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3.
Sci Rep ; 12(1): 10403, 2022 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-35729275

RESUMO

Energy is a key factor in the economic development. Currently, however, millions of people across the world suffer from energy poverty, having little or no access to energy for cooking, lighting, heating, cooling, or using information and communication technologies. Objective of this study was to investigate the domestic energy sources for households and the impact of biomass use as a source of energy on the environment and food insecurity in the drought-affected northern highlands of Ethiopia. A total of 398 household heads were interviewed using a structured questionnaire, whereas 16 focus group discussions and 12 key informant interviews were conducted. Descriptive data analysis techniques were used to analyze quantitative data while content analysis methods were used to analyze qualitative data. The use of traditional biomass fuels such as firewood, charcoal, crop residue, animal dung, and biomass residue that can be combusted were prevalent in the area, which aggravated the degradation of agricultural lands. As commented by the majority of respondents, the move towards the adoption of modern energy sources was not common due to finance (98%), access (97%), durability (97%) and lack of awareness (93%). The findings showed that land degradation has been severe to the extent that no grain yield can be collected from crop production. As a result, people were exposed to both chronic and transitory food insecurity, and hence the majority of people make their living on food aid. In food-insecure areas, relying on biomass energy could increase land degradation or retard the speed of land restoration, which adversely affects agricultural production and food security. Investing in alternative energy technologies can improve the environment, food security, and people's health.


Assuntos
Características da Família , Abastecimento de Alimentos , Etiópia , Segurança Alimentar , Humanos , Tecnologia
4.
Cien Saude Colet ; 27(7): 2583-2595, 2022 Jul.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35730830

RESUMO

This paper analyzes food insecurity (FI) in urban and rural areas of the Northeast region of Brazil associated with certain social determinants and access to governmental benefits/programs. Data about FI from the National Household Budget Survey (2017-2018) were analyzed, including socio-economic variables and access to government benefits/programs of supplemental income (Bolsa Família, Ongoing transfer benefits, Food voucher and Food basket). Multinomial logistic regression models were performed to assess the relationship between FI and access to government programs/benefits. Half of the families in the Northeast were classified as being subject to FI, the prevalence and severity being higher in rural households. The composition of the family, with at least one retired individual, significantly reduced the probability of being FI at all levels of severity. Access to the Food basket (in cash) benefit and Bolsa Família was associated with being a factor of protection against severe FI in rural areas, while in urban areas the food voucher benefit was the main factor of protection. Income transfer programs and access to social benefits contribute to combatting FI, highlighting the importance of maintaining and scaling-up these initiatives for vulnerable populations.


O trabalho analisa a insegurança alimentar (IA) nas áreas urbana e rural da região Nordeste do Brasil e sua associação com fatores sociais e o acesso a benefícios/programas governamentais. Foram avaliados dados sobre IA da Pesquisa de Orçamentos Familiares (2017-2018), considerando variáveis socioeconômicas e o acesso a benefícios/programas governamentais de transferência de renda (Bolsa Família, Benefício de Prestação Continuada, Cartão Alimentação e Cesta de Alimentos). Modelos de regressão logística multinomial tendo IA como desfecho foram utilizados para avaliar a relação com os programas governamentais. Metade das famílias se encontrava em IA, sendo maior a prevalência e gravidade nos domicílios rurais. A composição da família por ao menos um indivíduo aposentado reduziu significativamente a probabilidade de ocorrência dos níveis mais severos da IA. O acesso à Cesta de Alimentos (em dinheiro) e ao Bolsa Família associou-se como fator de proteção para a IA grave na área rural; na área urbana, o benefício Cartão Alimentação foi o principal fator de proteção. Programas de transferência de renda e o acesso a benefícios sociais contribuíram para o enfrentamento da IA, destacando a relevância da manutenção e ampliação dessas iniciativas para populações vulnerabilizadas.


