Nutrition Commons^™

Fruit And Vegetable Intake, Food Security, Barriers To Healthy Eating, And Empowerment Among Dietetic Interns And Physician Assistant Interns: A Cross-Sectional Pilot Study, Alison Campbell, Maren Stirling, Natalie Keele, Alisse Larkin, Rachel Crandall, Aubree N. Wilcox, Meghan Adair, Cloie Malan, Jaidyn Thomson, Alexis Bennett, Heather Jensen, Hadyn Flygare, Lacie Peterson, Holly Hopkins, Nikki Kendrick, Maria Givler, Rebecca Charlton, Katie N. Kraus

Nutrition, Dietetics, and Food Sciences Faculty Publications

Students are required to complete supervised practice hours prior to becoming Registered Dietitians and Physician Assistants. Research suggests that environmental and social factors affect dietetic interns’ diets during their internship, although these factors have not been studied among physician assistant interns. This cross-sectional study utilized an online survey to compare dietetic interns’ (n = 81) and physician assistant interns’ (n = 79) fruit and vegetable intake, food security, barriers to healthy eating, and empowerment for making healthy dietary choices during an internship. Differences were assessed via independent t-tests and chi-square distributions. The significance was set at p …

A Vision For A Food-Secure Future Through Permaculture, Jim Gale

Journal of Nonprofit Innovation

In response to the pressing challenges of food security, sustainability, and resilience, Food Forest Abundance, led by visionary CEO Jim Gale, emerges as a beacon for permaculture-based agriculture and community development. This editorial explores the organization's pivotal role in advocating for a future where individuals, families, and communities thrive through sustainable practices and localized food systems. Central to Food Forest Abundance mission is the conviction that permaculture principles can revolutionize our approach to food security, health, and wellness by uniting agricultural and community leaders.

The catalyst for this movement was the World Farmers Market Coalition report, revealing the tangible economic, …

Home Food Production Before, During And Since Start Of The Covid-19 Pandemic In Northern New England, Ashleigh Angle, Ashley C. Mccarthy, Meredith T. Niles

College of Agriculture and Life Sciences Faculty Publications

This brief details the results from three separate surveys of Northern New Englanders in Maine and Vermont in summer 2020, spring 2021, and spring 2022. A survey was conducted in summer of 2020 to understand the initial and continued impacts of the COVID-19 pandemic on food security, diet, and health outcomes. Two additional surveys were conducted using the same methods in spring 2021 and 2022 to continue to assess changes during the pandemic. All surveys were representative of the state populations on race and ethnicity and the data presented in this brief were weighted to be representative of income in …

“Anything From The Land Is Good”: Understanding How Community Gardening In Kakisa, Northwest Territories, Can Contribute To Indigenous Food Sovereignty, Michelle Malandra

Theses and Dissertations (Comprehensive)

Rates of food insecurity in Canada’s northern Indigenous communities are at levels that should constitute an emergency. Dominant explanations for these high rates of food insecurity often ignore the ongoing impacts of colonization and over-emphasize individual choices and nutritional guidelines developed by outsiders. The importance of holistic community health is ignored, along with the cultural and social values and practices that support community health and well-being, including traditional food systems. As the acute impact of climate change in the North threatens traditional food access, a shift toward an Indigenous food sovereignty approach in health and food policy is needed. With …

Changes In Depressive Symptoms, Perceived Stres, And Food Security Among Study Participants With Metabolic Syndrome During A Covid-19-Mandated Research Pause, Barbara A. Lohse, Anahi Ramirez, Jenna Hickey, Lisa Bailey-Davis, Betty Drees, Kevin S. Masters, Elizabeth H. Ruder, Nicole Trabold

Articles

Introduction: This study explored how food security, perceived stress and mental health of persons with metabolic syndrome (MetS) changed in the COVID-19 pandemic.

Methods: An online survey was administered to persons enrolled in a 2-year lifestyle intervention trial to reverse metabolic syndrome at baseline; the survey was repeated during the COVID-19 pandemic. Outcomes were a change in depressive symptoms, perceived stress, and food security as measured by the Patient Health Questionnaire-8, Cohen Stress Scale, and USDA 10-item Food Security Screener. Changes in outcomes were analyzed with measures of association, paired t-test, repeated measures and independent t-test.

