Impacts of COVID-19 on the home food environment and eating related behaviors of families with young children based on food security status

Loth, Katie A.; Hersch, Derek; Trofholz, Amanda; Harnack, Lisa; Norderud, Kristin

doi:10.1016/j.appet.2022.106345

Cited by 9 publications

(5 citation statements)

References 46 publications

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“…Several studies from high-income countries have reported that these variables were reinforced by the parent's obligation to stay home during the lockdown as they had more time for food chores (64)(65)(66). Our results suggest the contrary since the effect of time disruption on the quality of children's intake was more important than the protective factors.…”

Section: Discussionmentioning

confidence: 45%

Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic

Pemjean

Stoltze

Ferrer-Rosende

et al. 2023

Front. Public Health

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IntroductionFood access is associated with dietary quality; however, people living in similar physical environments can have different food access profiles. Domestic environments may also influence how food access relates to dietary quality. We studied food access profiles of 999 low-middle income Chilean families with children during the COVID-19 lockdown and how these profiles relate to dietary quality; secondarily, we also explore the role of the domestic environment in this relationship.Materials and methodsParticipants of two longitudinal studies conducted in the southeast of Santiago, Chile, answered online surveys at the beginning and end of the COVID-19 pandemic lockdown. Food access profiles were developed by a latent class analysis considering food outlets and government food transfers. Children's dietary quality was estimated by self-reported compliance with the Chilean Dietary Guidelines of Americans (DGA) and daily ultra-processed food (UPF) consumption. Logistic and linear regressions were used to assess the association between food access profiles and dietary quality. Domestic environment data (i.e., the sex of the person who buys food and cooks, meal frequency, cooking skills, etc.) were incorporated in the models to assess their influence on the relationship between food access and dietary quality.ResultsWe have categorized three food access profiles: Classic (70.2%), Multiple (17.9%), and Supermarket-Restaurant (11.9%). Households led by women are concentrated in the Multiple profile, while families from higher income or education levels are focused on the Supermarket-Restaurant profile. On average, children presented poor dietary quality, with a high daily UPF consumption (median = 4.4; IQR: 3) and low compliance with national DGA recommendations (median = 1.2; IQR: 2). Except for the fish recommendation (OR = 1.77, 95% CI:1.00–3.12; p: 0.048 for the Supermarket-Restaurant profile), the food access profiles were poorly associated with children's dietary quality. However, further analyses showed that domestic environment variables related to routine and time use influenced the association between food access profiles and dietary quality.ConclusionIn a sample of low-middle income Chilean families, we identified three different food access profiles that presented a socioeconomic gradient; however, these profiles did not significantly explain children's dietary quality. Studies diving deeper into household dynamics might give us some clues on intra-household behaviors and roles that could be influencing how food access relates to dietary quality.

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Section: Discussionmentioning

confidence: 45%

Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic

Pemjean

Stoltze

Ferrer-Rosende

et al. 2023

Front. Public Health

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“…Our results for breakfast consumption by SES may partially reflect the heightened experiences of food insecurity during the pandemic [ 11 – 14 ] and disrupted access to school nutrition programs. School breakfast programs are intended to ensure all students have access to a nutritious meal and are targeted at students living in low income and food insecure households, but this was disrupted during acute phases of the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 98%

“…Much work has been done to promote the adoption and maintenance of healthy dietary patterns in adolescence, as a period when healthy nutritional behaviours and diet quality tend to decline, and lifelong health habits often become established [ 7 , 8 ]. Adverse dietary changes during the pandemic response appear likely [ 9 ], given the disruption of school nutrition programs [ 10 ], alongside heightened exposure to food insecurity [ 11 – 14 ], reduced daily structure and routine [ 15 ], and increased stress or boredom [ 15 ]. Though, some evidence points to positive shifts, including greater consumption of home-prepared food and family meals [ 9 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in breakfast and water consumption among adolescents in Canada: examining the impact of COVID-19 in worsening inequity