Assuntos
Insegurança Alimentar , Abastecimento de Alimentos , Brasil , Características da Família , Programas Governamentais , Humanos , População Rural , Fatores Socioeconômicos
5.
Cien Saude Colet ; 27(7): 2717-2728, 2022 Jul.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35730841

RESUMO

The characteristics of the food environment can interfere with physical access to healthy foods and accentuate health inequalities. The presence of food swamps, i.e., the greater availability of ultra-processed food and commercial establishments compared to those that sell healthier options, are associated with the consumption of unhealthy foods. This study identified the spatial distribution of these establishments in Campinas, São Paulo. Fast-food restaurants, open-air organic/agroecological food markets and supermarkets were geocoded. Regional administrations (RAs) with greater social vulnerability according to the 2010 Census and with a greater availability of fast-food restaurants in relation to open-air food markets and supermarkets were considered food swamps. The less vulnerable neighborhoods had a higher concentration of all types of commercial food establishments compared to the most vulnerable regions. In Campinas, of eighteen RAs, five were considered food swamps. The findings reinforce the need for actions to improve exposure to healthy foods in more vulnerable neighborhoods.


As características do ambiente alimentar podem interferir no acesso físico a alimentos saudáveis e acentuar as desigualdades em saúde. A presença de pântanos alimentares, ou seja, a maior disponibilidade de estabelecimentos de comercialização de alimentos ultraprocessados em relação aos que comercializam opções mais saudáveis, associado a características de vulnerabilidade da vizinhança, pode estar relacionado ao consumo de alimentos não saudáveis. Esse estudo identificou a distribuição espacial desses estabelecimentos e verificou se há e onde se localizam os pântanos alimentares em Campinas, São Paulo. Foram geocodificados restaurantes de comida rápida, feiras livres e supermercados/hipermercados. Administrações Regionais (ARs) com maior vulnerabilidade social de acordo com o Censo de 2010, e com maior disposição de restaurantes de comida rápida em relação a feiras livres e supermercados/hipermercados foram considerados pântanos alimentares. Os bairros menos vulneráveis apresentaram maior concentração de todos os tipos de estabelecimentos de comercialização de alimentos em relação às regiões mais vulneráveis. Em Campinas, de dezoito ARs, cinco foram consideradas pântanos alimentares. Os achados reforçam a necessidade de ações que melhorem a exposição a alimentos saudáveis em bairros mais vulneráveis.


Assuntos
Restaurantes , Áreas Alagadas , Brasil , Comércio , Fast Foods , Alimentos , Abastecimento de Alimentos , Humanos , Características de Residência
6.
Cien Saude Colet ; 27(7): 2855-2866, 2022 Jul.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35730852

RESUMO

The aim of this study was to develop a methodological proposal for the assessment of food and nutritional insecurity (FNiS) in adults and older adults (Vigi-FNiS). The proposal was developed using data from the BRAZUCA Natal survey, a cross-sectional study with 411 people living in Natal in the state of Rio Grande do Norte, Brazil. The association between sociodemographic, health and nutrition variables and food insecurity (FI) was tested using Poisson multiple regression. Overall prevalence of FI was 42.1% (37.4%-46.9%) and was higher in women (47.5%), adults (48.2%) and black people (52.7%). The following variables were included in the Vigi-FNiS: people aged <18 years living in the household (A) (AdjPR=1.3; 1.1-1.6); family income (B) in quintiles (Q1: AdjPR=5, 4; 2.5-11.7; Q2: AdjPR=4.8; 2.2-10.5; Q3: AdjPR=3.8; 1.8-8.5; Q4 AdjPR=2.2; 1.0-5.1); inadequate treatment of drinking water (C) (AdjPR=1.3; 1.1-1.5); presence of chronic non-communicable diseases (D) (AdjPR=1.3; 1.1-1.7); not eating fruit for breakfast (E) (AdjPR=1.7; 1.3-2.5);eating meals on the couch or in bed (F) (AdjPR=1.3; 1.1-1.6); and skipping either lunch or dinner or dinner (G) (AdjPR=1.4; 1.2-1.7). A cutoff point for FNiS of 2.3 was adopted (Kappa=0.47; sensitivity=0.82; specificity=0.67; PPV=0.64; NPV=0.83).


