review provides novel insights into the association between HFI, DD, within Asian context. We searched across six databases for studies published 2019 2023 exploring five Asia. then extracted their characteristics, evaluation methods, outcomes related analysis. From 3215 records, 37 met inclusion criteria. Most were from South Asia (n = 22), followed by Southeast 8), with fewer West 4), East 2), Central 1), highlighting geographical gaps. found high rates five, especially Stunting was strongly linked HFI suggesting that these factors critical addressing malnutrition. Socioeconomic factors, maternal education, access clean water also influence outcomes. Current shows substantial variation, highest Limited data highlights need more comprehensive regions. Addressing improving DD is reducing achieving global nutrition targets 2030.

Language: Английский

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Nutritional Vulnerability of Displaced Persons: A Study of Food Security and Access in Kumba Municipality, Cameroon

Challenges, Journal Year: 2025, Volume and Issue: 16(1), P. 7 - 7

Published: Jan. 20, 2025

Concerns about global food insecurity have been growing, particularly in low- and middle-income countries. This study aimed to assess the determinants of security among internally displaced persons (IDPs)—people who forced flee their homes due conflict, natural disasters, or other crises—and children under five, as well influence on nutritional status. Using random sampling, caregivers IDPs five households were included study. The interviewed using a validated structured questionnaire, while assessments both adults conducted through anthropometric clinical evaluation methods. findings revealed high prevalence insecurity, with 97.6% IDP experiencing some degree insecurity. Additionally, 28.3% surveyed had dietary diversity. Among children, 50.6% stunted, over third underweight, 15.8% wasted, indicating severe deficiencies. adults, 28.4% overweight obese, significant number underweight. Multiple linear regression analysis showed that caregivers’ monthly salary average amount spent associated decrease Conversely, large household sizes coping strategies employed mitigate linked increased In conclusion, highlights households, forcing families adopt strategies, mainly modifications. This, turn, contributes low diversity poor status, suffering from wasting, stunting. These underscore urgent need for comprehensive interventions, including distribution vouchers, cash transfers, banks, support home gardening small-scale farming, education meal rationing, planning, family planning services. Addressing root causes insecurity—namely income sizes—can improve access nutritious ensure health well-being IDPs. Furthermore, addressing within this vulnerable group is critical broader goals planetary health, it intersection human social equity, environmental sustainability. By promoting sustainable systems supporting populations, these interventions can contribute resilience communities eco-systems face ongoing challenges.

Language: Английский

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Food for Thought: The Impact of a Nutritional Toolkit on Well-Being in Children

Journal of Pediatric Surgery, Journal Year: 2025, Volume and Issue: 60(4), P. 162185 - 162185

Published: Jan. 24, 2025

Language: Английский

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