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Around the table: Food insecurity, socio-economic status, and instrumental social support among women living in a rural Kenyan island community

Identifieur interne : 001831 ( Pmc/Corpus ); précédent : 001830; suivant : 001832

Around the table: Food insecurity, socio-economic status, and instrumental social support among women living in a rural Kenyan island community

Auteurs : Jason M. Nagata ; Kathryn J. Fiorella ; Charles R. Salmen ; Matthew D. Hickey ; Brian Mattah ; Richard Magerenge ; Erin Milner ; Sheri D. Weiser ; Elizabeth A. Bukusi ; Craig R. Cohen

Source :

RBID : PMC:4466072

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

Links to Exploration step

PMC:4466072

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<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>
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<name>
<surname>Nagata</surname>
<given-names>Jason M.</given-names>
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<xref ref-type="aff" rid="A3">3</xref>
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<given-names>Kathryn J.</given-names>
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<xref ref-type="aff" rid="A4">4</xref>
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<name>
<surname>Salmen</surname>
<given-names>Charles R.</given-names>
</name>
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<xref ref-type="aff" rid="A2">2</xref>
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<surname>Hickey</surname>
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<name>
<surname>Weiser</surname>
<given-names>Sheri D.</given-names>
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<surname>Bukusi</surname>
<given-names>Elizabeth A.</given-names>
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Global Health Sciences, University of California, San Francisco, San Francisco, California, USA, 94105</aff>
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Department of Research, Organic Health Response, Mbita, Kenya</aff>
<aff id="A3">
<label>3</label>
Department of Pediatrics, Stanford University, Palo Alto, California, USA, 94304</aff>
<aff id="A4">
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Department of Environmental Science, Policy & Management, University of California, Berkeley, Berkeley, California, USA, 94720</aff>
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School of Public Health, University of California, Berkeley, Berkeley, California, USA, 94720</aff>
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Family AIDS Care & Education Services (FACES), Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya, 00202</aff>
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Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA, 94143</aff>
<author-notes>
<corresp id="FN1">
<label>*</label>
Corresponding Author:
<email>jasonmnagata@gmail.com</email>
, (626) 551-1932, 725 Welch Road, Palo Alto, CA 94304</corresp>
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<pub-date pub-type="nihms-submitted">
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<pmc-comment>elocation-id from pubmed: 10.1080/03670244.2014.995790</pmc-comment>
<abstract>
<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>
</abstract>
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