O objetivo deste artigo é desenvolver uma proposta metodológica para avaliar a insegurança alimentar e nutricional (INSAN) em adultos e idosos. A proposta metodológica Vigi-INSAN foi elaborada com dados do Brazuca Natal, um estudo transversal com 411 residentes de Natal-RN. O modelo preditivo foi desenvolvido por regressão múltipla de Poisson, analisando-se as variáveis sociodemográficas, de saúde e nutrição, e a insegurança alimentar (IA). A prevalência de IA foi 42,1% (37,4%-46,9%), sendo maior em mulheres (47,5%), adultos (48,2%) e pessoas de cor/raça preta (52,7%). O Vigi-INSAN foi composto por: presença de <18 anos no domicílio (A) (RPaj=1,3; 1,1-1,6), renda familiar (B) (em quintis) (Q1: RPaj=5,4; 2,5-11,7; Q2: RPaj=4,8; 2,2-10,5; Q3: RPaj=3,8; 1,8-8,5; Q4 RPaj=2,2; 1,0-5,1), tratamento inadequado da água de beber (C) (RPaj=1,3; 1,1-1,5), presença de DCNT (D) (RPaj=1,3; 1,1-1,7), não comer frutas no café da manhã (E) (RPaj=1,7; 1,3-2,5), realizar refeições no sofá da sala ou na cama (F) (RPaj=1,3; 1,1-1,6) e pular pelo menos o almoço ou o jantar (G) (RPaj=1,4; 1,2-1,7). Foi adotado o ponto de corte 2,3 (Kappa=0,47; Sensibilidade=0,82; Especificidade=0,67; VPP=0,64; VPN=0,83).


Assuntos
Desjejum , Refeições , Idoso , Estudos Transversais , Feminino , Insegurança Alimentar , Abastecimento de Alimentos , Humanos , Estado Nutricional
7.
Sci Total Environ ; 838(Pt 3): 156438, 2022 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-35660578

RESUMO

This paper provides an overview of how food production influences climate change and also illustrates the impact of climate change on food production. To perform such an overview, the (inter)link between different parts of the food supply chain continuum (agriculture production, livestock farming, food processing, food transport and storing, retail food, and disposal of food waste) and climate change has been investigated through a bibliometric analysis. Besides UN Sustainable Development Goal (SDG) 13, associated with climate change, other SDGs that are associated with this overview are goals #1, #2, #3, #6, #7, #12, and #15. Based on the evidence gathered, the paper provides some recommendations that may assist in efforts to reduce the climate-related impacts of food production.


Assuntos
Agricultura , Mudança Climática , Alimentos , Abastecimento de Alimentos , Eliminação de Resíduos
8.
Oecologia ; 199(2): 367-376, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35716234

RESUMO

Breeding animals trade off maximizing energy output to increase their number of offspring with conserving energy to ensure their own survival, leading to an energetic ceiling influenced by external, environmental factors or by internal, physiological factors. We examined whether internal or external factors limited energy expenditure by supplementally feeding breeding black-legged kittiwakes varying in individual quality, based on earlier work that defined late breeders as low-quality and early breeders as high-quality individuals. We tested whether energy expenditure increased when food availability decreased in both low- and high-quality birds; we predicted this would only occur in high-quality individuals capable of sustaining high levels of energy expenditure. Here, we find that food-supplemented birds expended less energy than control birds because they spent more time at the colony. However, foraging trips of food-supplemented birds were only slightly shorter than control birds, implying that food-supplemented birds were limited by food availability at sea similarly to control birds. Late breeders expended less energy, suggesting that low-quality individuals may not intake the energy necessary for sustaining high-energy output. Food-supplemented birds had more offspring than control birds, but offspring number did not influence energy expenditure, supporting the idea that the birds reached an energy ceiling. Males and lighter birds expended more energy, possibly compensating for relatively higher energy intake. Chick-rearing birds were working near their maximum, with highest levels of expenditure for early-laying (high-quality) individuals foraging at sea. Due to fluctuating marine environments, kittiwakes may be forced to change their foraging behaviors to maintain the balance between reproduction and survival.


