Around the table: Food insecurity, socio-economic status, and instrumental social support among women living in a rural Kenyan island community
Identifieur interne : 002E54 ( Ncbi/Checkpoint ); précédent : 002E53; suivant : 002E55Around the table: Food insecurity, socio-economic status, and instrumental social support among women living in a rural Kenyan island community
Auteurs : Jason M. Nagata [Kenya] ; Kathryn J. Fiorella [Kenya] ; Charles R. Salmen [Kenya] ; Matthew D. Hickey [Kenya] ; Brian Mattah [Kenya] ; Richard Magerenge [Kenya] ; Erin Milner ; Sheri D. Weiser ; Elizabeth A. Bukusi ; Craig R. CohenSource :
- Ecology of food and nutrition [ 0367-0244 ] ; 2015.
Abstract
Food insecurity is a leading cause of morbidity and mortality in sub-Saharan Africa. Because food procurement is a social process embedded in complex social structures, social support may serve a critical role in sustaining food security in resource-limited settings. The objective of this study was to investigate the relationship among socio-economic status, social support, and food insecurity in a rural Kenyan island community. A cross-sectional random sample of 111 female heads of households representing 583 household members were surveyed in Mfangano Island, Kenya from August to October 2010 using adaptations of the Household Food Insecurity Access Scale and the Medical Outcomes Study Social Support Survey. In multiple linear regression models, less instrumental social support, defined as concrete direct ways people help others (B = −0.81; 95% confidence interval [CI] −1.45 to −0.17), and decreased ownership scale based on owning material assets (B = −2.93; 95% CI −4.99 to −0.86) were significantly associated with increased food insecurity, controlling for age, education, marital status, and household size. In addition to economic interventions, social support interventions geared at group capacity and resilience may be crucial adjuncts to improve and maintain the long term food security and health of persons living in low-resource regions.
Url:
DOI: 10.1080/03670244.2014.995790
PubMed: 25680030
PubMed Central: 4466072
Affiliations:
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Nagata</name><affiliation><nlm:aff id="A1">Global Health Sciences, University of California, San Francisco, San Francisco, California, USA, 94105</nlm:aff><wicri:noCountry code="subfield">94105</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation><affiliation><nlm:aff id="A3">Department of Pediatrics, Stanford University, Palo Alto, California, USA, 94304</nlm:aff><wicri:noCountry code="subfield">94304</wicri:noCountry></affiliation></author><author><name sortKey="Fiorella, Kathryn J" sort="Fiorella, Kathryn J" uniqKey="Fiorella K" first="Kathryn J." last="Fiorella">Kathryn J. Fiorella</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation><affiliation><nlm:aff id="A4">Department of Environmental Science, Policy & Management, University of California, Berkeley, Berkeley, California, USA, 94720</nlm:aff><wicri:noCountry code="subfield">94720</wicri:noCountry></affiliation></author><author><name sortKey="Salmen, Charles R" sort="Salmen, Charles R" uniqKey="Salmen C" first="Charles R." last="Salmen">Charles R. Salmen</name><affiliation><nlm:aff id="A1">Global Health Sciences, University of California, San Francisco, San Francisco, California, USA, 94105</nlm:aff><wicri:noCountry code="subfield">94105</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation></author><author><name sortKey="Hickey, Matthew D" sort="Hickey, Matthew D" uniqKey="Hickey M" first="Matthew D." last="Hickey">Matthew D. Hickey</name><affiliation><nlm:aff id="A1">Global Health Sciences, University of California, San Francisco, San Francisco, California, USA, 94105</nlm:aff><wicri:noCountry code="subfield">94105</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation></author><author><name sortKey="Mattah, Brian" sort="Mattah, Brian" uniqKey="Mattah B" first="Brian" last="Mattah">Brian Mattah</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation></author><author><name sortKey="Magerenge, Richard" sort="Magerenge, Richard" uniqKey="Magerenge R" first="Richard" last="Magerenge">Richard Magerenge</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Research, Organic Health Response, Mbita, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Research, Organic Health