Results: Participants (n = …

Participatory Mapping To Address Neighborhood Level Data Deficiencies For Food Security Assessment In Southeastern Virginia, Usa, Nicole S. Hutton, George Mcleod, Thomas R. Allen, Christopher Davis, Alexander Garnand, Heather Richter, Prachi P. Chaven, Leslie Hoglund, Jill Comess, Matthew Herman, Brian Martin, Cynthia Romero

Political Science & Geography Faculty Publications

Background: Food is not equitably available. Deficiencies and generalizations limit national datasets, food security assessments, and interventions. Additional neighborhood level studies are needed to develop a scalable and transferable process to complement national and internationally comparative data sets with timely, granular, nuanced data. Participatory geographic information systems (PGIS) offer a means to address these issues by digitizing local knowledge.

Methods: The objectives of this study were two-fold: (i) identify granular locations missing from food source and risk datasets and (ii) examine the relation between the spatial, socio-economic, and agency contributors to food security. Twenty-nine subject matter experts from three cities …

An Exploration Of System Level Dimensions Of Nutrition In Relation To Health: Interprofessional Teams And Food Insecurity, Mckenna Christy Voorhees

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Many factors influence health; two such factors that warrant additional research include interdisciplinary healthcare teams and food insecurity. These factors may be particularly important among vulnerable populations such as individuals with special healthcare needs, lower income populations, and individuals with disabilities.

Interdisciplinary teamwork promotes improved, and more efficient patient care through the collaboration of healthcare providers in various professional disciplines. Registered Dietitian Nutritionists (RDNs) are experts in the science and application of nutrition, which plays an important role in various disease states. Despite the established need for RDNs on interdisciplinary teams, there is limited research in the interdisciplinary scholarship targeting …

A 2022 Assessment Of Food Security And Health Outcomes During The Covid-19 Pandemic, Ashley C. Mccarthy, Farryl Bertmann, Emily H. Belarmino, Sam Bliss, Jennifer Laurent, Jonathan Malacarne, Scott Merrill, Rachel E. Schattman, Kathryn Yerxa, Meredith T. Niles

College of Agriculture and Life Sciences Faculty Publications

We conducted a Northern New England survey to understand the impacts of the COVID-19 pandemic on food security, food access, home food production, health behaviors, and health outcomes. The surveys were conducted in the spring of 2022 (April-May) with a total of 1,013 adults (598 in Maine and 415 in Vermont) responding to the survey. Key findings include:1. The prevalence of food insecurity remains similarly high to early points in the pandemic, likely driven by inflation and food prices, and long-term impacts from the pandemic. 2. The majority (62%) indicated the recent rise in food prices affected their food purchasing, …

Assessing The Influence Of Food Insecurity And Retail Environments As A Proxy For Structural Racism On The Covid-19 Pandemic In An Urban Setting, Rachael D. Dombrowski, Alex B. Hill, Bree Bode, Kathrybn A. G Knoff, Hadis Dastgerdizad, Noel Kulik, James Mallare, Kibibi Blount-Dorn, Winona Bynum

Urban Studies and Planning Faculty Research Publications

A collaborative partnership launched the Great Grocer Project (GGP) in March 2021 in Detroit, Michigan where health inequities, including deaths due to COVID-19, have historically been politically determined and informed by socially entrenched norms. Institutional and structural racism has contributed to a lack of diversity in store ownership among Detroit grocers and limited access to high-quality, affordable healthy foods as well as disparate food insecurity among Detroit residents. The GGP seeks to promote Detroit’s healthy grocers to improve community health and economic vitality through research, programs, and policies that have the potential to advance health equity. A cross-sectional design was …

Eat Well, Be Well: Basic Needs Initiative's Online Hub For Nutrition Education, Misha Moseley

Capstone Projects and Master's Theses

Basic Needs Initiative at California State University, Monterey Bay is a department that provides students with food, housing, and wellness resources. Over half of the university's students experience food insecurity, and over 85% use non-academic resources to learn about nutrition. This project adds a dietary health section to the department’s website to increase students’ access to nutrition education. It addresses the micro-level agency problem that too few students eat a healthy, balanced diet. Unhealthy eating is a risk factor for food insecurity, so the project indirectly addresses the macro-level health problem that too many college students in California experience food …

Assessing Satisfaction With Bi-Weekly Produce Deliveries As A Means To Reduce Food Insecurity On College Campuses, Sophie Crosby

Senior Theses

Background: As food insecurity disproportionately affects college students and students are often unable to receive government nutritional assistance, more lasting, sustainable interventions are needed to decrease food insecurity on college campuses. The purpose of this study was to measure the satisfaction of the FoodShare program, a low-cost, biweekly fresh produce delivery, at the University of South Carolina. The purpose of this study was to pilot FoodShare’s program with adaptations to the University of South Carolina and examine participants’ experience with the program. Methods: Forty-three students, faculty, and staff purchased boxes over a three-month period. FoodShare boxes were purchased and delivered …