Assuntos
Charadriiformes , Reprodução , Animais , Aves/fisiologia , Charadriiformes/fisiologia , Metabolismo Energético/fisiologia , Abastecimento de Alimentos , Masculino , Reprodução/fisiologia
10.
J Prim Care Community Health ; 13: 21501319221106626, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35712859

RESUMO

INTRODUCTION AND OBJECTIVE: Food insecurity (FI) is associated with adverse health outcomes across the lifespan. Primary care and prenatal practices can identify and address FI among patients through screening and interventions. It is unclear how practices and communities responded to FI during the COVID-19 pandemic, and how the pandemic may have impacted practices' FI strategies. We aimed to understand how practices providing primary care or prenatal care in northern New England experienced changes in FI during the COVID-19 pandemic. METHODS: We conducted a web-based survey of clinicians and staff from 43 unique practices providing primary care or prenatal care in northern New England. RESULTS: Most practices (59.5%) reported at least 1 new food program in the practice or community since the pandemic began. Practices reporting new practice- or community-based food programs were more likely to be rural, federally qualified health centers, and have greater confidence in practice and community capacity to address FI (chi-square tests, P < .05). CONCLUSION: Results suggest that practices and surrounding communities in northern New England responded to FI during the pandemic by increasing food support programs. Future work is needed to examine the impact of food programs initiated during the pandemic and determine optimal strategies for practices to address FI among patients.


Assuntos
COVID-19 , COVID-19/epidemiologia , Feminino , Insegurança Alimentar , Abastecimento de Alimentos , Humanos , New England/epidemiologia , Pandemias , Gravidez , Cuidado Pré-Natal
11.
Front Public Health ; 10: 813828, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35719631

RESUMO

The study focuses on supply chain management practices, innovation, top management commitment, and supply chain performance at companies. The study's main objective is to investigate the association between supply chain management practices and supply chain performance and the intervening effect of innovation, the interaction effect of top management commitment. In this study, a simple random sampling technique and the sample size selected with G* power software (N = 208). The readymade questionnaire was used to collect data from National Logistic Corporation (NLC), Food and Beverage Companies Groups (FMCG) at China. The data analyzed through Smart-PLS (SEM → small and medium enterprises) and SPSS software. Meanwhile, innovational significant and positively mediated the relationship between supply chain management five practices and organizational performance. The findings of this study will help managers of SMEs enhance their performance. The results showed that SCMP directly and significantly affected supply chain performance, and customer relationship management was insignificant with supply chain performance. Supplier and customer relationship management both have a significant impact on innovation. In addition, innovation is considered a significant positive predictor for supply chain performance with the intervening approach. But top management commitment proved insignificant for customer relationship management and supply chain performance. The study further concluded that supply chain management practices would not be productive for supply chain performance if the top management does not apply innovative technologies in the organizations.


Assuntos
Utilização de Equipamentos e Suprimentos , China , Abastecimento de Alimentos
12.
Artigo em Inglês | MEDLINE | ID: mdl-35742210

RESUMO

The most extensive research areas in the food environment literature include identifying vulnerable dietary environments and studying how these environments affect eating behaviors and health. So far, research on people's willingness to pay (WTP) for residing in different types of food environments is limited. Therefore, this study aims to estimate WTP for different types of food environments by using spatial hedonic pricing models. The empirical application applies to the Canadian city of Edmonton. The results show that people are willing to pay a premium to live in neighborhoods with poor access to supermarkets and grocery stores (food-desert type) and neighborhoods with excessive access to fast-food restaurants and convenience stores (food-swamp type). Why do rational people prefer to live in disadvantaged food environments? The seemingly counter-intuitive result has its rationality. The premium paid to live in food-desert type environment may reflect people's dislike of noise, traffic jams, and potential safety issues brought by supermarkets and grocery stores. The WTP for living in food-swamp type environment may reflect people's preference for convenience and time-saving brought by fast-food consumption in modern urban society. Additionally, the inability of low-income families to afford healthy food may be a deeper reason for choosing to live in neighborhoods with excess access to fast food. To improve the eating environment and encourage healthy lifestyles, the government can encourage healthier fast-food restaurants, provide grocery shopping vouchers, and promote community garden projects.


