Barriers and Facilitators to Food Security among Adult Burundian and Congolese Refugee Females Resettled in the US

McElrone, Marissa; Colby, Sarah; Moret, Lauren; Kavanagh, Katie; Spence, Marsha; Fouts, Hillary N.; Ellington, Ainsley; Payne, Magen

doi:10.1080/03670244.2019.1598981

Cited by 24 publications

(68 citation statements)

References 21 publications

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“…Moreover, the articles referred to an increased availability of cultural including halal foods over time (2,85,86,91) . In different settings, some groups had an easier time than others to find their cultural foods, though many found it a challenge (58,61,62,68,70,73,75,76,82,86,91) . There was a lack of familiarity and variety thereof (86) .…”

Section: Availability Of Specific Food Typesmentioning

confidence: 99%

Food environment interactions after migration: a scoping review on low- and middle-income country immigrants in high-income countries

Berggreen-Clausen

Pha

Alvesson

et al. 2021

Public Health Nutr.

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Objective: To map and characterize the interactions between the food environment and immigrant populations from low- and middle-income countries living in high-income countries. Design: A scoping review was carried out following the framework outlined by Arksey and O’Malley, as well as Levac et al. Peer-reviewed studies in English published between 2007 to 2021 were included. Two reviewers screened and selected the papers according to predefined inclusion criteria and reporting of results follows the PRISMA-ScR guidelines. A ‘Best fit’ framework synthesis was carried out using the ANGELO framework. Setting: High-income countries. Subjects: Immigrants from low- and middle-income countries. Results: A total of 68 articles were included, primarily based in the USA, as well as Canada, Australia and Europe, with immigrants originating from five regions of the globe. The analysis identified three overarching themes that interconnected different aspects of the food environment in addition to the four themes of the ANGELO framework. They demonstrate that in valuing fresh, healthy and traditional foods, immigrants were compelled to surpass barriers in order to acquire these, though children’s demands, low incomes, time scarcity and mobility influenced the healthiness of the foods acquired. Conclusion: This study brought together evidence on interactions between immigrant populations and the food environment. Immigrants attempted to access fresh, traditional, healthier food, though they faced structural and family-level barriers that impacted the healthiness of the food they acquired. Understanding the food environment and interactions therein is key to proposing interventions and policies that can potentially impact the most vulnerable.

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Section: Availability Of Specific Food Typesmentioning

confidence: 99%

Food environment interactions after migration: a scoping review on low- and middle-income country immigrants in high-income countries

Berggreen-Clausen

Pha

Alvesson

et al. 2021

Public Health Nutr.

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“…A majority of the curriculum adaptations were derived from agreement in the four sources of data; however, there was one notable disagreement during the cultural adaptation process. The steering committee felt the recipes should be altered to include more culturally relevant ingredients; however, data from the literature review and formative research indicated a need and desire to address unfamiliarity of nontraditional foods, cooking methods, and equipment in the United States through the use of American recipes (Hadley et al, 2010; Hadley & Sellen, 2006; McElrone et al, 2019). When the priority population was consulted on the discrepancy, they echoed the formative research findings resulting in the retention of the original American recipes.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the iCook 4-H curriculum was designed for a group setting. This group setting was used to strengthen existing social network support and build new ones, which is a facilitator to food security among refugee families (McElrone et al, 2019). As an evidence-based, theory-driven curriculum, iCook 4-H provided a foundation to target dietary acculturation barriers and facilitators to food security within an appropriate sociocultural context for the sub-Saharan African refugee families in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Dietary acculturation is the process in which refugees adopt food choices, preparation habits, and consumption patterns reflecting their new residence (Himmelgreen et al, 2005). Refugees resettled in the United States from diverse parts of the world have reported dietary acculturation barriers including cooking (limited American food knowledge), shopping (unfamiliar foods and English barriers), accessing (difficulties with transportation), and affording (inadequate economic resources) healthful foods (Anderson et al, 2014; Dharod et al, 2013; Hadley et al, 2010; Hadley & Sellen, 2006; McElrone et al, 2019; Patil et al, 2009).…”

mentioning

confidence: 99%

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A Community-Based Cultural Adaptation Process: Developing a Relevant Cooking Curriculum to Address Food Security for Burundian and Congolese Refugee Families

