Medical Mistrust Among Food Insecure Individuals in Appalachia.

This study focused on the relationship between food insecurity and medical mistrust within Appalachia. Food insecurity has negative consequences on health, while medical mistrust can lead to a decrease in health care use, creating additive consequences to already vulnerable populations. Medical mistrust has been defined in various ways, with measures addressing health care organizations and individual health care providers.

Reprint of: Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States.

It is the position of the Academy of Nutrition and Dietetics that systematic and sustained action is needed to achieve food and nutrition security in the United States. To achieve food security, effective interventions are needed, along with adequate funding for, and increased utilization of, food and nutrition assistance programs; inclusion of nutrition education in such programs; strategies to support individual and household economic stability; and research to measure impact on food insecurity- and health-related outcomes. Millions of individuals living in the United States experience food insecurity.

Food Insecurity Is Associated With Poorer Glycemic Control in Patients Receiving Free Versus Fee-Based Care.

This study examined differences in household food security (HFS), household adult food security (HAFS), and indicators of diabetes management between clients using free and fee-for-service clinics for diabetes care and management. The study's 166 participants (free clinic, = 41; fee-for-service clinic, =125) had a mean age of 53 ± 16 years and were primarily Caucasian ( = 147 [91.9%]).

Food insecurity is associated with disordered eating behaviors in NCAA division 1 male collegiate athletes.

: To assess the relationship of high school and collegiate household food security to current disordered food consumption behaviors in a sample of NCAA Division 1 male, collegiate athletes. : Male athletes, 18 years and older from a Southeastern Conference university in August-September 2016. : Cross-sectional survey including food security disordered eating behavior, and food hoarding questions.

Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States.

It is the position of the Academy of Nutrition and Dietetics that systematic and sustained action is needed to achieve food and nutrition security in the United States. To achieve food security, effective interventions are needed, along with adequate funding for, and increased utilization of, food and nutrition assistance programs; inclusion of nutrition education in such programs; strategies to support individual and household economic stability; and research to measure impact on food insecurity- and health-related outcomes. Millions of individuals living in the United States experience food insecurity.

Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study.

Context: The burden of cardiovascular disease (CVD) continues to be a public health concern. Workplace interventions that focus on modifying lifestyle habits may reduce CVD risk factors in people at risk.

Objective: To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary modification, physical activity, stress management, and behavior modification counseling to reduce the risk of CVD in at-risk adults.

Food Insecurity and Its Association With Central Obesity and Other Markers of Metabolic Syndrome Among Persons Aged 12 to 18 Years in the United States.

Context: Food insecurity is a preventable health threat and may precipitate central obesity and metabolic syndrome in children and adolescents in the United States.

Objective: To examine (1) health by household food security status; and (2) differences and prevalence of central obesity among persons aged 12 to 18 years in the United States.

Methods: The National Health and Nutrition Examination Survey was administered to a cross-sectional sample of persons aged 12 to 18 years in 1999 to 2006.

Role of a food box program in fruit and vegetable consumption and food security.

Purpose: We examined whether participation in a food box program has a positive effect on fruit and vegetable consumption and food security.

Methods: Participants and nonparticipants in a food box program were surveyed to determine differences between the two groups and change over time.

Results: Fruit and vegetable intake declined in those who left the program after several months, and intake of fruit, carrots, and vegetables was lower among those who had left than among those who remained in the program.

Position of the American Dietetic Association: food insecurity in the United States.

It is the position of the American Dietetic Association that systematic and sustained action is needed to achieve food and nutrition security for all in the United States. To eliminate food insecurity, interventions are needed, including adequate funding for and increased utilization of food and nutrition assistance programs, inclusion of food and nutrition education in such programs, and innovative programs to promote and support individual and household economic self-sufficiency. More than 49 million individuals living in the United States experienced food insecurity in 2008.

Household food insecurity is inversely associated with social capital and health in females from special supplemental nutrition program for women, infants, and children households in Appalachian Ohio.

Food insecurity has been negatively associated with social capital (a measure of perceived social trust and community reciprocity) and health status. Yet, these factors have not been studied extensively among women from households participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or the WIC Farmers' Market Nutrition Program. A cross-sectional, self-administered, mailed survey was conducted in Athens County, Ohio, to examine the household food security status, social capital, and self-rated health status of women from households receiving WIC benefits alone (n=170) and those from households receiving both WIC and Farmers' Market Nutrition Program benefits (n=65), as well as the relationship of food security, social capital, and self-rated health status.