Assuntos
Fast Foods , Restaurantes , Canadá , Comércio , Abastecimento de Alimentos , Humanos , Características de Residência
13.
Artigo em Inglês | MEDLINE | ID: mdl-35742235

RESUMO

Community engagement is well established as a key to improving public health. Prior food environment research has largely studied community engagement as an intervention component, leaving much unknown about how food retailers may already engage in this work. The purpose of this study was to explore the community engagement activities employed by neighborhood food retailers located in lower-income communities with explicit health missions to understand the ways stores involve and work with their communities. A multiple case study methodology was utilized among seven retailers in urban U.S. settings, which collected multiple sources of data at each retailer, including in-depth interviews, store manager sales reports, store observations using the Nutrition Environment Measures Survey for Stores, public documents, and websites. Across-case analysis was performed following Stake's multiple case study approach. Results indicated that retailers employed a wide variety of forms of community engagement within their communities, including Outreach, Building Relationships through Customer Relations, Giving Back, Partnering with Community Coalitions, and Promoting Community Representation and Inclusiveness. Strategies that built relationships through customer relations were most common across stores; whereas few stores demonstrated community inclusiveness where members participated in store decision making. Findings provide a more comprehensive view of the ways local food retailers aim to develop and sustain authentic community relationships. Additional research is needed to evaluate the impact of community engagement activities on improving community health.


Assuntos
Abastecimento de Alimentos , Marketing , Comércio , Alimentos , Características de Residência
14.
Artigo em Inglês | MEDLINE | ID: mdl-35742343

RESUMO

Chronic food insecurity persists in high-income countries, leading to an entrenched need for food relief. In Australia, food relief services primarily focus on providing food to meet immediate need. To date, there has been few examples of a vision in the sector towards client outcomes and pathways out of food insecurity. In 2016, the South Australian Government commissioned research and community sector engagement to identify potential policy actions to address food insecurity. This article describes the process of developing a co-designed South Australian Food Relief Charter, through policy-research-practice collaboration, and reflects on the role of the Charter as both a policy tool and a declaration of a shared vision. Methods used to develop the Charter, and resulting guiding principles, are discussed. This article reflects on the intentions of the Charter and suggests how its guiding principles may be used to guide collective actions for system improvement. Whilst a Charter alone may be insufficient to create an integrated food relief system that goes beyond the provision of food, it is a useful first step in enabling a culture where the sector can have a unified voice to advocate for the prevention of food insecurity.


Assuntos
Assistência Alimentar , Abastecimento de Alimentos , Austrália , Insegurança Alimentar , Humanos , Austrália do Sul
15.
Artigo em Inglês | MEDLINE | ID: mdl-35742673

RESUMO

BACKGROUND: Low-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, this study aimed to understand the experiences, perceptions, and context of tobacco use and cessation among low-income populations experiencing food insecurity. METHODS: We conducted in-depth, semi-structured interviews with 23 adults who were currently smoking cigarettes and were experiencing food insecurity, mostly living in rural settings. Participants were recruited through food-pantry-based needs assessment surveys and study flyers in community-based organizations. The interview guide explored participants' histories of smoking, the role and function of tobacco in their lives, their interest in and barriers to quitting, as well as lived experiences of food insecurity. We used reflexive thematic analysis to analyze transcribed interviews. RESULTS: Within a broader context of structural challenges related to poverty and financial strain that shaped current smoking behavior and experiences with food insecurity, we identified the following five themes: smoking to ignore hunger or eat less; staying addicted to smoking in the midst of instability; smoking being prioritized in the midst of financial strain; life stressors and the difficulty of quitting smoking and staying quit; and childhood adversity at the intersection of food insecurity and tobacco use. CONCLUSION: The context of tobacco use among adults with food insecurity was highly complex. To effectively address tobacco-related disparities among those who are socially and economically disadvantaged, tobacco control efforts should consider relevant lived experiences and structural constraints intersecting smoking and food insecurity. Findings are applied to a conceptualization of clustering of conditions contributing to nicotine dependence, food insecurity, and stress.


