© 2021 Wolters Kluwer Health, Inc. and/or its subsidiaries. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security. The charitable food sector, including institutions like food banks, food pantries, soup kitchens, and feeding programs, is working together to address food insecurity while promoting health. They were instructed to take BP readings in the morning and evening at least 3 days per week during the 6-month intervention. Household food security in the United States in 2012. Pandit AU, Tang JW, Bailey SC, Davis TC, Bocchini MV, Persell SD, et al. 1. Some of the most common, yet complex, effects of food insecurity include: serious health complications, especially when people facing hunger are forced to choose between spending money on food … Food insecurity has also been associated with other behavioral factors related to chronic disease self-management (10,11,13) and poor disease control (13–16). – Terms & Conditions – Privacy Policy – Disclaimer -- v7.7.7, Changes to Lippincott Professional Development Program, Calming the COVID-19 Storm - Q&A Podcast Series, Improving Health through Board Leadership, Profiles in Nursing Leadership: Pathways to Board Membership, Trust and Spheres of Influence: An Interview with Karen Cox, PhD, RN, FACHE, FAAN, Uniting Technology & Clinicians: An Interview with Molly McCarthy, MBA, RN-BC, Where are our N95s? Diabetes Care 2013;36(10):3093–9. One out of every seven (14.3%) households in the United States (U.S.) was food insecure in 2013, meaning members did not have reliable access to sufficient affordable and nutritious food (Coleman-Jensen et al., 2014).A growing body of research shows relationships between food insecurity and poor health and dietary outcomes among certain populations such as adult … Newbury Park (CA): Sage, 1991. Berkowitz SA, Gao X, Tucker KL. Saving Lives, Protecting People, National Center for Chronic Disease Prevention and Health Promotion, U.S. Department of Health & Human Services. Within month variability in use of soup kitchens in New York State. The intent-to-treat analysis showed a nonsignificant reduction in SBP of 2.7 mm Hg from baseline to 6 months across both intervention arms (main effect of Time). Alexandria (VA): US Department of Agriculture, Food and Nutrition Service; March 2000. The primary reasons for dropout were family or housing issues and leaving the area. All participants were included in this intent-to-treat analysis, and missing data were handled by using full-information maximum likelihood estimates. Clear and convincing evidence demonstrates food insecurity (FI)— restricted access to adequate food due to a lack of money or other resources 1 —adversely impacts health and well-being across the life course. Rural areas have higher rates of food insecurity overall. Interventions both at the clinical and community levels will be proposed. Food insecurity is a dynamic, complex issue associated with health, educational, and economic factors. Overall, the estimated drop in SBP over the course of the intervention (adjusting for the set of covariates) among food-secure participants was 9.2 mm Hg, whereas SBP increased by 3.1 mm Hg among food-insecure participants (Figure). The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Because the primary hypothesis was tested in the context of a randomized trial, linear multilevel repeated-measures regression analyses were first performed to generate estimates of SBP change from baseline to 6 months between intervention arms (Group × Time interaction). Introduction Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. Lippincott NursingCenter’s Best Practice Advisor, Lippincott NursingCenter’s Cardiac Insider, Lippincott NursingCenter’s Career Advisor, Lippincott NursingCenter’s Critical Care Insider, Chronic Obstructive Pulmonary Disease (COPD), Management of Lower Gastrointestinal Bleeding, Management of Upper Gastrointestinal Bleeding, Extracorporeal Membrane Oxygenation (ECMO). Food insecurity and glycemic control among low-income patients with type 2 diabetes. Seligman HK, Laraia BA, Kushel MB. Participants were 28 English- or Spanish-speaking men and women with uncontrolled hypertension and comorbid type 2 diabetes. Information on determinants provides a better understanding of which types of households are likely to be affected by the problem and what are possible interventions to reduce food insecurity. Am J Public Health 1997;87(12):1956–61. Aiken LS, West SG. ResultsThe 2 interventions resulted in modest, nonsignificant blood pressure reductions. 2–5 As of 2017, 11.8% of US households reported being food insecure at some point during the year, though rates varied by household demographics. The development of innovative, tailored strategies to help food-insecure people follow dietary recommendations is an area for future research that will improve disease self-management efforts and health outcomes in this vulnerable population. Sample characteristics show that this sample was racially/ethnically diverse, with low socioeconomic position ( Table 1). 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