Financial Well-being and Health-Related Quality of Life are Associated with Transitions in Food Insecurity Status among Recipients of Charitable Food Assistance in Atlanta, GA and Houston, TX.

IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS
Craig Gundersen, Fred Brooks, Daphne C Hernandez
{"title":"Financial Well-being and Health-Related Quality of Life are Associated with Transitions in Food Insecurity Status among Recipients of Charitable Food Assistance in Atlanta, GA and Houston, TX.","authors":"Craig Gundersen, Fred Brooks, Daphne C Hernandez","doi":"10.1016/j.jand.2025.06.030","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The literature on the determinants of US food insecurity is extensive. Yet, the research on transitions in food insecurity, especially among a group especially at-risk of food insecurity, recipients of charitable food assistance (CFA), is more limited.</p><p><strong>Objectives: </strong>This study examines changes in financial well-being and health-related quality of life (HRQoL) as correlates of transitions in food insecurity status among CFA recipients.</p><p><strong>Design: </strong>Survey data was collected 6 months apart during 2022 and 2023. Food insecurity measured at both time points using the 18-item USDA Food Security Scale Module. At both time points, recipients reported on their financial well-being using a 10-item scale and their HRQoL using three measures: global health and the number of physical and mental unhealthy days. Other time-varying and time invariant variables are also included.</p><p><strong>Participants: </strong>Recipients of CFA (n=777) were recruited and surveyed from 10 food pantries in Atlanta, Georgia and 10 food pantries in Houston, Texas. Participants were followed up 6 months later. The sample is composed of those who participated in both surveys.</p><p><strong>Main outcome measures: </strong>Marginal food insecurity, food insecurity, very low food security STATISTICAL ANALYSES PERFORMED: Standard descriptive statistics are displayed along with results from two-way fixed effects models.</p><p><strong>Results: </strong>Over a six-month period, 21.5% of respondents saw a change in marginal food insecurity, 24.1% in food insecurity, and 14.0% in very low food security. These changes were associated with changes in in the number of days the respondent reported having trouble with mental health in the past 30 days and perceptions of financial well-being.</p><p><strong>Conclusions: </strong>These results demonstrate that practitioners, such as dietitians, should be aware that food insecurity status among a group at high-risk of food insecurity frequently changed over a short period. These changes were associated with factors potentially trackable by dietitians in community settings, which may facilitate the distribution of appropriate resources more quickly.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Academy of Nutrition and Dietetics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jand.2025.06.030","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The literature on the determinants of US food insecurity is extensive. Yet, the research on transitions in food insecurity, especially among a group especially at-risk of food insecurity, recipients of charitable food assistance (CFA), is more limited.

Objectives: This study examines changes in financial well-being and health-related quality of life (HRQoL) as correlates of transitions in food insecurity status among CFA recipients.

Design: Survey data was collected 6 months apart during 2022 and 2023. Food insecurity measured at both time points using the 18-item USDA Food Security Scale Module. At both time points, recipients reported on their financial well-being using a 10-item scale and their HRQoL using three measures: global health and the number of physical and mental unhealthy days. Other time-varying and time invariant variables are also included.

Participants: Recipients of CFA (n=777) were recruited and surveyed from 10 food pantries in Atlanta, Georgia and 10 food pantries in Houston, Texas. Participants were followed up 6 months later. The sample is composed of those who participated in both surveys.

Main outcome measures: Marginal food insecurity, food insecurity, very low food security STATISTICAL ANALYSES PERFORMED: Standard descriptive statistics are displayed along with results from two-way fixed effects models.

Results: Over a six-month period, 21.5% of respondents saw a change in marginal food insecurity, 24.1% in food insecurity, and 14.0% in very low food security. These changes were associated with changes in in the number of days the respondent reported having trouble with mental health in the past 30 days and perceptions of financial well-being.

Conclusions: These results demonstrate that practitioners, such as dietitians, should be aware that food insecurity status among a group at high-risk of food insecurity frequently changed over a short period. These changes were associated with factors potentially trackable by dietitians in community settings, which may facilitate the distribution of appropriate resources more quickly.

经济状况和健康相关的生活质量与亚特兰大,乔治亚州和休斯顿,德克萨斯州慈善食品援助接受者的粮食不安全状况的转变有关。
背景:关于美国粮食不安全的决定因素的文献是广泛的。然而,对粮食不安全转型的研究,特别是对特别面临粮食不安全风险的群体,即慈善粮食援助(CFA)接受者的研究更为有限。目的:本研究考察CFA受助人的财务状况和健康相关生活质量(HRQoL)的变化与粮食不安全状况转变的相关性。设计:调查数据于2022年和2023年间隔6个月收集。在两个时间点使用18项美国农业部粮食安全量表模块测量粮食不安全。在这两个时间点,受助者使用10项量表报告其财务状况,并使用三项指标报告其HRQoL:全球健康状况和身心不健康天数。还包括其他时变和时不变变量。参与者:CFA接受者(n=777)从乔治亚州亚特兰大的10个食品储藏室和德克萨斯州休斯顿的10个食品储藏室招募和调查。6个月后对参与者进行了随访。样本由参加过两次调查的人组成。主要结果测量:边际粮食不安全、粮食不安全、极低粮食安全进行统计分析:标准描述性统计数据与双向固定效应模型的结果一起显示。结果:在六个月的时间里,21.5%的答复者认为边际粮食不安全有所变化,24.1%的答复者认为粮食不安全有所变化,14.0%的答复者认为极低粮食安全有所变化。这些变化与受访者在过去30天内报告有心理健康问题的天数的变化以及对财务状况的看法有关。结论:这些结果表明,从业人员,如营养师,应该意识到粮食不安全高危人群的粮食不安全状况在短时间内经常发生变化。这些变化与社区环境中营养师可能追踪的因素有关,这可能有助于更快地分配适当的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
7.20
自引率
10.40%
发文量
649
审稿时长
68 days
期刊介绍: The Journal of the Academy of Nutrition and Dietetics is the premier source for the practice and science of food, nutrition, and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, foodservice systems, leadership and management, and dietetics education.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信