Assuntos
Fumar Cigarros , Produtos do Tabaco , Adulto , Fumar Cigarros/epidemiologia , Insegurança Alimentar , Abastecimento de Alimentos , Humanos , Pobreza , Uso de Tabaco/epidemiologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-35742692

RESUMO

Disparities in healthy food access and consumption are a major public health concern. This study reports the findings from a two-year randomized control trial conducted at 77 farmers' markets (FMs) in 13 states and the District of Columbia that sought to understand the impact of fruit and vegetable (FV) incentive vouchers, randomly issued at varied incentive levels to Supplemental Nutrition Assistance Program (SNAP) recipients, for use at FMs. Measures included FV and overall household food purchasing; FV consumption; food insecurity; health status; market expenditure; and demographics. A repeated-measures mixed-effects analysis and the Complier Average Causal Effect (CACE) were used to examine outcomes. Despite 82% reporting food insecurity in the prior year, the findings showed that financial incentives at FMs had statistically significant, positive effects on FV consumption; market expenditures increased with added incentives. SNAP recipients receiving an incentive of USD 0.40 for every USD 1.00 in SNAP spent an average of USD 19.03 per transaction, while those receiving USD 2 for every USD 1 (2:1) spent an average of USD 36.28 per transaction. The data showed that the incentive program at the highest level (2:1) maximally increased SNAP FM expenditure and FV consumption, increasing the latter by 0.31 daily cups among those who used their incentive (CACE model).


Assuntos
Assistência Alimentar , Fazendeiros , Abastecimento de Alimentos , Frutas , Humanos , Motivação , Verduras
17.
Nutrients ; 14(12)2022 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-35745136

RESUMO

With a global focus on improving maternal and child nutrition through the 2030 Sustainable Development Goals, it is important to understand food insecurity in pregnant women and families with young children, as food insecurity at these life stages can have ongoing negative health consequences. However, factors that influence food insecurity among this population group are not well understood. This scoping review investigates the factors that influence food insecurity among pregnant women and households with young children aged 0-6 years living in high-income countries. A scoping literature review was conducted using four electronic databases. The search combined terms relevant to: food security, determinants, pregnancy and family and high-income countries. Only full text and English language articles were included. The search identified 657 titles and abstracts; 29 articles were included in the review. A majority (70%) of the studies were conducted in the United States and were mostly either cross-sectional or secondary data analysis of existing population data. Factors associated with food insecurity were identified and grouped into 13 constructs. These included social, economic and health risk factors, food access and utilization factors and health and dietary outcomes. This scoping review identifies the factors associated with food insecurity among pregnant women and families with young children that could be used to better measure and understand food insecurity, which could assist in developing program and policy responses. This review also highlights the lack of literature from high-income countries outside the US.


Assuntos
Abastecimento de Alimentos , Gestantes , Cuidadores , Criança , Pré-Escolar , Estudos Transversais , Feminino , Insegurança Alimentar , Humanos , Gravidez , Estados Unidos
18.
Nutrients ; 14(12)2022 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-35745202

RESUMO

"Nutrition transition" describes the shifts in dietary consumption and energy expenditure influenced by economic, demographic, and epidemiological changes at a population level. This phenomenon has been associated with rising obesity rates worldwide, especially in developed countries. In Brazil, the historical analysis of temporal trends between malnutrition and obesity characterized the nutrition transition in the country and interweaved it with the formulation and implementation of public food and nutrition policies. Such analysis is crucial for understanding certain principles in each context. Thus, this review contextualized the consolidation of obesity as a critical health and public policy issue in Brazil. Our review suggested that the country may still be at the initial stage of care for obesity, and more efforts are needed to contain the advance of the disease in Brazil.


