Food insecurity screening: A missing piece in cancer management

Patel, Kanishka G.; Borno, Hala; Seligman, Hilary K.

doi:10.1002/cncr.32291

Cited by 43 publications

(45 citation statements)

References 68 publications

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“…recruiting people with physical and mental health issues, those who had conditions that typically required dietary modification and monitoring for optimum management, and those who did not, and succeeded in gaining the diversity of experiences we hope to achieve. However, we did not speak to anyone who disclosed a cancer diagnosis and this is an important and potentially overlooked issue as the association between food insecurity and cancer outcomes remains poorly understood (38). Thirdly, we relied on participants' self-reported diagnosis and disclosure to make judgments about our sampling strategy and recruitment.…”

Section: Study Limitations and Strengthsmentioning

confidence: 99%

“…However the experience of food insecurity as a health care issue and its impacts on patients' health condition management endeavours, has received relatively little attention in the UK to date, which is in contrast to other high income countries where poverty and food insecurity, and long term condition prevalence are similarly high (13,14,19,21,(36)(37)(38)(39)(40). A recent study of Scottish-based health care professionals, by the lead author, found that most believed that some of their patients were affected by food insecurity and that it was impacting their ability to manage their health condition(s)(41).…”

Section: Introductionmentioning

confidence: 99%

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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. 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.

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Section: Study Limitations and Strengthsmentioning

confidence: 99%

Section: Introductionmentioning

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

show abstract

“…recruiting people with physical and mental health issues, those who had conditions that typically required dietary modi cation and monitoring for optimum management, and those who did not, and succeeded in gaining the diversity of experiences we hope to achieve. However, we did not speak to anyone who disclosed a cancer diagnosis and this is an important and potentially overlooked issue as the association between food insecurity and cancer outcomes remains poorly understood [44]. Thirdly, we relied on participants' self-reported diagnosis and disclosure to make judgments about our sampling strategy and recruitment.…”

Section: Study Limitations and Strengthsmentioning

confidence: 99%

“…The experience of food insecurity as a health care issue, and its impacts on patients' health condition management endeavours, has received relatively little attention in the UK to date. This lack of attention is in contrast to other high-income countries where poverty and food insecurity, and long-term condition prevalence are similarly high [20,22,24,[41][42][43][44][45][46]. A recent study of Scottish-based health care professionals, by the lead author, found that most believed that some of their patients were affected by food insecurity and that it was impacting their ability to manage their health condition(s) [47].…”

Section: Introductionmentioning

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. 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.

show abstract

“…The experience of food insecurity as a health care issue, and its impacts on patients' health condition management endeavours, has received relatively little attention in the UK to date. This lack of attention is in contrast to other high-income countries where poverty and food insecurity, and long-term condition prevalence are similarly high [21,23,25,[43][44][45][46][47][48]. A recent study of Scottish-based health care professionals, by the lead author, found that most believed that some of their patients were affected by food insecurity and that it was impacting their ability to manage their health condition(s) [49].…”

Section: Introductionmentioning

confidence: 99%

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

2020

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. 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.

show abstract

Food insecurity screening: A missing piece in cancer management

Cited by 43 publications

References 68 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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