Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness

There is a dearth of research on the determinants of food insecurity among adults who experience homelessness. According to cumulative risk theory, it is the accumulation of risk factors that places individuals in jeopardy for negative health consequences. Building on the cumulative risk theory, dom...

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Autores principales:	Daphne C. Hernandez, Sajeevika S. Daundasekara, Katherine R. Arlinghaus, Nubia Tobar, Lorraine R. Reitzel, Darla E. Kendzor, Michael S. Businelle
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	food insecurity homelessness Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fbd5fc1eb8aa4bbaa9d603ad2eed7724
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spelling	oai:doaj.org-article:fbd5fc1eb8aa4bbaa9d603ad2eed77242021-11-30T21:38:39ZCumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness10.4148/2572-1836.10332572-1836https://doaj.org/article/fbd5fc1eb8aa4bbaa9d603ad2eed77242019-03-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1033&context=hbrhttps://doaj.org/toc/2572-1836There is a dearth of research on the determinants of food insecurity among adults who experience homelessness. According to cumulative risk theory, it is the accumulation of risk factors that places individuals in jeopardy for negative health consequences. Building on the cumulative risk theory, domain specific indices were created to examine the relationship between four cumulative risk factors and food insecurity among adults who experience homelessness. Adult participants were recruited from six area shelters in Oklahoma City (N = 565) during July – August of 2016. Participants who affirmatively responded to two to six items of the six-item USDA Food Security Scale-Short form were categorized as food insecure. Four indices of cumulative risk were created based on affirmative survey responses: poor health & risky health behaviors index, personal and sexual victimization index, household disruption, and financial strain. Covariate-adjusted logistic regression models predicted the odds of adults experiencing food insecurity. Seventy-eight percent of the sample experienced food insecurity. Higher scores for the poor health and risky health behaviors index predicted higher odds of experiencing food insecurity (OR = 1.80, CI: 1.51 – 2.14). Higher scores for the personal and sexual victimization index also predicted higher odds of experiencing food insecurity (OR = 1.57, CI: 1.20 – 2.04). To facilitate food security among adults experiencing homelessness, shelters and community-based programs need to consider homelessness and food insecurity to be multi-faceted public health problems that are interrelated.Daphne C. HernandezSajeevika S. DaundasekaraKatherine R. ArlinghausNubia TobarLorraine R. ReitzelDarla E. KendzorMichael S. BusinelleNew Prairie Pressarticlefood insecurityhomelessnessSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	food insecurity homelessness Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	food insecurity homelessness Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Daphne C. Hernandez Sajeevika S. Daundasekara Katherine R. Arlinghaus Nubia Tobar Lorraine R. Reitzel Darla E. Kendzor Michael S. Businelle Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
description	There is a dearth of research on the determinants of food insecurity among adults who experience homelessness. According to cumulative risk theory, it is the accumulation of risk factors that places individuals in jeopardy for negative health consequences. Building on the cumulative risk theory, domain specific indices were created to examine the relationship between four cumulative risk factors and food insecurity among adults who experience homelessness. Adult participants were recruited from six area shelters in Oklahoma City (N = 565) during July – August of 2016. Participants who affirmatively responded to two to six items of the six-item USDA Food Security Scale-Short form were categorized as food insecure. Four indices of cumulative risk were created based on affirmative survey responses: poor health & risky health behaviors index, personal and sexual victimization index, household disruption, and financial strain. Covariate-adjusted logistic regression models predicted the odds of adults experiencing food insecurity. Seventy-eight percent of the sample experienced food insecurity. Higher scores for the poor health and risky health behaviors index predicted higher odds of experiencing food insecurity (OR = 1.80, CI: 1.51 – 2.14). Higher scores for the personal and sexual victimization index also predicted higher odds of experiencing food insecurity (OR = 1.57, CI: 1.20 – 2.04). To facilitate food security among adults experiencing homelessness, shelters and community-based programs need to consider homelessness and food insecurity to be multi-faceted public health problems that are interrelated.
format	article
author	Daphne C. Hernandez Sajeevika S. Daundasekara Katherine R. Arlinghaus Nubia Tobar Lorraine R. Reitzel Darla E. Kendzor Michael S. Businelle
author_facet	Daphne C. Hernandez Sajeevika S. Daundasekara Katherine R. Arlinghaus Nubia Tobar Lorraine R. Reitzel Darla E. Kendzor Michael S. Businelle
author_sort	Daphne C. Hernandez
title	Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
title_short	Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
title_full	Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
title_fullStr	Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
title_full_unstemmed	Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness
title_sort	cumulative risk factors associated with food insecurity among adults who experience homelessness
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/fbd5fc1eb8aa4bbaa9d603ad2eed7724
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Cumulative Risk Factors Associated with Food Insecurity among Adults who Experience Homelessness

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