Response, Mbita</wicri:regionArea><wicri:noRegion>Mbita</wicri:noRegion></affiliation></author><author><name sortKey="Milner, Erin" sort="Milner, Erin" uniqKey="Milner E" first="Erin" last="Milner">Erin Milner</name><affiliation><nlm:aff id="A5">School of Public Health, University of California, Berkeley, Berkeley, California, USA, 94720</nlm:aff><wicri:noCountry code="subfield">94720</wicri:noCountry></affiliation></author><author><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name><affiliation><nlm:aff id="A6">Division of HIV/AIDS, University of California, San Francisco, San Francisco, California, USA, 94110</nlm:aff><wicri:noCountry code="subfield">94110</wicri:noCountry></affiliation></author><author><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><affiliation><nlm:aff id="A7">Family AIDS Care & Education Services (FACES), Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya, 00202</nlm:aff><wicri:noCountry code="subfield">00202</wicri:noCountry></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation><nlm:aff id="A1">Global Health Sciences, University of California, San Francisco, San Francisco, California, USA, 94105</nlm:aff><wicri:noCountry code="subfield">94105</wicri:noCountry></affiliation><affiliation><nlm:aff id="A7">Family AIDS Care & Education Services (FACES), Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya, 00202</nlm:aff><wicri:noCountry code="subfield">00202</wicri:noCountry></affiliation><affiliation><nlm:aff id="A8">Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA, 94143</nlm:aff><wicri:noCountry code="subfield">94143</wicri:noCountry></affiliation></author></analytic><series><title level="j">Ecology of food and nutrition</title><idno type="ISSN">0367-0244</idno><idno type="eISSN">1543-5237</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Food insecurity is a leading cause of morbidity and mortality in sub-Saharan Africa. Because food procurement is a social process embedded in complex social structures, social support may serve a critical role in sustaining food security in resource-limited settings. The objective of this study was to investigate the relationship among socio-economic status, social support, and food insecurity in a rural Kenyan island community. A cross-sectional random sample of 111 female heads of households representing 583 household members were surveyed in Mfangano Island, Kenya from August to October 2010 using adaptations of the Household Food Insecurity Access Scale and the Medical Outcomes Study Social Support Survey. In multiple linear regression models, less instrumental social support, defined as concrete direct ways people help others (B = −0.81; 95% confidence interval [CI] −1.45 to −0.17), and decreased ownership scale based on owning material assets (B = −2.93; 95% CI −4.99 to −0.86) were significantly associated with increased food insecurity, controlling for age, education, marital status, and household size. In addition to economic interventions, social support interventions geared at group capacity and resilience may be crucial adjuncts to improve and maintain the long term food security and health of persons living in low-resource regions.</p></div></front></TEI><affiliations><list><country><li>Kenya</li></country></list><tree><noCountry><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><name sortKey="Milner, Erin" sort="Milner, Erin" uniqKey="Milner E" first="Erin" last="Milner">Erin Milner</name><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name></noCountry><country name="Kenya"><noRegion><name sortKey="Nagata, Jason M" sort="Nagata, Jason M" uniqKey="Nagata J" first="Jason M." last="Nagata">Jason M. Nagata</name></noRegion><name sortKey="Fiorella, Kathryn J" sort="Fiorella, Kathryn J" uniqKey="Fiorella K" first="Kathryn J." last="Fiorella">Kathryn J. Fiorella</name><name sortKey="Hickey, Matthew D" sort="Hickey, Matthew D" uniqKey="Hickey M" first="Matthew D." last="Hickey">Matthew D. Hickey</name><name sortKey="Magerenge, Richard" sort="Magerenge, Richard" uniqKey="Magerenge R" first="Richard" last="Magerenge">Richard Magerenge</name><name sortKey="Mattah, Brian" sort="Mattah, Brian" uniqKey="Mattah B" first="Brian" last="Mattah">Brian Mattah</name><name sortKey="Salmen, Charles R" sort="Salmen, Charles R" uniqKey="Salmen C" first="Charles R." last="Salmen">Charles R. Salmen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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