Assuntos
Desnutrição , Brasil/epidemiologia , Abastecimento de Alimentos , Humanos , Desnutrição/epidemiologia , Política Nutricional , Obesidade/epidemiologia
19.
Nutrients ; 14(12)2022 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-35745261

RESUMO

This study sought to describe racial disparities in food insecurity, food pantry use, and barriers to and experiences with food pantries during the first year of the COVID-19 pandemic. We surveyed 2928 adults in Massachusetts regarding food access in the year before and during the first year of the pandemic. Weighted multivariable logistic regression models assessed racial differences in barriers to and experiences with pantry use during the pandemic. Black and Latino adults experienced the highest prevalence of food insecurity and pantry use. Additionally, Black and Latino adults reported more barriers to, but less stigma around, pantry use compared to White adults. Latino adults were less likely to know about pantry hours/locations and encounter staff who spoke their language. Black and Latino adults were also more likely to find pantry hours/locations inconvenient and have difficulty with transportation. The COVID-19 pandemic resulted in increased food insecurity, and food access inequities persisted. Programmatic policies to improve pantry access in communities of color could include increasing the hours/days that pantries are open, increasing bilingual staff, providing transportation or delivery, and creating multilingual public awareness campaigns on how to locate pantries.


Assuntos
COVID-19 , Assistência Alimentar , Adulto , COVID-19/epidemiologia , Alimentos , Abastecimento de Alimentos , Humanos , Pandemias
20.
BMC Public Health ; 22(1): 1066, 2022 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-35643511

RESUMO

BACKGROUND: It is widely acknowledged that the invasion by colonial powers of the Australian continent had profound and detrimental impacts on Aboriginal Communities, including food security. Policies of successive governments since European arrival have since further exacerbated the situation, with food insecurity now affecting 20-25% of Aboriginal and Torres Strait Islander people. Food insecurity contributes to long-term impacts on health, in particular diet-sensitive chronic diseases. This study aimed to describe Aboriginal community and stakeholder perspectives on food insecurity to get a better understanding of the key contributing factors and recommendations for potential strategies to address this issue in Aboriginal communities in urban and regional Australia. METHODS: Semi-structured interviews were conducted with 44 participants who were purposively selected. This included Aboriginal people in two communities and both Aboriginal and non-Aboriginal stakeholders from local food relief agencies, food suppliers, schools, and government in an urban and regional location in NSW. A conceptual framework was developed from literature on food security, and sensitizing concepts of availability, affordability, accessibility and acceptability or the lack thereof of healthy food were used to elicit responses from the participants. Interview transcripts were analysed thematically. RESULTS: All participants felt strongly that food insecurity was a major problem experienced in their local Aboriginal communities. Five core areas impacting on food security were identified: trapped in financial disadvantage; gaps in the local food system; limitations of non-Aboriginal food relief services; on-going impacts of colonization; and maintaining family, cultural and community commitments and responsibilities. Participants suggested a number of actions that could help ease food insecurity and emphasized that Aboriginal values and culture must be strongly embedded in potential programs. CONCLUSIONS: This study found Aboriginal families in urban and regional Australia are experiencing food insecurity on a regular basis, which is impacted by a range of socio-economic, environmental, systemic and cultural factors, as reported by the participants. Study findings highlight the need to address system level changes in the food environment and acknowledge Aboriginal history, culture and food preferences when considering the development of programs to alleviate food insecurity among Aboriginal people.


Assuntos
Abastecimento de Alimentos , Austrália , Insegurança Alimentar , Humanos , Povos Indígenas
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