Food security status and produce intake and behaviors of Special Supplemental Nutrition Program for Women, Infants, and Children and Farmers' Market Nutrition Program participants.

Objective: This study identified differences between women from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)- and WIC/Farmers' Market Nutrition Program-participating households regarding household food security status, fruit and vegetable intake and behaviors, perceived diet quality, and education level; and assessed the relationship between household food security status and perceived diet quality and perceived health. DESIGN, SUBJECTS/SETTING: Cross-sectional survey of women from Athens County, Ohio (WIC, n=829; Farmers' Market Nutrition Program, n=246) living in WIC households.

Results: Of 228 participants completing the food security portion of the survey, 61 (26.

Knowledge and practices of Ohio nurse practitioners regarding food access of patients.

Purposes: To assess the self-identified food security knowledge and practices of nurse practitioners (NPs) in Ohio and the relationships of food security knowledge and practices to NP characteristics.

Data Sources: This study utilized a survey approach for data collection. Participants were licensed NPs with prescriptive authority in Ohio who were randomly selected from the Ohio licensure list and responded to a questionnaire (n= 288) with demographic and food security-related questions.

Diabetes risk and obesity in food-insecure households in rural Appalachian Ohio.

Introduction: In 2003, 11.2% of U.S.

Position of the American Dietetic Association: food insecurity and hunger in the United States.

It is the position of the American Dietetic Association that systematic and sustained action is needed to bring an end to domestic food insecurity and hunger and to achieve food and nutrition security for all in the United States. The Association believes that immediate and long-range interventions are needed, including adequate funding for and increased utilization of food and nutrition assistance programs, the inclusion of food and nutrition education in all programs providing food and nutrition assistance, and innovative programs to promote and support the economic self-sufficiency of individuals and families, to end food insecurity and hunger in the United States. Food insecurity continues to exist in the United States, with over 38 million people experiencing it sometime in 2004.

Self-identified knowledge and practices of family physicians in Appalachian Ohio regarding food acquisition of patients.

This study assessed the self-identified food security knowledge and practices of family physicians practicing in Appalachian Ohio, along with related factors, using a 17-item survey. Respondents (n=189, 42.2%) were primarily male (n=151, 79.

Food security status of households in Appalachian Ohio with children in Head Start.

This study measured food security and hunger of households involved in Head Start in a rural Appalachian county and assessed factors that could affect food security and hunger. A convenience sample of households with children enrolled in the Head Start program in Athens County, Ohio, were sampled (n=710), with adults from 297 (42%) households responding. The survey instrument included the 18-question US Household Food Security Survey Module for measuring hunger and food insecurity.

Position of the American Dietetic Association: domestic food and nutrition security.

In 2000, over 10% of United States (US) households, including more than 33 million people, experienced food insecurity. Food insecurity negatively affects the dietary intake and nutritional status of adults leading to poor health and increased risk for the development of chronic diseases. Food insecurity also negatively affects children's health, psychological and cognitive functioning, and their academic achievement.

An Overview of Food Security and Its Measurement.

Food insecurity is still found in approximately 10% of US households. Food security status can be measured reliably using the Food Security Survey Module. Nutrition and dietetics professionals have the skills to assist in the efforts to reduce hunger, improve nutrition, and measure and strengthen food security in the United States.

Food security and perceptions of health status: a preliminary study in rural Appalachia.

Food insecurity is estimated to affect about 10% of the United States population. Rural areas experience even higher rates and intensity of food security problems related to poverty, food access, and higher food costs. Reports of the relationship between household food security and health status, however, are limited.

Selenium intakes, absorption, retention, and status in adolescent girls.

Objectives: To assess selenium intakes, absorption, retention, and status in healthy adolescent girls and the effect of calcium supplementation on selenium parameters.

Design: Annual 2-week study conducted each year for 3 consecutive years in which yearly selenium intakes, absorption, and retention and blood selenium status were measured.

Setting: A metabolic unit in a large metropolitan hospital located in Columbus, Ohio--a low selenium region of the United States.