Differential Impact of Food Insecurity, Distress, and Stress on Self-care Behaviors and Glycemic Control Using Path Analysis

Walker, Rebekah J.; Campbell, Jennifer A.; Egede, Leonard E.

doi:10.1007/s11606-019-05427-3

Cited by 24 publications

(10 citation statements)

References 42 publications

(63 reference statements)

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“…Yet again, in countries that capture and monitor food insecurity, Type 2 diabetes is known to be more prevalent amongst food insecure groups [71][72][73][74][75][76][77][78], with poverty and food insecurity itself implicated as a determinant of the condition [72,74,79]. Indeed, food insecurity is considered a powerful antecedent in the development of many chronic health conditions including visceral fat accumulation [20].…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

2020

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual's health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. Notions of the support they might wish to receive from them. Methods: Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed. Results: Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in) visibility of participants' economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system. Conclusions: This study, the first of its kind in the UK, indicated that participants' health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

2020

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show abstract

“…Yet again, in countries that capture and monitor food insecurity, Type 2 diabetes is known to be more prevalent amongst food insecure groups [72][73][74][75][76][77][78][79], with poverty and food insecurity itself implicated as a determinant of the condition [73,75,80]. Indeed, food insecurity is considered a powerful antecedent in the development of many chronic health conditions including visceral fat accumulation [20].…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Methods : Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed.Results : Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions : This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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“…Yet again, in countries that capture and monitor food insecurity, Type 2 diabetes is known to be more prevalent amongst food insecure groups (64)(65)(66)(67)(68)(69)(70)(71), with poverty and food insecurity itself implicated as a determinant of the condition (65,67,72). Indeed, food insecurity is considered a powerful antecedent in the development of many chronic health conditions including visceral fat accumulation (17).…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

View full text Add to dashboard Cite

Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. However, while international evidence outside of the UK indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this high-income country context. Methods :A qualitative investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Interview audio recordings were fully transcribed and thematically analysed.Results : Twenty individuals living with a wide range of self-reported health conditions, and being supported by a local poverty alleviation social enterprise took part. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions :This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

show abstract

Differential Impact of Food Insecurity, Distress, and Stress on Self-care Behaviors and Glycemic Control Using Path Analysis

Cited by 24 publications

References 42 publications

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

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