Policy Implications Of The Covid-19 Pandemic On Food Security In Rural America: Evidence From Appalachia, Kathryn M. Cardarelli, Emily M. Dewitt, Rachel Gillespie, Rachel Hogg-Graham, Heather Norman-Burgdolf, Janet T. Mullins

Dietetics and Human Nutrition Faculty Publications

Rural communities are disproportionally affected by food insecurity, making them vulnerable to the consequences of supply disruptions caused by the COVID-19 pandemic. While access to food was initially diminished due to food supply disruptions, little is known about the mechanisms through which federal emergency assistance programs impacted food access in rural populations. Through a series of five focus groups in spring 2021, we examined the impact of the COVID-19 pandemic on food access in a rural Appalachian community in Kentucky. Data were analyzed using a Grounded Theory Approach. Findings revealed the following four primary themes: food scarcity in grocery stores; …

Food Security Impacts Of The Covid-19 Pandemic: Following A Group Of Vermonters During The First Year, Ashley C. Mccarthy, Farryl Bertmann, Emily H. Belarmino, Meredith T. Niles

College of Agriculture and Life Sciences Faculty Publications

We surveyed a cohort of Vermonters three times during the first year of the COVID-19 pandemic to understand the impacts of the pandemic on food security and food access. The surveys were conducted in March/April 2020, June 2020, and March/April 2021. A total of 441 Vermonters responded to all three surveys. This brief shares changes in their experiences between March 2020 and March 2021. Key findings include: 1. Food insecurity rates increased during the pandemic and remained above pre-pandemic levels a year after the start of the pandemic. 2. 31.6% of respondents experienced food insecurity at some point in the …

An Analysis Of The Impacts Of Climate Change On Food Security In The Albertine Rift Of East Africa, Malcolm Jacob

International Development, Community and Environment (IDCE)

As one of the most densely populated regions on the continent of Africa, the Albertine Rift (consisting of parts of Rwanda, Uganda, and the eastern DRC) faces ongoing problems providing enough food for its people through crop production, livestock husbandry, and other forms of food production. Even more troubling for the future is that anthropogenic climate change is expected to significantly exacerbate food insecurity. This paper addresses one central question: how will climate change impact food security in the Albertine Rift? Based on an analysis of available data, this paper finds that policymakers should listen closely to local farmers and …

Food Security Status And Disordered Eating Of Male High School Football Players In Rural, Appalachian Mississippi Participating In A Food Education Program, Miller Carlton

Honors Theses

Food insecurity is associated with disordered eating in National Collegiate Athletic Association (NCAA) male athletes. This study evaluated the impact of a food education program on youth food security and disordered eating of high school football players in rural, Appalachian Mississippi. A Pre-Post design was utilized. Prospective participants (n=47) were recruited in July, 2019. The 12-week season-long food education program included weekly education with practical food-based sport nutrition principles along with food packages to implement principles at home. Youth food security was measured using Self-administered Youth Food Security Module (Connell, 2004). Disordered eating was measured using 5-item scale (Morgan, Reid, …

Food Insecurity Measurement And Prevalence Estimates During The Covid-19 Pandemic In A Repeated Cross-Sectional Survey In Mexico, Pablo Gaitán-Rossi, Mireya Vilar-Compte, Graciela Teruel, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Objective: To validate the telephone modality of the Latin American and Caribbean Food Security Scale (ELCSA) included in three waves of a phone survey to estimate the monthly household food insecurity prevalence during the COVID-19 pandemic in Mexico. Design: We examined the reliability and internal validity of the ELCSA scale in three repeated waves of cross-sectional surveys with Rasch models. We estimated the monthly prevalence of food insecurity in the general population and in households with and without children and compared them with a national 2018 survey. We tested concurrent validity by testing associations of food insecurity with socio-economic status …

“We’Re, Like, The Most Unhealthy People In The Country”: Employing An Equity Lens To Reduce Barriers To Healthy Food Access In Rural Appalachia, Kathryn Cardarelli, Emily M. Dewitt, Rachel Gillespie, Heather Norman-Burgdolf, Natalie Jones, Janet Tietyen Mullins

Dietetics and Human Nutrition Faculty Publications

Introduction

Obesity disproportionately affects rural communities, and Appalachia has some of the highest obesity rates in the nation. Successful policy, systems, and environmental (PSE) interventions to reduce obesity must reflect the circumstances of the population. We used a health equity lens to identify barriers and facilitators for healthy food access in Martin County, Kentucky, to design interventions responsive to social, cultural, and historical contexts.