McElrone

Colby

Franzen‐Castle

et al. 2020

Health Promotion Practice

Self Cite

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Refugee-specific nutrition and cooking curricula addressing dietary acculturation barriers to food security are limited. A cooking curriculum was culturally adapted for Burundian and Congolese refugees to address their unique dietary acculturation experiences. A four-phase curriculum adaptation process (information gathering [literature review, researcher informed, and formative interviews; n = 18], preliminary adaptation design [data incorporation and steering committee; n = 5], pilot testing [ n = 10 youth/adult dyads], and refinement) was applied to the existing evidence-based iCook 4-H curriculum using a five-strategy (peripheral, evidential, linguistic, constituent-involving, and sociocultural) cultural adaptation framework. A multiphase, two-cycle coding analytic process was completed within NVivo 12, followed by direct content analysis. Seventeen adaptations were made to the iCook curriculum, derived from varying combinations of four data sources (literature review, researcher informed, priority population, and steering committee), applying all five cultural adaptation strategies. A majority of the curriculum adaptations were derived from two or more data sources (71%) and were categorized within multiple adaptation strategies (88%). This study provided a community-based cultural adaptation process that could be used with various populations to address unique barriers and facilitators to food security. This innovative model addresses cultural needs while simultaneously aiming to improve health habits of refugee communities.

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“…For displaced populations, food insecurity is a major reason for having left their homes, 69,70 continues to be a threat to health during their journey, 71 and can endure upon resettlement 72‐75 . In refugee/IDP camps, emergency food assistance programs, such as those supported by the United Nation’s World Food Programme, have three mechanisms for providing food assistance: in‐kind food transfer, food vouchers, cash transfer.…”

Section: Skin Diseases Associated With Suboptimal Infrastructurementioning

confidence: 99%

Skin diseases in displaced populations: a review of contributing factors, challenges, and approaches to care

2020

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There are 70.8 million persons displaced worldwide due to war, persecution, and violence. Eighty percent of displaced persons reside in low-and middle-income countries with limited healthcare resources. Cutaneous diseases are commonly reported among displaced persons owing to numerous interrelated factors such as inadequate housing, overcrowding, food insecurity, environmental exposures, violence including torture, and breakdown of healthcare infrastructure. Diagnosis and management of these conditions, as well as an understanding of the context in which they present, is crucial to providing dermatologic care for displaced populations worldwide. Herein, we define displaced populations and, within this context, review the epidemiology of skin diseases, discuss pertinent skin conditions, examine challenges to care provision, and present approaches for improving dermatologic care. Inflammatory and communicable infectious disorders are the most common skin diseases seen in displaced populations. Other relevant conditions include skin manifestations of heat injuries, cold injuries, immersion foot syndromes, macronutrient and micronutrient deficiencies, torture, and sexual and gender-based violence. Provision of dermatologic care to displaced populations is hampered by limited diagnostic and therapeutic resources and specialist expertise. Medical screening for cutaneous disorders, context-relevant dermatology training, and telemedicine are potential tools to improve diagnosis and management of skin diseases in displaced populations. (UNHCR) estimates that nearly one person every 2 seconds escapes war, persecution, or terror, leaving everything behind. About 80% of refugees are hosted in low-and middle-income countries, which provide, for example, protection and space for refugee camps and for which the presence of large numbers of refugees brings a significant strain on the infrastructure. 2 Among the nearly 26 million refugees in 2018, 57% came from three countries: Syria (6.7 million), Afghanistan (2.7 million), and South Sudan (2.3 million). 1 Their neighbors, Turkey (3.7 million), Pakistan (1.4 million), Uganda (1.2 million), and Sudan (1.1 million), are among the top refugee hosting countries. 1 Ongoing crises worldwide have led to internal displacement of 4.3 million people in Yemen, 3 flight of 742,000 Rohingya from Myanmar to Bangladesh where many find themselves stateless, 4 and departure of an estimated 4 million Venezuelans 5 to other Latin American countries. Countries in sub-Saharan Africa host greater than 26% of the world's refugees. 6 Less than 1% of refugees transfer from the host country to a third country that has agreed to admit them for permanent resettlement. 7 For displaced persons, inadequate housing, overcrowding, food insecurity, environmental exposures, violence, and poor access to health care are constant threats to achieving and maintaining health. Cutaneous diseases are commonly encountered problems in displaced populations. Diagnosis and management of these conditions, as well as an under...

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Barriers and Facilitators to Food Security among Adult Burundian and Congolese Refugee Females Resettled in the US

Cited by 24 publications

References 21 publications

Food environment interactions after migration: a scoping review on low- and middle-income country immigrants in high-income countries

Food environment interactions after migration: a scoping review on low- and middle-income country immigrants in high-income countries

A Community-Based Cultural Adaptation Process: Developing a Relevant Cooking Curriculum to Address Food Security for Burundian and Congolese Refugee Families

Skin diseases in displaced populations: a review of contributing factors, challenges, and approaches to care

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