Duncan,

Belita,

Amores

et al. 2024

BMC Nutr

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Background To assess whether changes in breakfast and water consumption during the first full school year after the emergence of the COVID-19 pandemic varied based on sex/gender, race/ethnicity, and socioeconomic status among Canadian adolescents. Methods Prospective annual survey data collected pre- (October 2019-March 2020) and post-COVID-19 onset (November 2020-June 2021) the Cannabis, Obesity, Mental health, Physical activity, Alcohol, Smoking, and Sedentary behaviour (COMPASS) study. The sample consisted of 8,128 students; mean (SD) age = 14.2 (1.3) years from a convenience sample of 41 Canadian secondary schools. At both timepoints self-reported breakfast and water consumption were dichotomized as daily or not. Multivariable logistic generalized estimating equations with school clustering were used to estimate differences in maintenance/adoption of daily consumption post-COVID-19 based on demographic factors, while controlling for pre-COVID-19 behaviour. Results Adjusted odds ratios (AOR) with 95% confidence intervals are reported. Females (AOR = 0.71 [0.63, 0.79]) and lower socioeconomic status individuals (AORLowest:Highest=0.41 [0.16, 1.00]) were less likely to maintain/adopt daily breakfast consumption than male and higher socioeconomic status peers in the 2020–2021 school year. Black identifying individuals were less likely than all other racial/ethnic identities to maintain/adopt plain water consumption every day of the week (AOR = 0.33 [0.15, 0.75], p < 0.001). No significant interaction effects were detected. Conclusions Results support the hypothesis that changes in nutritional behaviours were not equal across demographic groups. Female, lower socioeconomic status, and Black adolescents reported greater declines in healthy nutritional behaviours. Public health interventions to improve adherence to daily breakfast and water consumption should target these segments of the population. Trial Registration Not a trial.

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“…[16] noted that there is a wide literature base that has shown that those suffering from pandemic-related psychological distress tend to exhibit elevated levels of post-traumatic stress, general stress, anxiety, health anxiety and suicidal. [17][18][19] noted that the PTSD may last well beyond the course of the pandemic. When individuals have PTSD, the world feels unsafe for them.…”

Section: Post-traumatic Stress Disorder (Ptsd) Among Learnersmentioning

confidence: 99%

Mental Health Effects of COVID-19 Pandemic on Learners in Primary and Secondary Schools in Kenya

Mbutitia

Mburugu

Chepchieng

et al. 2023

JESBS

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Aims: To assess the effect of COVID -19 on mental health of the learners in primary and secondary schools of Kenya. Study Design: The study adopted a cross-sectional research design where 96.5% of the respondents of the study were between the age of 6- 18 years. Place and Duration of the Study: The study was conducted in Kenya and it involved five counties namely Nairobi, Mombasa, Kajiado, Migori and Elgeyo Marakwet primary, secondary and special schools. The study was conducted between October 2021 and July, 2022. Methodology: In the five selected counties 12 schools were selected in each county where different sub-counties were considered. A 31 item paper questionnaire for learners on mental health was administered to assess levels for anxiety with ten(10) items, depression had eleven(11) items and and post-traumatic stress disorder had ten (10) items. The learners responded to a 3 point Likert scale of; “Not at all”(1) “Sometimes”(2) and “All the Time”(3) The scores were tabulated as follows: Anxiety; Normal 10 – 15, Mild 16 -20, Moderate 21- 25 and Severe 25 and above, Depression; Normal 11 – 18, Mild 19 -26, Moderate 27- 31 Severe 32 and above and finally Scores for PTSD; Normal 9 – 14, Mild 15 -19, Moderate 20- 24, Severe 25 and aboveNormal (1), Mild (2), Moderate (3) and Severe (4) though some items were reverse scored if the statement was negatively phrased. All the learners who scored an average of moderate to severe in this tool were identified as vulnerable and predisposed to risks of mental illness and therefore recommended for mental health interventions. Results: The study established that 25.7% of the learners reported moderate to severe levels of anxiety, 27.9% of the learners reported moderate to severe levels of depression and 44.4% of the learners reported moderate to severe levels of PTSD. Conclusion: The study established that there were heightened level of anxiety was a reality among school learners. There is need to implement efforts that address depressive symptoms before they escalate to unmanageable levels. Learners are experiencing post-traumatic stress disorder whose effects will continue to be felt for long period of time unless intervention takes place. Therefore Kenyan schools not only need to prevent but also manage learners exhibiting the mental health symptoms to promote holistic growth with fully functional citizenry.

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Impacts of COVID-19 on the home food environment and eating related behaviors of families with young children based on food security status

Cited by 9 publications

References 46 publications

Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic

Food access, domestic environments, and dietary quality of low-middle income Chilean children during the COVID-19 pandemic

Changes in breakfast and water consumption among adolescents in Canada: examining the impact of COVID-19 in worsening inequity

Mental Health Effects of COVID-19 Pandemic on Learners in Primary and Secondary Schools in Kenya

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