Methods

We conducted 5 focus groups in Martin County, Kentucky, in fall 2019 to obtain perspectives on the local food system and gauge acceptability of PSE interventions. We used grounded theory to identify perceived barriers and …

Food And Job Insecurity In Vermont During Covid-19 Infographic, Meredith T. Niles, Anna L. Josephson, Farryl Bertmann, Emily H. Belarmino, Roni Neff

College of Agriculture and Life Sciences Faculty Publications

This infographic details the summary results from a second Vermont survey on food and job insecurity in Vermont during COVID-19 in March and June 2020. Key results include: 1) Nearly 1 in 4 Vermonters experience food insecurity in June 2020; 2) People of color, those without a college degree, with job disruption, with children, and women were more likely to be food insecure; 3) More than 50% of Vermonters experienced job loss or disruption, and 20% received unemployment in June 2020; 4) Use of food assistance programs rose significantly between March 2020 and June 2020.

Covid-19 And Food Insecurity Impacts: A Follow Up Vermont Study, Meredith T. Niles, Anna L. Josephson, Farryl Bertmann, Emily H. Belarmino, Roni Neff

College of Agriculture and Life Sciences Faculty Publications

This brief report details the results from a follow-up survey of 1,236 Vermonters in June 2020, after an initial survey in March/April 2020 focused on the impact of COVID-19 on food access and security. The key results include: 1) Nearly 1 in 4 respondents (23%) were classified as food insecure in June, a reported 22% decrease since March, but higher than before COVID-19. 2) People of color, those without a college degree, those with a job loss, households with children, women, and younger people had greater odds of experiencing food insecurity. 3) The majority of respondent households had experienced some …

Food Access Through School Meals And Food Pantries During Covid-19: Early Findings From Vermont, Farryl Bertmann, Emily H. Belarmino, Thomas Wentworth, Erin Biehl, Roni Neff, Meredith T. Niles

College of Agriculture and Life Sciences Faculty Publications

The novel coronavirus (COVID-19) pandemic has affected people worldwide, disrupting food access, and security. To understand how food systems and security are impacted during this pandemic, an online survey was launched in Vermont from March 29 - April 12, 2020 (less than a week after the “Stay Home/Stay Safe” order). A total of 3,219 Vermonters responded with 182 providing a written answer specifically about food pantries and 828 of the respondents providing written comments to the open-ended question at the end of the survey. This brief summarizes survey findings and respondent comments about experiences with two programs during the early …

Do Recipients Of Cash Transfer Scheme Make The Right Decisions On Household Food Expenditure? A Study From A Rural District In Pakistan, Aminah Jahangir, Shehla Zaidi, Jai K. Das, Shifa Habib

Community Health Sciences

Objective: To assess spending by beneficiaries of Benazir Income Support Programme on monthly food commodities, and contribution of the cash grant programme on purchase of nutritious foods.
Methods: The descriptive cross-sectional survey of households enrolled in the Benazir Income Support Programme was conducted during July and August, 2013, in Matiari district of the Sindh province of Pakistan. Monthly household food expenditure on food commodities and use of the cash grant on type of food purchased was assessed through structured interviews of the beneficiaries. Results were computed in 2013 Pak rupees and converted to 2018 United States dollar. Women beneficiaries were …

Food Accessibility Related To Double Your Dollar Program, Julia Carlson

Human Nutrition and Hospitality Management Undergraduate Honors Theses

The Double Your Dollar (DYD) Program is a program that gives Supplemental Nutrition Assistance Program (SNAP) beneficiaries and Senior Farmers’ Market Nutrition Program (SFMNP) participants match dollars to spend at local farmers markets. Users are able to spend these dollars on fruits, vegetables, eggs, meats, dairy, jam/jelly, honey and food producing plants. DYD’s goal is to incentivize healthy eating among individuals of low income, promote local purchases, and increase spending at farmers markets. Food insecurity effects over 60,000 individuals in Washington and Benton county. With food accessibility being an area of concern in Northwest Arkansas, programs like SNAP and SFMNP …

Understanding The Effects Of Food Security And Snap Participation On The Fruit And Vegetable Intake Of Older Adults, Alexandra Sarkisian

Graduate Research Theses & Dissertations

This thesis focuses on understanding what impact the barrier of food security has on the fruit and vegetable intake of older adults. Food insecurity - lacking consistent access to enough food for an active, healthy lifestyle - is an issue that affects 1 in 9 Americans, and can have an impact on one’s diet and potentially overall health. Using secondary data collected through the 2013-2014 National Health and Nutrition Examination Survey, this study assessed the intake of fruits, vegetables, as well as the variety of produce consumed. This was then analyzed in order determine how the intake of these foods …

