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01-12-2021 | Nutrition | Original Paper

Impact of Housing Instability and Social Risk Factors on Food Insecurity Among Vulnerable Residents in San Diego County

Authors: Leila Yousefi-Rizi, Jong-Deuk Baek, Nicole Blumenfeld, Carleen Stoskopf

Published in: Journal of Community Health | Issue 6/2021

Abstract

To analyze the impact of housing instability and social risk facts on food insecurity using resource center client information. We utilized 2-1-1 San Diego’s client database to analyze the association of food insecurity and housing instability among residents from August 2017 to March 2020. 3468 clients had food or housing needs assessed by a risk rating scale. A multiple logistic regression model analyzed the associations between food insecurity and social risk factors including housing, transportation, utility bills, criminal justice, and medical debt. Multiple logistic regression indicates that those with housing instability encounter significantly greater risk of food insecurity (AOR 1.2) for homeless-sheltered, (AOR 2.1) for homeless-unsheltered. Also, utility needs (AOR 1.2) is significantly associated with food insecurity. However, those with medical debt are 48% less likely to have food insecurity. Approximately 77% of clients experienced food insecurity. Those with food insecurity also experienced higher needs in housing and other social risk factors. By further researching the association of food insecurity, housing instability, and other social needs in a population, we can better inform public health strategies that focus on proactive community and resource planning.

Social Determinants of Health. Centers for Disease Control and Prevention. Retrieved July 10, 2020, from https://www.cdc.gov/socialdeterminants/index.htm. Published January 29, 2018.

Social Determinants of Health. Social Determinants of Health | Healthy People 2020. Retrieved July 10, 2020, from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health.

Alderwick, H., & Gottlieb, L. M. (2019). Meanings and misunderstandings: A social determinants of health lexicon for health care systems. The Milbank Quarterly., 97(2), 407–419. https://doi.org/10.1111/1468-0009.12390CrossRefPubMedPubMedCentral

Bottino, C., Fleegler, E., Cox, J., & Rhodes, E. (2019). The relationship between housing instability and poor diet quality among urban families. Academic Pediatrics, 19(8), 891–898. https://doi.org/10.1016/j.acap.2019.04.004CrossRefPubMed

Crowley, S. (2003). The affordable housing crisis: Residential mobility of poor families and school mobility of poor children. Journal of Negro Education., 72(1), 22–38. https://doi.org/10.2307/3211288CrossRef

McKinney, S. (1987). Homeless Assistance Act of 1987, Pub. L. No. 100–77, 101 Stat. 482.

Harvard Joint Center for Housing Studies Releases State of the Nation's Housing 2016. National Low Income Housing Coalition. Retrieved May 10, 2020, from https://nlihc.org/resource/harvard-joint-center-housing-studies-releases-state-nations-housing-2016. Published June 27, 2016.

Nord, M., & Golla, A. M. (2009). Does SNAP decrease food insecurity? Untangling the self-selection effect. AgEconomy Search. https://doi.org/10.22004/ag.econ.55955CrossRef

USDA Economic Research Service. (2009). Access to affordable and nutritious food: Measuring and understanding food deserts and their consequences. Washington: USDA Economic Research Service. Retrieved November 27, 2017.

10.

Webb, P., Coates, J., Frongillo, E. A., Rogers, B. L., Swindale, A., & Bilinsky, P. (2006). Measuring household food insecurity: Why it’s so important and yet so difficult to do. Journal of Nutrition., 136(5), 1404S-1408S. https://doi.org/10.1093/jn/136.5.1404SCrossRef

11.

Coleman-Jensen, A., Rabbitt, M. P., Gregory, C., & Singh, A. (2015). Household Food Security in the United States in 2014. United States Department of Agriculture.

12.

Gundersen, C., & Oliveira, V. (2001). The food stamp program and food insufficiency. American Journal of Agricultural Economics, 83, 875–887. https://doi.org/10.1111/0002-9092.00216CrossRef

13.

Bailey, K. T., Cook, J. T., de Cuba Ettinger, S., Casey, P. H., Chilton, M., Coleman, S. M., et al. (2015). Development of an index of subsidized housing availability and its relationship to housing insecurity. House Policy Debate., 26(1), 172–187. https://doi.org/10.1080/10511482.2015.1015042CrossRef

14.

Ma, C. T., Gee, L., & Kushel, M. B. (2008). Associations between housing instability and food insecurity with health care access in low-income children. Ambulatory Pediatrics, 8(1), 50–57. https://doi.org/10.1016/j.ambp.2007.08.004CrossRefPubMed

15.

Parpouchi, M., Moniruzzaman, A., Russolillo, A., & Somers, J. M. (2016). Food Insecurity among Homeless Adults with Mental Illness. PLoS ONE, 11(7), e0159334. https://doi.org/10.1371/journal.pone.0159334CrossRefPubMedPubMedCentral

16.

Tarasuk, V., Fafard St-Germain, A. A., & Mitchell, A. (2019). Geographic and socio-demographic predictors of household food insecurity in Canada, 2011–12. BMC Public Health, 19(1), 12. https://doi.org/10.1186/s12889-018-6344-2CrossRefPubMedPubMedCentral

17.

Kushel, M. B., Gupta, R., Gee, L., & Haas, J. S. (2006). Housing instability and food insecurity as barriers to health care among low-income Americans. Journal of General Internal Medicine, 21(1), 71–77. https://doi.org/10.1111/j.1525-1497.2005.00278.xCrossRefPubMedPubMedCentral

18.

Keys to Cross-Sector Collaboration. Health Leads USA. Retrieved February 1, 2021, from http://healthleadsusa.org/wp-content/uploads/2020/08/Learning-from-the-Implementation-of-CSCA.pdf.

19.

San Diego Regional Task Force on the Homeless. We All Count. Retrieved November 2, 2020, from https://www.rtfhsd.org/wp-content/uploads/WeAllCount.pdf. Published 2020.

20.

Bhattarai, G. R., Duffy, P. A., & Raymond, J. (2005). Use of food pantries and food stamps in low-income households in the United States. The Journal of Consumer Affairs., 39(2), 276–298CrossRef

21.

What is CIE? Community Information Exchange San Diego. Retrieved February 1, 2021, from https://ciesandiego.org/what-is-cie/.

22.

Singu, S., Acharya, A., Challagundla, K., & Byrareddy, S. N. (2020). Impact of social determinants of health on the emerging COVID-19 pandemic in the United States. Frontiers in Public Health, 8, 406. https://doi.org/10.3389/fpubh.2020.00406CrossRefPubMedPubMedCentral

Title: Impact of Housing Instability and Social Risk Factors on Food Insecurity Among Vulnerable Residents in San Diego County
Authors: Leila Yousefi-Rizi
Jong-Deuk Baek
Nicole Blumenfeld
Carleen Stoskopf
Publication date: 01-12-2021
Publisher: Springer US
Keyword: Nutrition
Published in: Journal of Community Health / Issue 6/2021
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-021-00999-w

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Impact of Housing Instability and Social Risk Factors on Food Insecurity Among Vulnerable Residents in San Diego County

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