Food insecurity in Dutch disadvantaged neighbourhoods : a socio-ecological approach

© The Author(s) 2022..

Food insecurity is an important public health concern; however, research into this phenomenon within the Netherlands is limited. Food insecurity is not solely related to individual factors, but can also be influenced by various factors in the social and physical environment. Therefore, this study aimed to identify determinants of food insecurity within the personal, social and physical environment, based on the social ecological model (SEM), and to identify their relative importance for experiencing food insecurity. The study population consisted of 307 participants living in disadvantaged neighbourhoods of the Dutch city The Hague, of which approximately one-quarter were food insecure. Participant characteristics showing bivariate associations P < 0⋅20 were placed in a predetermined level of the SEM, after which a multivariate logistic regression was performed for each level and the Nagelkerke pseudo R 2 was presented. Determinants of food insecurity were BMI, gross monthly income, highest educational attainment, smoking status, diet quality, employment status, marital status and religion (P < 0⋅05). The results showed that 29⋅7 % of the total variance in food insecurity status was explained by all included determinants together. The personal, social and physical environment explained 20⋅6, 14⋅0 and 2⋅4 % of the total variance, respectively. Our findings suggest that determinants within the personal environment are most important for explaining differences in experienced food insecurity. The present study contributes to furthering the knowledge about the relative importance of the personal, social and physical environment, indicating that determinants within the personal environment may be most promising for developing targeted interventions to reduce food insecurity.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Journal of nutritional science - 11(2022) vom: 15., Seite e52

Sprache:

Englisch

Beteiligte Personen:

Janssen, Jolien M M [VerfasserIn]
van der Velde, Laura A [VerfasserIn]
Kiefte-de Jong, Jessica C [VerfasserIn]

Links:

Volltext

Themen:

BMI, body mass index
DHC, Dutch Health Council
Determinants
Explained variance
FFQ, food frequency questionnaire
FI, food insecure
FS, food secure
Food insecurity
Food security
IQR, interquartile range
ISCED, International Standard Classification of Education
Journal Article
LUMC, Leiden University Medical Center
MAR, missing at random
MCS, mental component summary
MI, multiple imputation
NNC, Netherlands Nutrition Center
PCS, physical component summary
SEM, social ecological model
SEP, socio-economic position
SF-12, 12-Item Short Form Health Survey
SNAP, Supplement Nutrition and Assistance Program
Social ecological model
USDA, United States Department of Agriculture
WMO, ‘Wet medisch-wetenschappelijk onderzoek’, in English: Medical Research Involving Human Subjects Act

Anmerkungen:

Date Completed 18.07.2022

Date Revised 11.10.2022

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1017/jns.2022.48

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM343569981