Socio-Ecological Barriers To Dry Grain Pulse Consumption Among Low-Income Women: A Mixed Methods Approach, Shelly M. Palmer, Donna M. Winham, Ann M. Oberhauser, Ruth E. Litchfield

Ann Oberhauser

The purpose of this study was to determine the socio-ecological influences on dry grain pulse consumption (beans, peas, lentils, chickpeas) among low-socioeconomic women in Iowa. Seven focus groups were conducted, with 36 women who qualified for income-based federal assistance. Data were collected from October 2017 to January 2018. Participants completed a survey that gathered individual demographics, assessed perceptions of dry grain pulses, and level of food security. Fifty-eight percent of the women were non-Hispanic white, and 39% were African American, all with an average age of 34.7 years. Thirty-three percent of the women consumed pulses less than once per week. …

Justice Served Fresh: Associations Between Food Insecurity, Community Gardening, And Property Value, Micajah Daniels, Courtney Coughenour Ph.D

McNair Poster Presentations

Numerous stakeholders in Nevada have used a variety of efforts to combat the growth of food insecurity facing Nevadans. The purpose of this research project is to understand the association between food insecurity, community gardens, and property value. Following the wealth of scholarship on these topics and data collected from community garden agencies in Southern Nevada, the research questions for this project include: (1) Where are community gardens located in SNV? (2) What efforts community gardens agencies are doing to address food insecurity (most interested in their efforts using community gardens)? (3) What are the perceptions of supports and barriers …

Increasing Fruits And Vegetable Consumption Among Snap Recipients Through An Innovative Prescription Program: Appalachian Farmacy, Kiriinya Mwirigi, Beenish Kamran

Appalachian Student Research Forum

Introduction:

Food insecurity prevalence in Washington County, TN is 14.3% yet 61% of SNAP eligible residents are food insecure. Food insecurity is associated with inadequate consumption of fruits and vegetables, as well as increased risk of chronic disease. Tennessee ranks 47^th in the Nation with only 6.7% consuming the recommended fruits and vegetable intake. The Farmacy Pilot Program was developed to encourage increased consumption of produce and to reduce food insecurity among SNAP recipients.

Methods:

This program provided vouchers to SNAP recipients and their families to buy fresh fruits and vegetables at the farmers market and in the grocery …

Community Orchards And Food Security In Appalachia, Ursula Ramsey

West Virginia Law Review

No abstract provided.

Voices For Food: Methodologies For Implementing A Multi-State Community-Based Intervention In Rural, High Poverty Communities, Suzanne Stluka, Lindsay Moore, Heather A. Eicher-Miller, Lisa Franzen-Castle, Becky Henne, Donna Mehrle, Daniel Remley, Lacey Mccormack

Department of Nutrition and Health Sciences: Faculty Publications

Background: Rural communities experience unique barriers to food access when compared to urban areas and food security is a public health issue in rural, high poverty communities. A multi-leveled socio-ecological intervention to develop food policy councils (FPCs), and improve food security in rural communities was created. Methods to carry out such an intervention were developed and are described.

Methods: A longitudinal, matched treatment and comparison study was conducted in 24 rural, high poverty counties in South Dakota, Indiana, Missouri, Michigan, Nebraska and Ohio. Counties were assigned to a treatment (n = 12) or comparison (n = 12) group. Intervention activities …

Desert Within A City: Exploring The Relationship Between Food Security, Diet, And Body Mass Index, Jamey Ann Baietto

Theses and Dissertations

Background: Food deserts are areas of decreased access to nutritious and affordable foods. Residing within a defined food desert is thought to decrease consumption of produce, dairy, and whole grains and increase consumption of energy-dense foods as well as body mass index (BMI).

Objective: The purpose of this study was to determine the effects of the level of food security on consumption of fruits, vegetables, dairy, whole grains, high-sugar foods, high-fat foods, and BMI.

Design: A one-time, self-administered data collection packet was sent to residents of a food desert. The Dietary Screener Questionnaire was utilized to determine the average daily …

Conceptualizing And Measuring Food Security Among Resettled Refugees Living In The United States, Hannah Stokes

Graduate College Dissertations and Theses

Food security research with resettled refugees in the United States and other Global North countries has found alarmingly high rates of food insecurity, up to 85% of surveyed households. This is well above the current US average of 12.7%. However, the most common survey tool used to measure food security status in the US, the US Household Food Security Survey Module (HFSSM), has not been sufficiently validated for resettled refugee populations, leading to the risk that the HFSSM may actually be underestimating the prevalence of food insecurity among resettled refugees in the US. Though research has attempted to establish validity …